Introduction: In Senegal, adolescents aged 10 to 19
years represent 22.9% of the total population. The unmet need for contraception
in this part of the population remains high despite the health interventions
implemented to promote their sexual health. The aim of this study is to analyze
the practice of modern contraception in schools in Dakar high schools in
Senegal during the year 2018. Methods: A cross-sectional study was conducted in
high schools and colleges in Dakar from March 1 to April 30, 2018. This study
involved 452 students. This was a self-administration of the questionnaires.
After univaried and bivaried analyses, a multivariate logistic analysis
identified the factors associated with students’ use of modern contraception.
Results: The prevalence of modern contraceptive use among students is 8.84%.
Factors associated with the use of modern contraceptive methods among students
were age over 18 years (AR: 4.7, 95% CI [1.02 - 22.5]), male sex (AR: 27.8, 95%
CI [6.8 - 100.0]), secondary school level (AR: 10.6, 95% CI [2.1 - 53.0]),
access to a youth socio-educational home (AR: 3.9, 95% CI [1.1 - 14.9]) and
having a child (AR: 25.6, 95% CI [2.2 - 100.0]). Conclusion: Our results
concluded that modern contraceptive needs were better met among older male
students, those who had an unfortunate experience of unwanted pregnancy and
those attending school’s youth socio-educational homes. This suggests
shortcomings in the promotion of sexual health among younger students,
particularly those in the secondary grades.
References
[1]
République du Sénégal. Ministère de l’économie, des finances et du plan (2018) Population du Sénégal en 2017/MEFP/ANSD mars 2018.
[2]
Agence Nationale de la Statistique et de la Demographie (ANSD) [Senegal], et ICF (2018) Senegal: Enquete Demographique et de Sante Continue (EDS-Continue 2017). ANSD et ICF, Rockville.
[3]
Ainsworth, M., Beegle, K. and Nyamete, A. (1996) The Impact of Women’s Schooling on Fertility and Contraceptive Use: A Study of Fourteen Sub-Saharan African Countries. The World Bank Economic Review, 10, 85-122.
https://doi.org/10.1093/wber/10.1.85
[4]
Agence Nationale de la Statistique et de la Demographie (ANSD) [Senegal], et ICF (2006) Senegal: Enquete Demographique et de Sante Continue (EDS 2005). ANSD et ICF, Rockville.
[5]
Agence Nationale de la Statistique et de la Demographie (ANSD) [Senegal], et ICF (2017) Senegal: Enquete Demographique et de Sante Continue (EDS-Continue 2016). ANSD et ICF, Rockville.
[6]
Naré, C., Katz, K. and Tolley, E. (1997) Adolescents’ Access to Reproductive Health and Family Planning Services in Dakar (Senegal). African Journal of Reproductive Health, 1, 15-25. https://doi.org/10.2307/3583373
[7]
Sedgwick, P. (2013) Convenience Sampling. BMJ, 347, f6304.
https://doi.org/10.1136/bmj.f6304
[8]
Bisrat, F. and Pickering, J. (1994) High School Students’ Knowledge, Attitude and Practice of Contraception in Harer Town, Eastern Ethiopia. Ethiopian Medical Journal, 32, 151-159.
[9]
Curry, C., Roberts, C., Morgan, A., Smith, R., Settertobulte, W., Samdal, O., et al. (2004) OMS/Europe, La santé des jeunes en contexte Enquete sur les comportements liés a la santé des enfants en age scolaire (HBSC): Rapport international de l’enquete réalisée en 2001/2002. OMS, Danemark.
[10]
Doucoure, R.H. (2015) Connaissances, attitudes et pratiques de la contraception et de la prévention des infections sexuellement transmissibles en milieu estudiantin: Enquete chez les étudiant(e)s de l’Université Cheikh Anta Diop de Dakar/Sénégal. Mémoire pour l’obtention du diplome d’études spéciales (D.E.S.) de gynécologie-obstétrique. Université Cheikh Anta Diop de Dakar, Dakar, No. 124.
