scholarly journals Determinant of emergency contraceptive practice among female university students in Ethiopia: systematic review and meta-analysis

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Rekiku Fikre ◽  
Belay Amare ◽  
Alemu Tamiso ◽  
Akalewold Alemayehu

Abstract Introduction Despite Ethiopia’s government’s commitment to alleviating unwanted pregnancy and unsafe abortion by increasing holistic reproductive health service accessibility, the rate of unwanted pregnancy among female students in the universities is distressing and becoming a multisectoral concern. Therefore, this systematic review aimed to assess the prevalence and determinant of emergency contraceptive practice among female university students in Ethiopia. Result The overall pooled prevalence of emergency contraceptive practice among female university students in Ethiopia was 34.5% [95% CI [20.8, 48.2%]. The pooled odds ratio showed that positive association between practice of emergency contraceptives with age of the students [OR, 0.19; 95% CI: 0.04, 0.98, P = 0.05] Previous contraceptive methods use [OR, 0.22; 95% CI: 0.12, 0.40, P = 0.0001], Marital status [OR, 0.09; 95% CI: 0.02, 0.40, P < 0.002] and knowledge [OR, 0.12; 95% CI: 0.04, 0.37, P < 0.0003]. Conclusion The practice of emergency contraceptives among university female students was 34.5% and explained by knowledge, age, previous use of contraceptive methods and marital status.

2020 ◽  
Vol 8 ◽  
pp. 109-118
Author(s):  
Bhu Dev Jha

 Emergency Contraceptive Pill (ECP) is used for preventing pregnancy after having unprotected sexual intercourse, contraceptive failure or forced sex. The use of ECP within 120 hours of sexual intercourse could prevent unwanted pregnancy and its adverse effects particularly unintended childbirth and unsafe abortion. The study, therefore, aimed to assess knowledge and use of emergency contraceptives among Bachelors level female students from Kathmandu Valley. A descriptive cross-sectional study was undertaken from August to November 2017 among 347 female students who were studying at the Bachelors's level. A random sampling technique was used to select study participants and a structured self-administered questionnaire was used to assess the knowledge and use of ECP after securing informed consent. Epi data and SPSS version 22 were used for data processing and analysis. The mean age of the female students was 21.5 years. Overall, 91.4% of the respondents had ever heard about emergency contraceptives. The main sources of information were radio or television, the internet and newspapers. About 4.6% of the undergraduate female students used ECP. Age, marital status, use of contraceptives and knowledge of ECP used within 72 hours were significantly associated with use of ECP. Although the findings of this study showed a high prevalence of knowledge among respondents, the improvement of female students’ knowledge on specific details of ECP and its advantages/disadvantages and timely utilization needs to be considered for any future awareness programmes.  


2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Celia M. J. Matyanga ◽  
Blessing Dzingirai

Emergency contraceptives play a major role in preventing unwanted pregnancy. The use of emergency contraceptives is characterized by myths and lack of knowledge by both health professionals and users. The main objective of this paper is to summarize the clinical pharmacology of hormonal methods of emergency contraception. A literature review was done to describe in detail the mechanism of action, efficacy, pharmacokinetics, safety profile, and drug interactions of hormonal emergency contraceptive pills. This information is useful to healthcare professionals and users to fully understand how hormonal emergency contraceptive methods work.


2020 ◽  

Background and objective: This study examined the relationships between the perceived severity of unwanted pregnancy and attitudes toward four contraceptive methods (condoms, oral contraceptive pills, the withdrawal method, and the rhythm method) according to gender and sexual experience among unmarried university students in Korea. Material and methods: A descriptive cross-sectional comparative study was conducted among 1,372 unmarried university students (men, n = 755; women, n = 617). This was a secondary analysis based on a prior online survey. Descriptive statistics, the Kruskal-Wallis test, pairwise comparisons using the Mann-Whitney U test with the Bonferroni correction, and logistic regression were used to analyze the data in this study. Results: Female students with sexual experience had the highest scores for the perceived severity of unwanted pregnancy. In each group defined according to gender and sexual experience, differences in attitudes toward contraceptive methods significantly influenced the perceived severity of unwanted pregnancy. Conclusion: Efforts should be made to increase the perceived severity of unwanted pregnancy among female students who have favorable attitudes toward the rhythm and withdrawal methods. Students with sexual experience who use the rhythm and withdrawal methods should be targeted for educational interventions aiming to strengthen the perceived severity of unwanted pregnancy.


2021 ◽  
Author(s):  
Gilbert Ti-enkawol Nachinab ◽  
Mubarick Nungbaso Asumah ◽  
Vida Nyagre Yakong ◽  
Edwina Pwamang ◽  
Cynthia Apawo Awe ◽  
...  

