Mumbi Chola|Khumbulani Hlongwana|Themba G. Ginindza
Patterns, trends, and factors associated with contraceptive use among adolescent girls in Zambia (1996 to 2014): a multilevel analysis
University of KwaZulu-Natal|University of KwaZulu-Natal|University of KwaZulu-Natal
abstract background despite high levels pregnancy childbearing among adolescents africa contraceptive use remains low examining variations contraceptive use among adolescent girls vital informing programs improve contraceptive utilisation among segment population study aimed examine patterns trends factors associated contraceptive use among adolescents zambia period 19962014 methods study involved analysis data 1996 20012 2007 201314 zambia demographic health surveys focusing adolescent girls aged 1519 years analysis entailed descriptive statistics estimation multilevel logistic regression models examining variations contraceptive use among adolescent girls time estimates p values less 005 considered statistically significant results results showed contraceptive use remains low ranged 76 1996 109 201314 reflecting change 33 percentage points 18 years 18 years contraceptive use significantly associated age level education marital status older adolescent girls higher levels education significantly likely use contraception compared younger ones lower levels education although initially significant aor 0556 95 ci 0317 0974 1996 ruralurban differences disappeared 20012 2007 reemerged 201314 aor 0654 95 ci 0499 0859 across survey years adolescents married living partner significantly likely use contraceptives compared married conclusions findings suggest need targeted interventions improve contraceptive use among sexually active adolescent girls country general disadvantaged particular