Trends in contraceptive use, unmet need and associated factors of modern contraceptive use among urban adolescents and young women in Guinea

Sidikiba Sidibe, Alexandre Delamou, Bienvenu Salim Camara, Nafissatou Dioubate, Hawa Manet, Alison M. El Ayadi, Lenka Benova, Seni Kouanda

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BackgroundIn Guinea, high fertility among adolescents and young women in urban areas remains a public health concern. This study describes trends in contraceptive use, unmet need, and factors associated with the use of modern family planning (FP) methods among urban adolescents and young women in Guinea.MethodsWe used four Guinea Demographic and Health Surveys (DHS) conducted in 1999, 2005, 2012, and 2018. Among urban adolescents and young women (15-24years), we examined trends over time in three key indicators: 1. Modern Contraceptive use, 2. Unmet need for FP and 3. Modern contraceptive use among those in need of FP (demand satisfied). We used multivariable logistic regression to examine association between socio-demographic factors and modern FP use on the most recent DHS dataset (2018).ResultsWe found statistically significant changes over the time period examined with an increase in modern contraceptive use (8.4% in 1999, 12.8% in 2018, p

Original languageEnglish
Article number1840
JournalBMC Public Health
Issue number1
Number of pages10
Publication statusPublished - 2020


  • Contraception
  • Family planning
  • Unmet need
  • Adolescents and young adults
  • Guinea DHS
  • Health disparities

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