TY - JOUR
T1 - Sexual and reproductive health education and its association with ever use of contraception: a cross-sectional study among women in urban slums, Accra
AU - SEIDU, Abdul Aziz
AU - AMEYAW, Edward Kwabena
AU - AHINKORAH, Bright Opoku
AU - BAATIEMA, Leonard
AU - DERY, Samuel
AU - ANKOMAH, Augustine
AU - GANLE, John Kuumuori
N1 - The authors thank the respondents for taking part in the study.
© 2022. The Author(s).
PY - 2022/1/15
Y1 - 2022/1/15
N2 - BackgroundSexual and reproductive health education
among girls and women has several reproductive health benefits, including
improved contraceptive knowledge, contraception use at first intercourse,
increased chance of contraceptive use in a lifetime, and effective usage of
contraceptives. It is however not clear whether women/girls in urban slums who
have had sexual and reproductive health education would likely utilize
contraception. This study sets out to test the hypothesis that Accra slum women
who have had sex education have higher chances of ever using contraception.MethodsA cross-sectional survey was conducted
among reproductive aged women in two slums (i.e. Agbogbloshie and Old Fadama)
in Accra, Ghana. A sample size of 691, made up of respondents who provided
responses to the question on ever used contraception, sex education as well as
those with complete information on all the other variables of interest was
considered in this study. Binary logistic regression models were fitted to
examine association between sexual and reproductive health education and ever
use of contraception. Crude odds ratios (cOR) and adjusted odds ratios (aOR) at
p-value less than 0.05 were used to assess the strength of the association
between the outcome and independent variables.ResultsMore than half (56.73%) of the women have
never received sexual and reproductive health education. Most of the
respondents (77.28%) had ever used contraceptives. Women who had no form of
sexual and reproductive health education had lower odds of ever using
contraception (OR = 0.641, 95% CI 0.443, 0.928) and this persisted after
controlling for the effect of demographic factors (AOR = 0.652, 95% CI 0.436,
0.975] compared to those who have ever received any form of sex education.
Non-married women as well as women who were exposed to media
(newspapers/radio/television) were also more likely to use contraceptives in
slums in Accra, Ghana.Conclusion
The study revealed a relatively low
prevalence of sex education among women in urban slums in Accra. However, sex
education was found to increase the odds of ever use of contraception. These
findings call for intensified sexual and reproductive health education among
reproductive aged girls and women in urban slums in Accra using existing
informal social networks and local media platforms.
AB - BackgroundSexual and reproductive health education
among girls and women has several reproductive health benefits, including
improved contraceptive knowledge, contraception use at first intercourse,
increased chance of contraceptive use in a lifetime, and effective usage of
contraceptives. It is however not clear whether women/girls in urban slums who
have had sexual and reproductive health education would likely utilize
contraception. This study sets out to test the hypothesis that Accra slum women
who have had sex education have higher chances of ever using contraception.MethodsA cross-sectional survey was conducted
among reproductive aged women in two slums (i.e. Agbogbloshie and Old Fadama)
in Accra, Ghana. A sample size of 691, made up of respondents who provided
responses to the question on ever used contraception, sex education as well as
those with complete information on all the other variables of interest was
considered in this study. Binary logistic regression models were fitted to
examine association between sexual and reproductive health education and ever
use of contraception. Crude odds ratios (cOR) and adjusted odds ratios (aOR) at
p-value less than 0.05 were used to assess the strength of the association
between the outcome and independent variables.ResultsMore than half (56.73%) of the women have
never received sexual and reproductive health education. Most of the
respondents (77.28%) had ever used contraceptives. Women who had no form of
sexual and reproductive health education had lower odds of ever using
contraception (OR = 0.641, 95% CI 0.443, 0.928) and this persisted after
controlling for the effect of demographic factors (AOR = 0.652, 95% CI 0.436,
0.975] compared to those who have ever received any form of sex education.
Non-married women as well as women who were exposed to media
(newspapers/radio/television) were also more likely to use contraceptives in
slums in Accra, Ghana.Conclusion
The study revealed a relatively low
prevalence of sex education among women in urban slums in Accra. However, sex
education was found to increase the odds of ever use of contraception. These
findings call for intensified sexual and reproductive health education among
reproductive aged girls and women in urban slums in Accra using existing
informal social networks and local media platforms.
KW - Accra
KW - Contraceptive use
KW - Contraceptives
KW - Sex education
KW - Slums
KW - Urban
KW - Women
UR - http://www.scopus.com/inward/record.url?scp=85123000031&partnerID=8YFLogxK
U2 - 10.1186/s12978-021-01322-5
DO - 10.1186/s12978-021-01322-5
M3 - Journal Article (refereed)
C2 - 35033115
AN - SCOPUS:85123000031
SN - 1742-4755
VL - 19
JO - Reproductive Health
JF - Reproductive Health
M1 - 7
ER -