[11]
Bearinger, L.H., Sieving, R.E., Ferguson, J. and Sharma, V. (2007) Global Perspectives on the Sexual and Reproductive Health of Adolescents: Patterns, Prevention, and Potential. The Lancet, 369, 1220-1231.
https://doi.org/10.1016/S0140-6736(07)60367-5
[12]
Vuttanont, U., Greenhalgh, T., Griffin, M. and Boynton, P. (2006) “Smart Boys” and “Sweet Girls”—Sex Education Needs in Thai Teenagers: A Mixed-Method Study. The Lancet, 368, 2068-2080. https://doi.org/10.1016/S0140-6736(06)69836-X
[13]
Aras, S., Orcin, E., Ozan, S. and Semin, S. (2007) Sexual Behaviors and Contraception among University Students in Turkey. Journal of Biosocial Science, 39, 121-135.
https://doi.org/10.1017/S0021932006001258
[14]
Lagarde, E., Enel, C., Seck, K., Gueye-Ndiaye, A., Piau, J.P., Pison, D.V., Ndoye, I. and Mboup, S. (2000) Religion and Protective Behaviours towards AIDS in Rural Senegal. Epidemiology & Social, 14, 2027-2033.
https://doi.org/10.1097/00002030-200009080-00019
[15]
Anochie, I. and Ikpeme, E. (2003) La connaissance, l’attitude et l’utilisation de la contraception chez les filles du secondaire a Port Harcourt. Niger. J Med., 12, 217-220.
[16]
Dimassi, K., Douik, F., Douzi, M.A., et al. (2016) Les déterminants sociaux de l’utilisation des méthodes contraceptives en Tunisie. Revue d'Epidémiologie et de Santé Publique, 65, 53-59. https://doi.org/10.1016/j.respe.2016.06.330
[17]
Agence Nationale de la Statistique et de la Demographie (ANSD) [Senegal], et ICF (2015) Senegal: Enquete Demographique et de Sante Continue (EDS-Continue 2014). ANSD et ICF, Rockville.
[18]
Pazol, K., Zapata, L.B., Tregear, S.J., Mautone-Smith, N. and Gavin, L.E. (2015) Impact of Contraceptive Education on Contraceptive Knowledge and Decision Making: A Systematic Review. American Journal of Preventive Medicine, 49, S46-S56.
https://doi.org/10.1016/j.amepre.2015.03.031
[19]
Kirby, D.B., Laris, B.A. and Rolleri, L.A. (2007) Sex and HIV Education Programs: Their Impact on Sexual Behaviors of Young People throughout the World. Journal of Adolescent Health, 40, 206-217. https://doi.org/10.1016/j.jadohealth.2006.11.143
[20]
Longwe, A. and Smits, J. (2011) The Impact of Family Planning on Primary School Enrolment in Sub-National Areas within 25 African Countries. African Journal of Reproductive Health, 17, 23-38.
[21]
Weaver, H., Smith, G. and Kippax, S. (2005) School-Based Sex Education Policies and Indicators of Sexual Health among Young People: A Comparison of the Netherlands, France, Australia and the United States. Sex Education, 5, 171-188.
https://doi.org/10.1080/14681810500038889
[22]
Amsellem-Mainguy, Y. (2011) Contraception et grossesses a l’adolescence: Vers une reconnaissance du droit a l’intimité des jeunes. Informations Sociales, 165-166, 156-163.
[23]
Singh, S., Gilda, S.G. and Hussain, R. (2010) Unintended Pregnancy: Worldwide Levels, Trends, and Outcomes. Studies in Family Planning, 41, 241-250.
https://doi.org/10.1111/j.1728-4465.2010.00250.x
[24]
Nebié, Y., Meda, N., Leroy, V., Mandelbrot, L., Yaro, S., Sombié, I., et al. (2001) Sexual and Reproductive Life of Women Informed of Their HIV Seropositivity: A Prospective Cohort Study in Burkina Faso. Journal of Acquired Immune Deficiency Syndromes, 28, 367-372. https://doi.org/10.1097/00126334-200112010-00010
