Contraception decision-making autonomy among adolescent girls and young women in Uganda
Abstract We assessed contraception decision-making autonomy among current contraceptive users and interest in self-care-oriented contraception among 2109 sexually-active adolescent girls and young women (AGYW) aged 10–24 years in Uganda. Current contraceptive users were asked about who made the deci...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2025-02-01
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| Series: | npj Women's Health |
| Online Access: | https://doi.org/10.1038/s44294-025-00066-y |
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| author | Joseph K.B. Matovu Dinah Amongin Martha Akulume Doreen Tuhebwe Irene Murungi Rhoda K. Wanyenze |
| author_facet | Joseph K.B. Matovu Dinah Amongin Martha Akulume Doreen Tuhebwe Irene Murungi Rhoda K. Wanyenze |
| author_sort | Joseph K.B. Matovu |
| collection | DOAJ |
| description | Abstract We assessed contraception decision-making autonomy among current contraceptive users and interest in self-care-oriented contraception among 2109 sexually-active adolescent girls and young women (AGYW) aged 10–24 years in Uganda. Current contraceptive users were asked about who made the decision to use contraception; those who made the decision on their own were considered to have contraception decision-making autonomy. More than half of AGYW (54.8%, n = 1155) were current contraceptive users; of these, 26.8% (n = 310) made the decision to use contraception on their own. Having contraception discussion with partner prior to contraceptive use (adj. PR = 0.39; 95%CI: 0.32, 0.48) and being currently married (adj. PR = 0.74; 95%CI: 0.56, 0.98) were negatively associated with contraception decision-making autonomy. Fifty-eight percent of AGYW (n = 1213) reported interest in obtaining information on how to access and/or use self-care-oriented contraceptive methods. These findings suggest a need to empower AGYW to not only make but also act on their contraceptive decisions. |
| format | Article |
| id | doaj-art-6787d881318d44429a8712e2dd617633 |
| institution | DOAJ |
| issn | 2948-1716 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | npj Women's Health |
| spelling | doaj-art-6787d881318d44429a8712e2dd6176332025-08-20T03:00:41ZengNature Portfolionpj Women's Health2948-17162025-02-013111110.1038/s44294-025-00066-yContraception decision-making autonomy among adolescent girls and young women in UgandaJoseph K.B. Matovu0Dinah Amongin1Martha Akulume2Doreen Tuhebwe3Irene Murungi4Rhoda K. Wanyenze5Makerere University School of Public HealthMakerere University School of Public HealthMakerere University School of Public HealthMakerere University School of Public HealthThe AIDS Support Organization (TASO)Makerere University School of Public HealthAbstract We assessed contraception decision-making autonomy among current contraceptive users and interest in self-care-oriented contraception among 2109 sexually-active adolescent girls and young women (AGYW) aged 10–24 years in Uganda. Current contraceptive users were asked about who made the decision to use contraception; those who made the decision on their own were considered to have contraception decision-making autonomy. More than half of AGYW (54.8%, n = 1155) were current contraceptive users; of these, 26.8% (n = 310) made the decision to use contraception on their own. Having contraception discussion with partner prior to contraceptive use (adj. PR = 0.39; 95%CI: 0.32, 0.48) and being currently married (adj. PR = 0.74; 95%CI: 0.56, 0.98) were negatively associated with contraception decision-making autonomy. Fifty-eight percent of AGYW (n = 1213) reported interest in obtaining information on how to access and/or use self-care-oriented contraceptive methods. These findings suggest a need to empower AGYW to not only make but also act on their contraceptive decisions.https://doi.org/10.1038/s44294-025-00066-y |
| spellingShingle | Joseph K.B. Matovu Dinah Amongin Martha Akulume Doreen Tuhebwe Irene Murungi Rhoda K. Wanyenze Contraception decision-making autonomy among adolescent girls and young women in Uganda npj Women's Health |
| title | Contraception decision-making autonomy among adolescent girls and young women in Uganda |
| title_full | Contraception decision-making autonomy among adolescent girls and young women in Uganda |
| title_fullStr | Contraception decision-making autonomy among adolescent girls and young women in Uganda |
| title_full_unstemmed | Contraception decision-making autonomy among adolescent girls and young women in Uganda |
| title_short | Contraception decision-making autonomy among adolescent girls and young women in Uganda |
| title_sort | contraception decision making autonomy among adolescent girls and young women in uganda |
| url | https://doi.org/10.1038/s44294-025-00066-y |
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