scholarly journals Contraceptive and abortion practices of young Ghanaian women aged 15–24: evidence from a nationally representative survey

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Sarah C. Keogh ◽  
Easmon Otupiri ◽  
Philicia W. Castillo ◽  
Naomi W. Li ◽  
Joana Apenkwa ◽  
...  

Abstract Background Young Ghanaian women experience high rates of unmet need for contraception and unintended pregnancy, and face unique barriers to accessing sexual and reproductive health services. This study provides a comprehensive national analysis of young women’s contraceptive and abortion practices and needs. Methods In 2018, we conducted a nationally representative survey of women aged 15–49, including 1039 women aged 15–24. We used descriptive statistics, multivariable logistic and multinomial regression to compare young versus older (25–49 year-old) women’s preferred contraceptive attributes, reasons for discontinuing contraception, quality of counseling, use of Primolut N-tablet, method choice correlates, and friends’ and partners’ influence. We also examined youth’s self-reported abortion incidence, abortion methods, post-abortion care, and barriers to safe abortion. Results Among Ghanaian 15–24 year-olds who had ever had sex, one-third (32%) were using contraception. Compared to older women, they had higher desires to avoid pregnancy, lower ever use of contraception, more intermittent sexual activity, and were more likely to report pregnancies as unintended and to have recently ended a pregnancy. Young contraceptors most commonly used condoms (22%), injectables (21%), withdrawal (20%) or implants (20%); and were more likely than older women to use condoms, withdrawal, emergency contraception, and N-tablet. They valued methods for effectiveness (70%), no risk of harming health (31%) nor future fertility (26%), ease of use (20%), and no effect on menstruation (19%). Infrequent sex accounted for over half of youth contraceptive discontinuation. Relative to older women, young women’s social networks were more influential on contraceptive use. The annual self-reported abortion rate among young women was 30 per thousand. Over half of young women used abortion methods obtained from non-formal providers. Among the third of young women who experienced abortion complications, 40% did not access treatment. Conclusions Young people’s intermittent sexual activity, desire for methods that do not harm their health, access barriers and provider bias, likely contribute to their greater use of coital-dependent methods. Providers should be equipped to provide confidential, non-discriminatory counseling addressing concerns about infertility, side effects and alternative methods. Use of social networks can be leveraged to educate around issues like safe abortion and correct use of N-tablet.

2019 ◽  
Vol 31 (5) ◽  
pp. 443-453 ◽  
Author(s):  
Mei Lin C. Valencia ◽  
Binh Thang Tran ◽  
Min Kyung Lim ◽  
Kui Son Choi ◽  
Jin-Kyoung Oh

We analyzed data from the Korean Youth Risk Behavior Web-based Survey (N = 68 043), a nationally representative survey, to examine the association between early initiation of smoking, alcohol drinking, and sexual activity and socioeconomic determinants among adolescents. The prevalence rates of early initiation of smoking (i.e, starting at age 12 years or younger), alcohol drinking, and sexual activity were 4.8%, 10.3%, and 1.4%, respectively. Adolescents with a low level of perceived household income, low level of father’s education, and those living without family were more likely to start these risky behaviors early. Early initiation of smoking was significantly affected by affordability.


Author(s):  
Simeon J. Yates ◽  
Eleanor Lockley

This chapter reviews prior work on technology acceptance and then reports on a nationally representative survey of UK employees exploring both employee’s personal experiences of digital technologies at home and work and their evaluations of the effectiveness of the technologies and the “digital culture” in their organization. Presenting the results of 3040 UK workers, it seeks to explore the factors that influence digital roll-outs by focusing on the experiences and perceptions of the UK workforce as a whole, with the expectation that introducing new technology alone isn’t enough. This research explores how “digitally ready” organizations are in the UK in terms of people, processes, and company culture. It concludes that a large proportion of the UK workforce are not seeing the benefits of digital technologies. Importantly, there is a need for organizations to understand that making digital solutions a success is a process of cultural change in their organization.


2017 ◽  
Vol 30 (4) ◽  
pp. 540-558 ◽  
Author(s):  
Sophie Meredith ◽  
Jane Frawley ◽  
Jon Adams ◽  
David Sibbritt

Objective: This research aims to investigate the health service use—including complementary and alternative medicine (CAM)—and self-care by women aged 62 to 67 with sleeping problems. Method: In total, 9,110 participants (99.6%) responded to questions about sleeping problems, health service utilization and self-care (e.g., herbal medicines and vitamins), demographics, and chronic illnesses. Results: In all, 48.2% ( n = 4,394) women indicated that they had a sleeping problem. Women with sleeping problems consulted a general practitioner (GP) more frequently (odds ratio [OR] = 1.72; 95% confidence interval [CI] = [1.36, 2.17]; p < .005) and were more likely to be using herbal medicines (OR = 1.24; 95% CI = [1.13, 1.36]; p < .005) than women without sleeping problems. Discussion: Health professionals, particularly GPs, may need to actively inquire with older patients in their care with sleeping problems about the use of herbal medicines, to ensure their sleeping problems are being directly and effectively treated, particularly in light of increased risks associated with sleeping problems for this age cohort.


2020 ◽  
Author(s):  
Nina Wiesehomeier ◽  
Tània Verge

Abstract Given the gender stereotype that women are more ethical than men, people should assess female politicians as being less corruptible. Yet information about access to networks suggests that opportunities to engage in unethical behavior may counter this perception. Using a conjoint analysis in a nationally representative survey in Spain, a country shaken by corruption scandals, we asked respondents to identify the more corruptible politician between two hypothetical local councilors by imagining an investor willing to offer a bribe to advance business interests. Results indicate that female politicians do symbolically stand for honesty. However, this assessment is offset by embeddedness cues signaling a woman politician’s access to opportunity networks. We discuss our findings in light of instrumentalist arguments for an increase of women in politics as a means to combat corruption.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 628-628
Author(s):  
Risa Breckman ◽  
David Burnes ◽  
Sarah Ross ◽  
Philip Marshall ◽  
J Jill Suitor ◽  
...  

Abstract Research conducted by the NYC Elder Abuse Center (NYCEAC) at Weill Cornell Medicine and colleagues found that concerned persons experience significant distress knowing about elder abuse and trying to assist victims. Data will be presented from a nationally representative survey which included items on concerned persons in elder abuse. Thirty-one percent of all respondents reported that they had a relative or friend who experienced elder abuse; of these, 61% had attempted to help the victim and over 80% reported the experience is very or extremely stressful (2017). By both knowing about and becoming involved in elder abuse situations, concerned persons experience significant emotional and practical problems and often need professional help. NYCEAC’s Elder Abuse Helpline for Concerned Persons is the first of its kind in the country. The Helpline’s services and structure will be explained, and possibilities for replication in other locations will be explored.


2021 ◽  
Vol 35 (2) ◽  
pp. 194-205
Author(s):  
Allison Dunatchik ◽  
Kathleen Gerson ◽  
Jennifer Glass ◽  
Jerry A. Jacobs ◽  
Haley Stritzel

We examine how the shift to remote work altered responsibilities for domestic labor among partnered couples and single parents. The study draws on data from a nationally representative survey of 2,200 US adults, including 478 partnered parents and 151 single parents, in April 2020. The closing of schools and child care centers significantly increased demands on working parents in the United States, and in many circumstances reinforced an unequal domestic division of labor.


Sign in / Sign up

Export Citation Format

Share Document