{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:27:18Z","timestamp":1785421638341,"version":"3.56.0"},"reference-count":33,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Non-use of modern contraceptive methods among adolescents and young women remains prevalent in Africa.\nAim:\u00a0This study analysed factors associated with the non-use of modern contraceptives among unmarried, sexually active school-going adolescent girls and young women in Guinea.\nSetting:\u00a0The study was conducted among sexually active school-going adolescent girls and young women in Guinea.\nMethods:\u00a0A cross-sectional survey using a three-stage sampling approach was conducted from December 2020 to March 2021 among female students (13\u201324 years) in secondary schools. Multivariable logistic regression identified factors associated with non-use, reporting adjusted odds ratios (AOR) with 95% confidence intervals (CI).\nResults:\u00a0The prevalence of non-use was 48.2% (95% CI: 46.3\u201350.2). Significantly higher odds of non-use were associated with: college-grade level (AOR: 1.67, CI: 1.29\u20132.17), private schooling (AOR: 1.69, CI: 1.29\u20132.21), being Muslim (AOR: 4.23, CI: 2.27\u20137.88) or Christian (AOR: 3.01, CI: 1.62\u20135.62), no contraceptive knowledge (AOR: 11.95, CI: 7.08\u201320.1), wanting a birth within 2 years (AOR: 2.51, CI: 1.98\u20133.17), partner opposition compliance (AOR: 2.05, CI: 1.53\u20132.74), family planning needs (AOR: 1.68, CI: 1.31\u20132.15), and poor contraceptive access (AOR: 3.87, CI: 2.97\u20135.04).\nConclusion:\u00a0Modern contraceptive non-use is a stark reality among unmarried school-going youth in Guinea. Implementing robust school-based family planning education programmes is crucial to improve knowledge and uptake.\nContribution:\u00a0This study guides school sexual health policies, transforming a taboo issue into an opportunity for informed public health action.<\/jats:p>","DOI":"10.4102\/jphia.v17i1.1670","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T09:39:18Z","timestamp":1782812358000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors associated with non-use of modern contraceptive methods in the school-going adolescent\u2019s girls and young women in Guinea"],"prefix":"10.4102","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7905-9042","authenticated-orcid":false,"given":"Sidikiba","family":"Sidib\u00e9","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/002g4yr42","id-type":"ROR","asserted-by":"publisher"}],"name":"Gamal Abdel Nasser University of Conakry"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4496-8366","authenticated-orcid":false,"given":"Djiba","family":"Diakite","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/002g4yr42","id-type":"ROR","asserted-by":"publisher"}],"name":"Gamal Abdel Nasser University of Conakry"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8859-5667","authenticated-orcid":false,"given":"Almamy A.","family":"Tour\u00e9","sequence":"additional","affiliation":[{"name":"Maferinyah National Centre for Training and Research in Rural Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1651-8723","authenticated-orcid":false,"given":"Aboubacar S.","family":"Magassouba","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/002g4yr42","id-type":"ROR","asserted-by":"publisher"}],"name":"Gamal Abdel Nasser University of Conakry"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0399-1188","authenticated-orcid":false,"given":"Hadja F.","family":"Camara","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/002g4yr42","id-type":"ROR","asserted-by":"publisher"}],"name":"Gamal Abdel Nasser University of Conakry"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4437-9804","authenticated-orcid":false,"given":"Abdoulaye","family":"Sow","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/002g4yr42","id-type":"ROR","asserted-by":"publisher"}],"name":"Gamal Abdel Nasser University of Conakry"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9852-0056","authenticated-orcid":false,"given":"Mory 1","family":"Kourouma","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/002g4yr42","id-type":"ROR","asserted-by":"publisher"}],"name":"Gamal Abdel Nasser University of