Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jun 29;21(1):261.
doi: 10.1186/s12905-021-01326-0.

Predictors of contraceptive method discontinuation among adolescent and young women in three West African countries (Burkina Faso, Mali, and Niger)

Adja Mariam Ouédraogo  1   2 , Adama Baguiya  3   4 , Rachidatou Compaoré  3   4 , Kadari Cissé  3 , Désiré Lucien Dahourou  3 , Anthony Somé  3 , Halima Tougri  3   4 , Seni Kouanda  3   4
Affiliations

Predictors of contraceptive method discontinuation among adolescent and young women in three West African countries (Burkina Faso, Mali, and Niger)

Adja Mariam Ouédraogo et al. BMC Womens Health. .

Abstract

Background: The effective use of contraception among adolescents and young women can reduce the risk of unintended pregnancies. However, the prevalence of contraceptive use remains low in this age group. The objective of this study was to estimate the rate of contraceptive method discontinuation among adolescents and young women and to identify its associated factors in Burkina Faso, Mali, and Niger.

Method: This was a secondary analysis of data from Demographic and Health Surveys of Burkina Faso (2010), Mali (2012-2013), and Niger (2012). The dependent variable was the time to discontinuation of contraceptive methods. Independent variables were represented by sociodemographic, socioeconomic, and cultural characteristics. Mixed-effects survival analysis with proportional hazards was used to identify the predictors.

Results: A total of 2,264 adolescents and young women aged 15 to 24 years were included in this analysis, comprising 1,100 in Burkina Faso, 491 in Mali, and 673 in Niger. Over the last five years, the overall contraceptive discontinuation rate was 68.7% (50.1% in Burkina Faso, 59.6% in Mali, and 96.8% in Niger). At the individual level, in Burkina Faso, occupation (aHR = 0.33), number of living children (aHR = 2.17), marital status (aHR = 2.93), and region (aHR = 0.54) were associated with contraceptive discontinuation. Except for education and marital status, we found the same factors in Mali. In Niger, a women's education level (aHR = 1.47) and her partner (aHR = 0.52) were associated with discontinuation. At the community level, the region of origin was associated with discontinuation of contraceptive methods.

Conclusion: Most adolescents and young women experienced at least one episode of discontinuation. Discontinuation of contraceptive methods is associated with the level of education, occupation, number of children, marital status, and desire for children with the spouse. Promotion of contraceptive interventions should target adolescents, young women, and their partners, as well as those with a low education level or in a union.

Keywords: Adolescent; Burkina Faso; Contraception; Discontinuation; Interruption; Mali; Niger; Young women.

PubMed Disclaimer

Conflict of interest statement

The authors declared no competing interests.

Figures

Fig. 1
Fig. 1
Population selection procedure
See this image and copyright information in PMC

References

    1. Blanc AK. Excess risk of maternal mortality in adolescent mothers. Lancet Glob Health [Internet] 2014 [cited 2016 May 24];2(4):e201. http://www.thelancet.com/journals/langlo/article/PIIS2214-109X(14)70028-... - PubMed
    1. Nove A, Matthews Z, Neal S, Camacho AV. Maternal mortality in adolescents compared with women of other ages: evidence from 144 countries. Lancet Glob Health [Internet] 2014 [cited 2016 Oct 17];2(3):e155–64. http://www.sciencedirect.com/science/article/pii/S2214109X13701797 - PubMed
    1. Urdinola BP, Ospino C. Long-term consequences of adolescent fertility: the Colombian case. Demogr Res. 2015;32:1487–1518. doi: 10.4054/DemRes.2015.32.55. - DOI
    1. Gibb SJ, Fergusson DM, Horwood LJ, Boden JM. Early motherhood and long-term economic outcomes: findings from a 30-year longitudinal study. J Res Adolesc. 2015;25(1):163–172. doi: 10.1111/jora.12122. - DOI
    1. UNFPA. The power of 1.8 Billion : Adolescents,youth and the transformation of the future. 2014.