Abstract Introduction: Unwanted pregnancy and unsafe abortion have become serious public health concerns around the world, particularly among female students in both developed and developing countries. The general objective of this study was to investigate the utilization of emergency contraception among final-year female students of a public university in Ghana. Methods A stratified random sample was used to enroll 199 female university students for descriptive cross-sectional research. SPSS version 25 was used to analyze the data. To compare categorical variables, Chi-square analysis was employed, and a p-value of 0.05 was considered statistically significant. Results Majority (88.4%) of the respondents demonstrated sufficient knowledge, and 84.4% had a favorable attitude towards emergency contraceptives (ECs). On the indications for EC; after unprotected sex (65.3%), after a missed period (22.6%), when one is raped (83.4%), unwanted pregnancy (75.9%), and rupture of condoms (88.9%) were identified. The majority (59.3%) of students have used EC, with most of the students (43.7%) using Postinor-2. The overall attitude towards EC and Residence (X2=7.5; p=0.023), Religion (X2=6.2; p=0.042), and marital status (X2=17.1, p=0.001) were statistically significant. There was a significant association between the use of EC and Residence (X2=10.9; p=0.004) and marital status (X2=8.6; p=0.035). Conclusion The findings of this study indicated that students had a high degree of awareness, understanding, and attitude about EC, with a significant number of the respondents likely to utilize it in the future. This may aid in the treatment of female students' sexual and reproductive health issues and prevent dropping out of school as a result of unwanted pregnancy. Also, there is the need to engage opinion leaders to address their concerns to allow for the effective utilization of emergency contraceptives.


2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Tadesse Wuletaw Demissie ◽  
Araya Mesfin Nigatu ◽  
Getnet Mihretie Beyene

Abstract Background Unwanted pregnancy is a significant public health problem worldwide. In higher education, students are exposed to the risk of unintended pregnancy, abortion, and its related negative consequences. Objective The objective of this study was to assess the magnitude of emergency contraceptives and factors associated with its utilization among college female students at Debre Tabor Town, Northwest Ethiopia. Methods A cross-sectional, institutional-based study was conducted from June to October 2017. A multi-stage stratified sampling technique was applied to select the study participants. Data were cleaned, coded, and entered into Epi info 7 and exported to SPSS version 20 for analysis. Bivariable and multivariable logistic regression was used to identify the association between the use of emergency contraception and the predictor variables. The P-value less than 0.05 at 95% CI was taken as statistical significance. Results A total of 821 respondents participated with a response rate of 97.6%. The finding showed that 33.3% of them have used emergency contraceptives following unprotected sex. Female students’ knowledge about emergency contraceptive [AOR: 2.3; 95% CI 1.20, 4.25], age with 20–24 years category [AOR: 2.3; 95% CI 1.21, 4.49] and married [AOR: 2.8; 95% CI 1.22, 6.21] and divorced [AOR: 4.9; 95% CI 1.12, 21.08] students were found to be significant predictors of EC utilization. Conclusions This study revealed that the level of emergency contraceptive utilization was low. Students’ level of knowledge about an emergency contraceptive, age at present, and marital status were found to be the major predictor for emergency contraceptive utilization. Therefore, responsible bodies should develop strategies that enhance the knowledge level of students at the college level on the effective utilization of emergency contraceptive methods.


2016 ◽  
Vol 33 (2) ◽  
pp. 199-209 ◽  
Author(s):  
Olubanke M. Bankole ◽  
A. O. Onasote

Female university students are at the age of active sexual life, but desire to delay becoming mothers, thus making the provision to them of correct and timely information on contraception crucial. This study aims to investigate the level of awareness and information behaviour on contraception among Nigerian female university students. Using simple random sampling to select participants from the university’s nine colleges at the Federal University of Agriculture, Abeokuta, Nigeria, a total of 800 questionnaires were administered, of which 91.6% were duly completed. The findings showed that awareness of contraception among respondents was 95.2%; the most known contraceptive methods were the male condom, oral pills and injectables; most respondents (80.7%) first learnt of contraception at secondary school. Respondents’ most frequent sources of contraception information were friends, television and magazines/newspapers, but their most preferred sources were physicians/health workers, parents and university lectures/lecturers. The major barriers faced in seeking information on contraception were inability to get reliable and accurate information, lack of time and fear of embarrassment. Measures to increase the adoption of contraception among female students must take cognizance of their preferred sources of information to deliver correct and adequate information about contraceptive methods.