Conakry"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1993-5666","authenticated-orcid":false,"given":"Facely","family":"Camara","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/002g4yr42","id-type":"ROR","asserted-by":"publisher"}],"name":"Gamal Abdel Nasser University of Conakry"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1418-1102","authenticated-orcid":false,"given":"Ansoumane","family":"Sidib\u00e9","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/002g4yr42","id-type":"ROR","asserted-by":"publisher"}],"name":"Gamal Abdel Nasser University of Conakry"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9397-7106","authenticated-orcid":false,"given":"Alexandre","family":"Delamou","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/002g4yr42","id-type":"ROR","asserted-by":"publisher"}],"name":"Gamal Abdel Nasser University of Conakry"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Bearak J, Popinchalk A, Ganatra B, et al. Unintended pregnancy and abortion by income, region, and the legal status of abortion: Estimates from a comprehensive model for 1990\u20132019. Lancet Glob Health. 2020;8(9):e1152\u2013e1161. https:\/\/doi.org\/10.1016\/S2214-109X(20)30315-6","DOI":"10.1016\/S2214-109X(20)30315-6"},{"key":"ref1","unstructured":"United Nations Department of Economic and Social Affairs, Population Division. World family planning 2022 meeting the changing needs for family planning: Contraceptive use by age and method. New York (NY): United Nations; 2022. Report No.: UN DESA\/POP\/2022\/TR\/NO. 4. Available from: https:\/\/desapublications.un.org\/publications\/world-family-planning-2022-meeting-changing-needs-family-planning-contraceptive-use"},{"key":"ref2","unstructured":"Department of Economic and Social Affairs, United Nations. Goals 3: Ensure healthy lives and promote well-being for all at all ages. Targets and indicators [homepage on the Internet]. No date [cited 2026 Jan 31]. Available from: https:\/\/sdgs.un.org\/goals\/goal3#targets_and_indicators"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Wang MY, Temmerman M, Zhang WH, et al. Contraceptive and reproductive health practices of unmarried women globally, 1999 to 2018: Systematic review and meta-analysis. Medicine. 2020;99(49):e23368. https:\/\/doi.org\/10.1097\/MD.0000000000023368","DOI":"10.1097\/MD.0000000000023368"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"James PB, Osborne A, Babawo LS, Bah AJ, Margao EK. The use of condoms and other birth control methods among sexually active school-going adolescents in nine sub-Saharan African countries. BMC Public Health. 2022;22(1):2358. https:\/\/doi.org\/10.1186\/s12889-022-14855-6","DOI":"10.1186\/s12889-022-14855-6"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Tukue D, Gebremeskel TG, Gebremariam L, et al. Prevalence and determinants of modern contraceptive utilization among women in the reproductive age group in Edaga-hamus Town, Eastern zone, Tigray region, Ethiopia, June 2017. PLoS One. 2020;15(3):e0227795. https:\/\/doi.org\/10.1371\/journal.pone.0227795","DOI":"10.1371\/journal.pone.0227795"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Pengpid S, Peltzer K. Sexual risk behaviour and its correlates among adolescents in Mozambique: Results from a national school survey in 2015. SAHARA J. 2021;18(1):26\u201332. https:\/\/doi.org\/10.1080\/17290376.2020.1858947","DOI":"10.1080\/17290376.2020.1858947"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Blackstone SR, Nwaozuru U, Iwelunmor J. Factors influencing contraceptive use in sub-Saharan Africa: A systematic review. Int Q Community Health Educ. 2017;37(2):79\u201391. https:\/\/doi.org\/10.1177\/0272684X16685254","DOI":"10.1177\/0272684X16685254"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"V\u00e1zquez-Rodr\u00edguez CF, Vazquez-Nava F, Vazquez-Rodriguez EM, Castillo-Ruiz O, Correa JBV, Betancourt NVO. Family, personal, and social factors associated with the non-use of contraceptive methods during the first sexual experience in adolescent women. J Public Health Policy. 2018;39(1):100\u2013110. https:\/\/doi.org\/10.1057\/s41271-017-0094-8","DOI":"10.1057\/s41271-017-0094-8"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Adongo PB, Tabong PTN, Azongo TB, et al. A comparative qualitative study of misconceptions associated with contraceptive use in southern and northern Ghana. Front Public Health. 