Susceptibility of Nigerian adolescents to pregnancy and use of modern contraceptives.

Abstract

Nearly half of pregnancies amongst adolescent girls between ages 15 and 19 are unplanned, one outcome of this is unsafe abortion. Nigerian adolescents aged 15-19 have higher proportion of unmet needs for contraception than those aged 20-24, raising pertinent questions on their perceived susceptibility to pregnancy. Using the Health Belief Model, this article examined the effect of perceived susceptibility to pregnancy on modern contraceptive use among adolescents in Nigeria. Weighted data for 983 sexually active unmarried adolescents aged 15-19 years was extracted from the 2018 Nigerian Demographic and Health Survey. Binomial logistic regression was modelled to test for this relationship. Results showed that there is no significant association between perceived susceptibility and modern contraceptive use. However, adolescents who make use of the internet (AOR=1.659, CI 1.046-2.630), and those who had a sexual partner (AOR=4.051, CI 1.960-8.639), more than one partner in the last 12 months (AOR=6.037, CI 2.292-15.902) were more likely to use modern contraceptive. Young adolescents in Nigeria needs to be sensitized about reproductive health and the importance of the use of contraceptive. (Afr J Reprod Health 2022; 26[2]: 106-117).