Less than one in five teenage women in Ethiopia know about emergency contraception.

IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Frontiers in global women's health Pub Date : 2024-10-16 eCollection Date: 2024-01-01 DOI:10.3389/fgwh.2024.1437375
Tesfahun Zemene Tafere, Getachew Teshale, Melak Jejaw, Kaleb Assegid Demissie, Lemlem Daniel Baffa, Demiss Mulatu Geberu, Misganaw Guadie Tiruneh, Asebe Hagos
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Abstract

Background: Teenage women's fertility health faces significant challenges from unintended pregnancies and unsafe abortions. Using an emergency contraception within a defined time period could prevent unintended pregnancy and its damaging consequences, like unintended childbirth and unsafe abortion. Despite it being an appropriate contraception, the knowledge of teenage women about emergency contraception is lower among women in developing countries. Therefore, this study aimed to examine the magnitude of emergency contraception knowledge and its associated factors among teenage women in Ethiopia.

Methods: Data for this study was obtained from the recent Demographic and Health Surveys. A total weighted sample of 3,381 teenage reproductive women were included. The significant associated factors with emergency contraception knowledge among teenage reproductive women were determined by fitting a multilevel mixed-effect binary logistic regression model. Finally, Adjusted Odds Ratio (AOR) with a 95% confidence interval and a P value of less than 0.05 was used to declare statistical significance.

Results: In Ethiopia, the magnitude of teenage women who knew about emergency contraception was 19.47% (95%CI: 18.17, 20.84). Age 17 years (AOR = 1.76, 95%CI, 1.24, 2.48) and age 19 years (AOR = 2.18, 95%CI, 1.47, 3.22), primary education level (AOR = 2.76, 95%CI, 1.60, 4.76), secondary and above educational level (AOR = 4.70, 95%CI, 2.62, 8.44), being protestant followers (AOR = 0.63, 95%CI, 0.45, 0.87), being muslim followers (AOR = 0.68, 95%CI, 0.49, 0.93), media exposure (AOR = 3.36, 95%CI, 2.59, 4.34), rural residence (AOR = 0.45; 95%CI: 0.22, 0.86), and high community level education (AOR = 140, 95%CI: 1.32, 2.00) were factors significantly associated with knowledge of emergency contraception among teenage women.

Conclusions: This finding concluded that less than one in five teenage women knew about emergency contraception in Ethiopia. The knowledge of emergency contraception among teenage women in Ethiopia was substantially associated with women's age, education level, religion, media exposure, residency and community-level education. Hence, there is a need to implement comprehensive awareness programs and promotion of emergency contraception as a way of curbing cases of unintended pregnancies among teenage women. Government and non-governmental organizations should design targeted educational initiatives and media campaigns to improve emergency contraception knowledge among young teenagers, women with lower educational backgrounds, and rural teenagers.

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在埃塞俄比亚,只有不到五分之一的少女了解紧急避孕。
背景:少女的生育健康面临着意外怀孕和不安全人工流产的巨大挑战。在规定时间内使用紧急避孕药物可以防止意外怀孕及其破坏性后果,如意外分娩和不安全人工流产。尽管紧急避孕是一种适当的避孕方法,但在发展中国家,少女对紧急避孕的了解较少。因此,本研究旨在探讨埃塞俄比亚少女对紧急避孕知识的了解程度及其相关因素:本研究的数据来自最近的人口与健康调查。本研究的数据来自最近的人口与健康调查,共纳入了 3,381 名青少年育龄妇女的加权样本。通过拟合多层次混合效应二元逻辑回归模型,确定了与青少年育龄妇女紧急避孕知识相关的重要因素。最后,使用具有 95% 置信区间且 P 值小于 0.05 的调整概率(AOR)来宣布统计意义:在埃塞俄比亚,了解紧急避孕的少女比例为 19.47%(95%CI:18.17, 20.84)。年龄 17 岁(AOR = 1.76,95%CI,1.24,2.48)和 19 岁(AOR = 2.18,95%CI,1.47,3.22)、初等教育水平(AOR = 2.76,95%CI,1.60,4.76)、中等及以上教育水平(AOR = 4.70,95%CI,2.62,8.44)、信奉新教(AOR = 0.63,95%CI,0.45,0.87)、信奉伊斯兰教(AOR = 0.68,95%CI:0.49,0.93)、媒体接触(AOR = 3.36,95%CI:2.59,4.34)、农村居民(AOR = 0.45;95%CI:0.22,0.86)和高社区教育水平(AOR = 140,95%CI:1.32,2.00)是与少女了解紧急避孕知识显著相关的因素:这项研究结果表明,在埃塞俄比亚,只有不到五分之一的少女了解紧急避孕措施。埃塞俄比亚少女对紧急避孕知识的了解程度与妇女的年龄、教育水平、宗教信仰、媒体接触、居住地和社区教育水平有很大关系。因此,有必要实施全面的宣传计划,推广紧急避孕方法,以此来遏制少女意外怀孕的情况。政府和非政府组织应设计有针对性的教育举措和媒体宣传活动,以提高青少年、教育背景较低的妇女和农村青少年对紧急避孕的认识。
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