{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T10:25:21Z","timestamp":1792491921113,"version":"4.5.0"},"reference-count":51,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2021,2,5]],"date-time":"2021-02-05T00:00:00Z","timestamp":1612483200000},"content-version":"unspecified","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2021,1,26]]},"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>There is a decline in contraceptive use among sexually active unmarried young women in Ghana. This study assessed the prevalence of contraceptive knowledge and use, and the determinant of contraceptive use among sexually active unmarried young women in Ghana.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This was a nationally representative cross-sectional survey, using data from the 2017 Ghana Maternal Health Survey. Weighted logistic regression was used to assess the association between background and obstetric characteristics of young women and contraceptive use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Ghana.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 809 sexually active unmarried adolescent girls (15\u201319 years) and young women (20\u201324 years).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcome measures<\/jats:title>\n                    <jats:p>Knowledge and use of both modern and traditional contraceptive methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Knowledge of at least one modern and traditional contractive method was 99.8% and 95.0%, respectively. The prevalence of contraceptive use was 43%\u2014with 34% modern and 9% traditional methods. From the unadjusted analyses, age (p=0.002), past pregnancy (p&lt;0.001), abortion in the past 5 years (p=0.007) and history of childbirth (p=0.025) were independently associated with contraceptive use, whereas education (p=0.072), place of residence (p=0.702), household wealth (p=0.836) and age at first sex (p=0.924) were not independently associated with contraceptive use. In the adjusted analysis, contraceptive use was significantly higher among respondents with secondary education compared with those with primary education (OR 2.43, 95%\u2009CI 1.31 to 4.49, p=0.017), and was higher among respondents with a history of pregnancy (OR 2.13, 95%\u2009CI 1.48 to 3.06, p&lt;0.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There is a significant gap between knowledge and use of contraceptives among the study population. While intensifying knowledge of adolescents and young women on contraceptives, adolescent-friendly corners should be established at vantage points to increase utilisation and to prevent societal stigma on young women who access contraceptives services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2020-043890","type":"journal-article","created":{"date-parts":[[2021,2,7]],"date-time":"2021-02-07T15:54:26Z","timestamp":1612713266000},"page":"e043890","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":54,"title":["Determinants of contraceptive use among sexually active unmarried adolescent girls and young women aged 15\u201324 years in Ghana: a nationally representative cross-sectional study"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3146-9958","authenticated-orcid":false,"given":"Felix Boakye","family":"Oppong","sequence":"first","affiliation":[{"name":"Global Statistical Institute, Techiman, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Divine Darlington","family":"Logo","sequence":"additional","affiliation":[{"name":"Research and Development Division, Ghana Health Service, Accra, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Senyo Yao","family":"Agbedra","sequence":"additional","affiliation":[{"name":"Sunyani Municipal Health Directorate, Ghana Health Service, Sunyani, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony Agyapong","family":"Adomah","sequence":"additional","affiliation":[{"name":"Global Statistical Institute, Techiman, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seidu","family":"Amenyaglo","sequence":"additional","affiliation":[{"name":"Department of Global and International Health, School of Public Health, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kingsley","family":"Arhin-Wiredu","sequence":"additional","affiliation":[{"name":"Sunyani Municipal Health Directorate, Ghana Health Service, Sunyani, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Afari-Asiedu","sequence":"additional","affiliation":[{"name":"Kintampo Health Research Centre, Kintampo, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth Ayuurebobi","family":"Ae-Ngibise","sequence":"additional","affiliation":[{"name":"Kintampo Health Research Centre, Kintampo, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,2,5]]},"reference":[{"key":"2025121220555695000_11.2.e043890.1","doi-asserted-by":"crossref","DOI":"10.1186\/s12978-018-0484-9","article-title":"Research gaps and emerging priorities in sexual and reproductive health in Africa and the eastern Mediterranean regions","volume":"15","author":"Ali","year":"2018","journal-title":"Reprod Health"},{"key":"2025121220555695000_11.2.e043890.2","unstructured":"UNICEF . 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