2014;2:137. https:\/\/doi.org\/10.3389\/fpubh.2014.00137","DOI":"10.3389\/fpubh.2014.00137"},{"key":"ref10","unstructured":"National Institute of Statistics (INS), ICF. Demographic and Health Survey in Guinea, 2018 [Internet]. Conakry, Guinea and Rockville, MD, USA: INS and ICF; 2019 [cited 2026 Jan 25];1\u2013650. Available from: https:\/\/dhsprogram.com\/pubs\/pdf\/FR353\/FR353.pdf"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Sidib\u00e9 S, Delamou A, Camara BS, et al. Trends in contraceptive use, unmet need and associated factors of modern contraceptive use among urban adolescents and young women in Guinea. BMC Public Health. 2020;20(1):1840. https:\/\/doi.org\/10.1186\/s12889-020-09957-y","DOI":"10.1186\/s12889-020-09957-y"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Sidib\u00e9 S, Grovogui FM, Kourouma K, et al. Unmet need for contraception and its associated factors among adolescent and young women in Guinea: A multilevel analysis of the 2018 Demographic and Health Surveys. Front Glob Womens Health. 2022;3:932997. https:\/\/doi.org\/10.3389\/fgwh.2022.932997","DOI":"10.3389\/fgwh.2022.932997"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"Manet H, Doucet MH, Bangoura C, et al. Factors facilitating the use of contraceptive methods among urban adolescents and youth in Guinea: A qualitative study. Reprod Health. 2023;20(1):89. https:\/\/doi.org\/10.1186\/s12978-023-01621-z","DOI":"10.1186\/s12978-023-01621-z"},{"key":"ref14","unstructured":"Dram\u00e9 L, Koli\u00e9 D, Sidib\u00e9 S, Yombouno JF, Delamou A. The factors associated with contraceptive use among young female students in rural Guinea. Sante Publique [serial online]. 2024 [cited 2025 Jan 07];35(6):129\u2013140. Available from: https:\/\/pubmed.ncbi.nlm.nih.gov\/38388393\/"},{"key":"ref15","doi-asserted-by":"crossref","unstructured":"Sidib\u00e9 S, Diakit\u00e9 D, Bangoura S, et al. Prevalence of sexual intercourse and risk factors among adolescents in schools in Guinea. J Public Health Afr. 2025;16(1):a1248. https:\/\/doi.org\/10.4102\/jphia.v16i1.1248","DOI":"10.4102\/jphia.v16i1.1248"},{"key":"ref16","doi-asserted-by":"crossref","unstructured":"Sidib\u00e9 S, Diakit\u00e9 D, Sow A, et al. Factors influencing the prevalence of early pregnancies in Guinean schools: A cross-sectional survey. Afr J Reprod Health. 2025;29(8):60\u201368. https:\/\/doi.org\/10.29063\/ajrh2025\/v29i8.6","DOI":"10.29063\/ajrh2025\/v29i8.6"},{"key":"ref17","unstructured":"World Health Organization. Adolescent health [homepage on the Internet]. [cited 2026 Jan 31]. Available from: https:\/\/www.who.int\/southeastasia\/health-topics\/adolescent-health"},{"key":"ref18","unstructured":"Organisation Mondiale de la Sant\u00e9. Planification familiale\/m\u00e9thodes de contraception. Principaux faits [World Health Organization. Family planning\/contraceptive methods. Key facts] 2023 [cited 2025 Jan 05]. Available from: https:\/\/www.who.int\/fr\/news-room\/fact-sheets\/detail\/family-planning-contraception"},{"key":"ref19","doi-asserted-by":"crossref","unstructured":"Ackerson K, Zielinski R. Factors influencing use of family planning in women living in crisis affected areas of sub-Saharan Africa: A review of the literature. Midwifery. 2017;54:35\u201360. https:\/\/doi.org\/10.1016\/j.midw.2017.07.021","DOI":"10.1016\/j.midw.2017.07.021"},{"key":"ref20","doi-asserted-by":"crossref","unstructured":"Nathan SF, Berglas NF, Kaller S, Mays A, Biggs MA. Reasons for having unprotected sex among adolescents and young adults accessing reproductive health services. Womens Health Issues. 2023;33(3):222\u2013227. https:\/\/doi.org\/10.1016\/j.whi.2022.11.006","DOI":"10.1016\/j.whi.2022.11.006"},{"key":"ref21","doi-asserted-by":"crossref","unstructured":"Capurchande R, Coene G, Schockaert I, Macia M, Meulemans H. \u2018It is challenging \u2026 oh, nobody likes it!\u2019: A qualitative study exploring Mozambican adolescents and young adults\u2019 experiences with contraception. BMC Womens Health. 2016;16(1):48. https:\/\/doi.org\/10.1186\/s12905-016-0326-2","DOI":"10.1186\/s12905-016-0326-2"},{"key":"ref22","doi-asserted-by":"crossref","unstructured":"Schwandt H, Boulware A, Corey J, et al. \u2018She is courageous because she does not care what people think about her \u2026\u2019: Attitudes toward adolescent contraception use among Rwandan family planning providers and adult female modern contraceptive users. Reprod Health. 