Factors contributing to changes in contraceptive use among adolescent girls in Zambia: a decomposition analysis

Journal of Public Health in Africa

Field Value
Title Factors contributing to changes in contraceptive use among adolescent girls in Zambia: a decomposition analysis
Creator Chola, Mumbi Hlongwana, Khumbulani Ginindza, Themba G.
Subject — factors; contraceptive use; adolescent girls; decomposition; Zambia
Description Despite its documented benefits, contraceptive use among adolescents remains low, particularly in low-and middle-income countries. This study aimed to decompose the main factors contributing to the changes in contraceptive use among adolescent girls in Zambia over the period 1996 to 2014. Data on adolescent girls aged 15-19 years from Zambia Demographic and Health Survey data were analysed using multivariate decomposition analysis of change. Stata 15/MP (Stata-Corp LLC) was used for analysis, at a 95% confidence level. A p-value of 0.05 was used to determine statistical significance. The sample included 9,072 adolescent girls. Contraceptive use increased by 3% from 7.6% in 1996 to 10.6% in 2013/14. Change in modern contraceptive use among adolescents was mainly due to differences in coefficients (changes in population behaviour). Increases in age contributed to the change in contraceptive use, resulting in 2.94% and 9.33% increases for 17- and 18-year-olds respectively. Marriage or living with a partner contributed the largest change (44%) while living in a rural area accounted for approximately 20%. Interventions targeting improving contraceptive use in adolescents should be responsive to the needs of various age groups, places of residence, and educational levels for maximum benefits.
Publisher AOSIS
Date 2023-09-30
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/xml application/pdf
Identifier 10.4081/jphia.2023.2261
Source Journal of Public Health in Africa; Vol 14, No 9 (2023); 18 2038-9930 2038-9922
Language eng
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https://publichealthinafrica.org/index.php/jphia/article/view/90/100 https://publichealthinafrica.org/index.php/jphia/article/view/90/99
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Rights Copyright (c) 2024 Mumbi Chola, Khumbulani Hlongwana, Themba G. Ginindza https://creativecommons.org/licenses/by/4.0