Predictors of modern contraceptive use among adolescent girls and young women in Tanzania: Insights from a nationwide survey
Abstract Background Modern contraceptive use among adolescent girls and young women (AGYW) is an effective strategy for preventing early and unintended pregnancies, which contribute to various social, economic, and health challenges in low- and middle-income countries, including Tanzania. We investi...
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Springer
2025-05-01
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| Online Access: | https://doi.org/10.1186/s12982-025-00615-5 |
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| author | Immaculata P. Kessy Elihuruma Eliufoo Victoria Godfrey Mussa Bago Azan Nyundo Mtoro J. Mtoro |
| author_facet | Immaculata P. Kessy Elihuruma Eliufoo Victoria Godfrey Mussa Bago Azan Nyundo Mtoro J. Mtoro |
| author_sort | Immaculata P. Kessy |
| collection | DOAJ |
| description | Abstract Background Modern contraceptive use among adolescent girls and young women (AGYW) is an effective strategy for preventing early and unintended pregnancies, which contribute to various social, economic, and health challenges in low- and middle-income countries, including Tanzania. We investigated the prevalence and predictors of modern contraceptive use among AGYW in Tanzania. Methods An analytical cross-sectional survey was conducted using the 2022 Tanzania Demographic and Health Survey data, and multistage stratified sampling was used to recruit participants across the country. Given the complex survey design, a weighted multivariable logistic regression was used determine the predictors of modern contraceptive use. Adjusted odds ratio (aOR) with corresponding 95% Confidence Intervals (CI) were computed to estimate the strength of association between independent variables and modern contraceptive use. All analyses were performed using Stata version 18.5. Results The prevalence of modern contraceptive use was 28.4% (95%CI: 26.2- 30.7). AGYW in primary education (aOR = 1.85, 95%CI: 1.23–2.69), secondary education (aOR = 1.99, 95%CI: 1.39–2.95), having 1–2 children (aOR = 4.34, 95%CI: 3.15–5.98), working (aOR = 1.33, 95%CI: 1.07–1.66), those visited the health facility in the past 12 months (aOR = 1.42, 95%CI: 1.14–1.76) and AGYW in richest quantile (aOR = 1.82, 95%CI: 1.26–2.62) were more likely to use modern contraceptive. Conversely, AGYW aged 15–19 years (aOR = 0.72, 95%CI: 0.56–0.91), in the western region (aOR = 0.48, 95%CI: 0.28–0.82) and those living in Zanzibar (aOR = 0.47, 95%CI: 0.28–0.80) were less likely to use modern contraceptives. Conclusion Nearly three in ten AGYW used modern contraceptives. The use of modern contraceptives was associated with various factors. Establishing specific interventions to improve coverage and uptake of modern contraceptives could help to address inequalities in modern contraceptive use among AGYW in Tanzania. |
| format | Article |
| id | doaj-art-a4d1f727234f40bb8d07798781b2827d |
| institution | OA Journals |
| issn | 3005-0774 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Springer |
| record_format | Article |
| series | Discover Public Health |
| spelling | doaj-art-a4d1f727234f40bb8d07798781b2827d2025-08-20T01:49:43ZengSpringerDiscover Public Health3005-07742025-05-0122111010.1186/s12982-025-00615-5Predictors of modern contraceptive use among adolescent girls and young women in Tanzania: Insights from a nationwide surveyImmaculata P. Kessy0Elihuruma Eliufoo1Victoria Godfrey2Mussa Bago3Azan Nyundo4Mtoro J. Mtoro5TILAM InternationalDepartment of Clinical Nursing, School of Nursing and Public Health, University of DodomaDepartment of Obstetrics and Gynaecology, Dodoma Regional Referral HospitalDepartment of Public Health and Community Nursing, School of Nursing and Public Health, University of DodomaDepartment of Psychiatry and Mental Health, University of DodomaTILAM InternationalAbstract Background Modern contraceptive use among adolescent girls and young women (AGYW) is an effective strategy for preventing early and unintended pregnancies, which contribute to various social, economic, and health challenges in low- and middle-income countries, including Tanzania. We investigated the prevalence and predictors of modern contraceptive use among AGYW in Tanzania. Methods An analytical cross-sectional survey was conducted using the 2022 Tanzania Demographic and Health Survey data, and multistage stratified sampling was used to recruit participants across the country. Given the complex survey design, a weighted multivariable logistic regression was used determine the predictors of modern contraceptive use. Adjusted odds ratio (aOR) with corresponding 95% Confidence Intervals (CI) were computed to estimate the strength of association between independent variables and modern contraceptive use. All analyses were performed using Stata version 18.5. Results The prevalence of modern contraceptive use was 28.4% (95%CI: 26.2- 30.7). AGYW in primary education (aOR = 1.85, 95%CI: 1.23–2.69), secondary education (aOR = 1.99, 95%CI: 1.39–2.95), having 1–2 children (aOR = 4.34, 95%CI: 3.15–5.98), working (aOR = 1.33, 95%CI: 1.07–1.66), those visited the health facility in the past 12 months (aOR = 1.42, 95%CI: 1.14–1.76) and AGYW in richest quantile (aOR = 1.82, 95%CI: 1.26–2.62) were more likely to use modern contraceptive. Conversely, AGYW aged 15–19 years (aOR = 0.72, 95%CI: 0.56–0.91), in the western region (aOR = 0.48, 95%CI: 0.28–0.82) and those living in Zanzibar (aOR = 0.47, 95%CI: 0.28–0.80) were less likely to use modern contraceptives. Conclusion Nearly three in ten AGYW used modern contraceptives. The use of modern contraceptives was associated with various factors. Establishing specific interventions to improve coverage and uptake of modern contraceptives could help to address inequalities in modern contraceptive use among AGYW in Tanzania.https://doi.org/10.1186/s12982-025-00615-5Contraceptive useAdolescent girlsYoung womenTanzania |
| spellingShingle | Immaculata P. Kessy Elihuruma Eliufoo Victoria Godfrey Mussa Bago Azan Nyundo Mtoro J. Mtoro Predictors of modern contraceptive use among adolescent girls and young women in Tanzania: Insights from a nationwide survey Discover Public Health Contraceptive use Adolescent girls Young women Tanzania |
| title | Predictors of modern contraceptive use among adolescent girls and young women in Tanzania: Insights from a nationwide survey |
| title_full | Predictors of modern contraceptive use among adolescent girls and young women in Tanzania: Insights from a nationwide survey |
| title_fullStr | Predictors of modern contraceptive use among adolescent girls and young women in Tanzania: Insights from a nationwide survey |
| title_full_unstemmed | Predictors of modern contraceptive use among adolescent girls and young women in Tanzania: Insights from a nationwide survey |
| title_short | Predictors of modern contraceptive use among adolescent girls and young women in Tanzania: Insights from a nationwide survey |
| title_sort | predictors of modern contraceptive use among adolescent girls and young women in tanzania insights from a nationwide survey |
| topic | Contraceptive use Adolescent girls Young women Tanzania |
| url | https://doi.org/10.1186/s12982-025-00615-5 |
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