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Contraceptive use and associated factors among South African youth (18 - 24 years): A population-based survey
Abstract
Background. Despite ongoing campaigns and intervention programmes promoting safe sex, contraceptive use remains a controversial area
among South African youth.
Aim. To investigate contraceptive use and associated factors among South African youth aged 18 - 24 years who reported having had
sexual intercourse.
Method. Young South Africans (3 123 subjects aged 18 - 24 years) in four provinces responded to a cross-sectional population-based
household survey.
Results. Among women who reported to be currently using contraception (89.1%), 9.3% were using the Pill, 5.2% the intra-uterine
contraceptive device, 25.6% injectables, 57.6% male condoms, 5.9% female condoms, and 8.9% dual methods; other methods used were the
rhythm method (7.0%), withdrawal (11.5%), and emergency contraception (5.5%). In multivariable analysis among women, ease of getting
condoms and not having had early sex (below 15 years of age) were associated with contraceptive use. Among men, better knowledge
about contraceptives, having talked with the partner about condoms in the past 12 months, loveLife and multimedia programme exposure
were associated with contraceptive use in univariate analysis, while none were retained in the multivariable model.
Conclusion. Communicating with the partner about condom use, education and being employed were significantly associated with
contraceptive use. However, use of contraceptives is still low, and this is substantiated by the high rate of unwanted pregnancies reported.
It is clear that more vigorous, effective and meticulous means of promoting contraceptive use need to be explored, enabling youth to take
control of their reproductive health and make informed decisions.
among South African youth.
Aim. To investigate contraceptive use and associated factors among South African youth aged 18 - 24 years who reported having had
sexual intercourse.
Method. Young South Africans (3 123 subjects aged 18 - 24 years) in four provinces responded to a cross-sectional population-based
household survey.
Results. Among women who reported to be currently using contraception (89.1%), 9.3% were using the Pill, 5.2% the intra-uterine
contraceptive device, 25.6% injectables, 57.6% male condoms, 5.9% female condoms, and 8.9% dual methods; other methods used were the
rhythm method (7.0%), withdrawal (11.5%), and emergency contraception (5.5%). In multivariable analysis among women, ease of getting
condoms and not having had early sex (below 15 years of age) were associated with contraceptive use. Among men, better knowledge
about contraceptives, having talked with the partner about condoms in the past 12 months, loveLife and multimedia programme exposure
were associated with contraceptive use in univariate analysis, while none were retained in the multivariable model.
Conclusion. Communicating with the partner about condom use, education and being employed were significantly associated with
contraceptive use. However, use of contraceptives is still low, and this is substantiated by the high rate of unwanted pregnancies reported.
It is clear that more vigorous, effective and meticulous means of promoting contraceptive use need to be explored, enabling youth to take
control of their reproductive health and make informed decisions.