2020 ◽  
Author(s):  
Edao Sado Genemo ◽  
Ayana Tadesse Korsa ◽  
Habte Gebeyehu Bayisa

Abstract Background: Emergency contraceptive pill (ECP) is a type of hormonal contraceptives which prevents unplanned pregnancy, but not sexually transmitted infections (STIs). Besides, its impact on condom utilization is not known among female university students in Nekemte town. Thus, this study was aimed to assess the awareness and attitude of university students on the use of ECP and its impact on condom utilization. Methods: An institution-based cross-sectional study was conducted on 400 female students in three private universities in Nekemte town from February 1 to 29, 2016. A simple random sampling, after proportional size allocation to respective study settings, was used to select student participants. Among the 400 randomly selected participants, 381 have completed and returned the questionnaire with 95.25% response rate. Data were collected by using self-administered questionnaire and entered into EpiData 3.1, and analyzed by using SPSS version 20. Bivariate and multivariate analysis were performed to determine the effects of ECP use on condom utilization with statistical significance set at P-value < 0.05. Results: Nearly half (48.8%) of the students indicated that they had sexual intercourse before and heard of ECP. Moreover, 30% of the respondents reported that they used ECP. Majority (61.7%) showed willingness to use ECP. Furthermore, students who used ECP were 3 times less likely to use condoms when compared to those who never used ECP (AOR = 0.322, 95% CI 0.164, 0.632). Alternatively, students who believed ECP does not prevent STIs were 2 times more likely to use condoms when compared to those who believed ECP does prevent STIs (AOR= 2.217 95% CI 1.070, 4.593). Conclusions: our findings identified that most students lack knowledge of ECP while having positive attitude on its use. On the other hand, ECP use imposes negative impact on condom utilization so that female students could be exposed to risky STIs.


Author(s):  
Mualla Köseoğlu

In this research, university students’ perceptions of fear of crime are examined in terms of sex, nationality, living area, marital status, victimisation and disorder. The aim of the research is to observe fear of crime literature’s key parameters on university students. Data was obtained from 330 university students studying in one of the state universities through a survey. Bivariate and multivariate results show that female students experience a greater fear of crime compared to male students. Fear of crime is greater amongst Turkish students as opposed to Turkish Cypriot students. Also, it is found that a high perception of disorder factors has an impact on fear of crime among women. Lastly, this study found that neither direct nor indirect victimisation has an impact on fear of crime.


2021 ◽  
Vol 3 (1) ◽  
pp. 94
Author(s):  
Erna Suparman

Abstract: Emergency contraception is a contraceptive method that can prevent pregnancy if used immediately following unprotected sex. The use of emergency contraception could reduce the rate of unwanted pregnancy by up to 50%. There are two emergency contraceptive methods, including the emergency contraceptive pill and copper intrauterine device (IUD). Emergency contraceptive pills should be taken immediately following unprotected sex and are most effective when taken within 24 hours. IUD as an emergency contraceptive can be applied five days after unprotected sex, and it does not cause abortion. There is no absolute contraindication for emergency contraception except for known pregnancy, and simply because it is ineffective. The efficacy of emergency contraception can be defined by the proportion of women who become pregnant after using this method and the total pregnancy observed after using the method divided by the estimated number of pregnancies that would occur without using the method.Keywords: emergency contraception; sexual intercourse; pregnancy  Abstrak: Kontrasepsi darurat dapat mencegah kehamilan bila digunakan segera setelah senggama. Penggunaan kontrasepsi darurat dapat menurunkan angka kehamilan yang tidak diinginkan hingga 50%. Terdapat dua metode kontrasepsi darurat, yaitu pil kontrasepsi darurat dan alat kontrasepsi dalam rahim (AKDR) yang menggunakan tembaga. Pil kontrasepsi darurat harus diberikan sesegera mungkin setelah senggama tidak terlindungi, dan paling efektif bila diberikan dalam waktu 24 jam. AKDR sebagai kontrasepsi darurat dapat dipasang hingga lima hari pasca senggama tidak terlindungi. Kontrasepsi darurat terutama bekerja dengan mencegah fertilisasi, dan tidak menggugurkan kehamilan. Tidak ada kontraindikasi absolut untuk penggunaan kontrasepsi darurat kecuali kehamilan yang diketahui, dan ini hanya karena tidak efektif. Efektivitas kontrasepsi darurat dapat didefinisikan dari proporsi wanita menjadi hamil setelah menggunakan metode ini, dan jumlah kehamilan yang diamati setelah penggunaan dibagi dengan perkiraan jumlah kehamilan yang akan terjadi tanpa penggunaan.Kata kunci: kontrasepsi darurat; senggama; kehamilan


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