2022;19(1):204. https:\/\/doi.org\/10.1186\/s12978-022-01517-4","DOI":"10.1186\/s12978-022-01517-4"},{"key":"ref23","doi-asserted-by":"crossref","unstructured":"Apanga PA, Kumbeni MT, Ayamga EA, Ulanja MB, Akparibo R. Prevalence and factors associated with modern contraceptive use among women of reproductive age in 20 African countries: A large population-based study. BMJ Open. 2020;10(9):e041103. https:\/\/doi.org\/10.1136\/bmjopen-2020-041103","DOI":"10.1136\/bmjopen-2020-041103"},{"key":"ref24","doi-asserted-by":"crossref","unstructured":"Boadu I. Coverage and determinants of modern contraceptive use in sub-Saharan Africa: Further analysis of Demographic and Health Surveys. Reprod Health. 2022;19(1):18. https:\/\/doi.org\/10.1186\/s12978-022-01332-x","DOI":"10.1186\/s12978-022-01332-x"},{"key":"ref25","doi-asserted-by":"crossref","unstructured":"Alemayehu M, Belachew T, Tilahun T. Factors associated with utilization of long acting and permanent contraceptive methods among married women of reproductive age in Mekelle town, Tigray region, north Ethiopia. BMC Pregnancy Childbirth. 2012;12:6. https:\/\/doi.org\/10.1186\/1471-2393-12-6","DOI":"10.1186\/1471-2393-12-6"},{"key":"ref26","doi-asserted-by":"crossref","unstructured":"Titaley CR, Ariawan I, Damayanti R, et al. Poor knowledge and nonuse of long-acting\/permanent methods of contraceptives in six districts in Indonesia. Asia Pac J Public Health. 2017;29(8):660\u2013672. https:\/\/doi.org\/10.1177\/1010539517738277","DOI":"10.1177\/1010539517738277"},{"key":"ref27","doi-asserted-by":"crossref","unstructured":"Gebremariam A, Addissie A. Intention to use long acting and permanent contraceptive methods and factors affecting it among married women in Adigrat town, Tigray, Northern Ethiopia. Reprod Health. 2014;11(1):1\u20139. https:\/\/doi.org\/10.1186\/1742-4755-11-24","DOI":"10.1186\/1742-4755-11-24"},{"key":"ref28","doi-asserted-by":"crossref","unstructured":"Aventin \u00c1, Gordon S, Laurenzi C, et al. Adolescent condom use in Southern Africa: Narrative systematic review and conceptual model of multilevel barriers and facilitators. BMC Public Health. 2021;21(1):1228. https:\/\/doi.org\/10.1186\/s12889-021-11306-6","DOI":"10.1186\/s12889-021-11306-6"},{"key":"ref29","doi-asserted-by":"crossref","unstructured":"Lusey H, San Sebastian M, Christianson M, Dahlgren L, Edin KE. Conflicting discourses of church youths on masculinity and sexuality in the context of HIV in Kinshasa, Democratic Republic of Congo. SAHARA J. 2014;11(1):84\u201393. https:\/\/doi.org\/10.1080\/17290376.2014.930695","DOI":"10.1080\/17290376.2014.930695"},{"key":"ref30","doi-asserted-by":"crossref","unstructured":"Shabaik SA, Awaida JY, Xandre P, Nelson AL. Contraceptive beliefs and practices of American Muslim women. J Womens Health (Larchmt). 2019;28(7):976\u2013983. https:\/\/doi.org\/10.1089\/jwh.2018.7500","DOI":"10.1089\/jwh.2018.7500"},{"key":"ref31","doi-asserted-by":"crossref","unstructured":"Kraft JM, Serbanescu F, Schmitz MM, et al. Factors associated with contraceptive use in sub-Saharan Africa. J Womens Health. 2022;31(3):447\u2013457. https:\/\/doi.org\/10.1089\/jwh.2020.8984","DOI":"10.1089\/jwh.2020.8984"},{"key":"ref32","doi-asserted-by":"crossref","unstructured":"Ross J, Hardee K. Access to contraceptive methods and prevalence of use. J Biosoc Sci. 2012;45(6):761\u2013778. https:\/\/doi.org\/10.1017\/S0021932012000715","DOI":"10.1017\/S0021932012000715"}],"container-title":["Journal of Public Health in Africa"],"original-title":[],"link":[{"URL":"https:\/\/publichealthinafrica.org\/index.php\/jphia\/article\/view\/1670\/3114","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T09:41:00Z","timestamp":1782812460000},"score":1,"resource":{"primary":{"URL":"https:\/\/publichealthinafrica.org\/index.php\/jphia\/article\/view\/1670"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,30]]},"references-count":33,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,1]]}},"URL":"https:\/\/doi.org\/10.4102\/jphia.v17i1.1670","relation":{},"ISSN":["2038-9922","2038-9930"],"issn-type":[{"value":"2038-9922","type":"print"},{"value":"2038-9930","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,30]]},"article-number":"a1670"}}