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. 2014 Jul 31:8:1043-50.
doi: 10.2147/PPA.S67585. eCollection 2014.

Peer-driven contraceptive choices and preferences for contraceptive methods among students of tertiary educational institutions in Enugu, Nigeria

Ca Iyoke  1 , Fo Ezugwu  2 , Ol Lawani  3 , Go Ugwu  1 , Lo Ajah  3 , Sg Mba  1
Affiliations

Peer-driven contraceptive choices and preferences for contraceptive methods among students of tertiary educational institutions in Enugu, Nigeria

Ca Iyoke et al. Patient Prefer Adherence. .

Abstract

Purpose: To describe the methods preferred for contraception, evaluate preferences and adherence to modern contraceptive methods, and determine the factors associated with contraceptive choices among tertiary students in South East Nigeria.

Methods: A questionnaire-based cross-sectional study of sexual habits, knowledge of contraceptive methods, and patterns of contraceptive choices among a pooled sample of unmarried students from the three largest tertiary educational institutions in Enugu city, Nigeria was done. Statistical analysis involved descriptive and inferential statistics at the 95% level of confidence.

Results: A total of 313 unmarried students were studied (194 males; 119 females). Their mean age was 22.5±5.1 years. Over 98% of males and 85% of females made their contraceptive choices based on information from peers. Preferences for contraceptive methods among female students were 49.2% for traditional methods of contraception, 28% for modern methods, 10% for nonpharmacological agents, and 8% for off-label drugs. Adherence to modern contraceptives among female students was 35%. Among male students, the preference for the male condom was 45.2% and the adherence to condom use was 21.7%. Multivariate analysis showed that receiving information from health personnel/media/workshops (odds ratio 9.54, 95% confidence interval 3.5-26.3), health science-related course of study (odds ratio 3.5, 95% confidence interval 1.3-9.6), and previous sexual exposure prior to university admission (odds ratio 3.48, 95% confidence interval 1.5-8.0) all increased the likelihood of adherence to modern contraceptive methods.

Conclusion: An overwhelming reliance on peers for contraceptive information in the context of poor knowledge of modern methods of contraception among young people could have contributed to the low preferences and adherence to modern contraceptive methods among students in tertiary educational institutions. Programs to reduce risky sexual behavior among these students may need to focus on increasing the content and adequacy of contraceptive information held by people through regular health worker-led, on-campus workshops.

Keywords: modern contraceptives; preference; sexual behavior; young people.

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References

    1. United Nations . The United Nations Programme on Youth. New York, NY: United Nations; 2010. [Accessed April 20, 2014]. Available from: http://social.un.org/youthyear/docs/UNPY-presentation.pdf.
    1. Okafor II, Obi SN. Sexual risk behaviour among undergraduate students in Enugu, Nigeria. J Obstet Gynaecol. 2005;25(6):592–595. - PubMed
    1. Iyoke CA, Lawani OL, Ezugwu FO. Trends in complicated illegally-induced abortion in a low resource Nigerian setting. Int J Gynaecol Obstet. 2010;108(3):252–253. - PubMed
    1. Nwogu-Ikojo EE, Ezegwui HU. Abortion-related mortality in a tertiary medical centre in Enugu, Nigeria. J Obstet Gynaecol. 2007;27(8):835–837. - PubMed
    1. National Agency for the Control of AIDS . Global AIDS Response: Country Progress Report: Nigeria GARPR 2012. Abuja: National Agency for the Control of AIDS; 2012. [Accessed April 20, 2014]. Available from: http://www.unaids.org/en/dataanalysis/knowyourresponse/countryprogressre....

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