Abstract

BackgroundThe importance of contraception use is immense for young girls of age 15–24 years. In literatures, there were significant attempts made to study factors associated with adolescent and young women contraception use in Africa. Despite the resulting interventions followed those studies, the contraception uses among youth population in Africa remained below average. Thus, this study is aimed to assess individual and community-level factors associated with contraceptive use in Ethiopian context to support further interventions.MethodsOur analysis was based on the secondary data from Ethiopia Demography and Health Survey (EDHS) 2016. Adolescent girls and young women (AGYW) aged 15–24 years were the target population. Means, standard deviations, and proportions were used to describe the study population. To control for the variations due to the differences between clusters, a series of multilevel logistic regression modeling steps were followed and determinants of contraceptive use were outplayed. All variables with bivariate p-value < 0.25 were included in the models and p-value < 0.05 was used to declare associations.ResultsThe prevalence of modern contraceptive use among AGYW in Ethiopia was 34.89% [95% CI, 0.32, 0.36]. Married adolescents were 2.01 times [AOR = 2.01, 95% CI = 1.39,3.16], having work was 1.36 times [AOR = 1.36, 95% CI = 1.06,1.71], living in urban areas was 1.61 times [AOR = 1.61, 95% CI = 1.16,2.45], being in middle wealth status was 1.9 times [AOR = 1.90, 95% CI = 1.32,2.65], being in rich wealth quintile was 1.99 time [AOR = 1.99, 95% CI = 1.35,2.68], and having TV exposure was 1.61 times [AOR = 1.6, 95% CI = 1.17,2.20] more likely associated with modern contraceptive uses.ConclusionThe use of modern contraception among AGYW in the country remained appealing and factors like region, residence, marital status, wealth index, religion, working status, parity, husband desire children, ever aborted AGYW, and the television exposures were attributed for the poor improvements. Therefore, the enhancements that consult those factors remained remarkable in improving contraception use, while further increasing in educational engagement, access to health services, and economic empowerment of the AGYW might be the good advantages for the improvements.

Highlights

  • The importance of contraception use is immense for young girls of age 15–24 years

  • The enhancements that consult those factors remained remarkable in improving contraception use, while further increasing in educational engagement, access to health services, and economic empowerment of the AGYW might be the good advantages for the improvements

  • Prevalence of modern contraceptive use among AGYW in Ethiopia The prevalence of modern contraceptive use among AGYW in Ethiopia was 34.89% [95% Confidence Interval (CI), 0.32,0.36] in 2016

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Summary

Introduction

There were significant attempts made to study factors associated with adolescent and young women contraception use in Africa. Adolescents and young women (AGYW) remained the important target population for reproductive health and sexual intercourse related health issues [1]. The onset of sexual activity in AGYW is natural With this natural onset, the knowledge of AGYW regarding contraceptive methods and the access to the important reproductive services are very imperative [2]. Educating AGYW about maternal health, reducing child mortality, and eliminating extreme poverty have been the target for Millennium development goals (MDG) achievement and during that period intensive implementation activities were carried out [2]. To have a healthy sexual life and successful reproductive period, AGYW face numerous challenges of accessing the resources they want modern contraceptive methods. Contraceptive methods use provide AGYW with a chance to make informed decisions about when and where to have children [6, 7]

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