Perception of Parents on Adolescents’ use of Contraceptives in Igbogbo District in Ikorodu Local Government, Lagos State, Nigeria

Download Article

DOI: 10.21522/TIJPH.2013.05.01.Art009

Authors : Aremu BukolaJanet

Abstract:

Problem: Adolescent reproductive health has become a major public health concern as the number one killer of adolescent girls worldwide is unwanted pregnancy and childbirth-related deaths. The adolescence period is characterized by the inclination towards risky behaviors. Among these risky behaviors is unprotected sexual intercourse that can lead to unwanted pregnancy and infections from HIV and other sexually transmitted diseases, STDs.

Objective: The purpose of this study is to determine the perception of parents on adolescents’ use of contraceptives in Igbogbo district in Ikorodu Local Government of Lagos State, in Southwest Nigeria.

Method: A multi-stage sampling technique was employed to select 120 secondary school students, the parents of the selected students were given a self developed questionnaire that has already been validated and tested for reliability to fill and return and out of 120 questionnaires only 110 was properly filled and returned. A descriptive analysis was used to describe the data generated and out of the respondents.

Outcome: The findings from this study showed that 74 (67.3%) of the respondents were females and 36 (32.7) were males. It was deduced from this study that parents are aware of adolescent engagement in sexual relations, have a fair knowledge on modern forms of contraceptives, communicate well with their children but have a low perception on adolescents’ use of contraceptives. The findings from this study did not show any association between parents’ socio-demographic characteristics and their perception. This study revealed the fear of serious side effects, promiscuity tendency, cultural beliefs and religion beliefs as the major factors that might have contributed to this low perception. This study also showed that parents want adolescents to abstain from any form of sexual relation but wants them to be educated on the uses and benefits of contraceptives. This study therefore concluded that parents should be educated on the types, uses, and benefits of contraceptives and be encouraged to pass the knowledge across to their children.

References:

[1]. Aderibigbe, S.A., Araoye, M. A., Akande, M.T., Musa I O., Monehin, J. O., Babatunde, O.A (2011). Teenage Pregnancy And Prevalence of Abortion Among In-school Aolescents in North Central Nigeria. Asian Social Sciences, Vol.7, No1.

[2]. Alan Guttmacher Institute, (1998). Into a New World – Young Women’s Sexual and Reproductive Lives. New York, 5–14, and 26–44.

[3]. Alan Guttmacher Institute (2002). Facts in Brief. Teen Sex and Pregnancy, 1999. Accessed February 2002.

[4]. Ankomah, A., Mamman-Daura, F., Omoregie G., Anyanti, J. (2011). Reasons for Delaying or Engaging in Early Sexual Initiation among Adolescents in Nigeria. Adolescent Health, Medicine and Therapeutics, Vol. 2: 75–84.

[5]. Anandalakshmy, P.M., Buckshee, K. (1993). Teenage pregnancy and its effect on maternal and child health – A hospital experience. Indian J Medical Sciences, 47(1):8–11. A

[6]. Arevalo, M., Sinai, I., Jennings, V. (2000). A fixed formula to define the fertile window of the menstrual cycle as the basis of a simple method of natural family planning. Contraception, Vol. 60:357–360.

[7]. Atere, A.A., Wahab, E.O., Ajiboye, O.E., Shokoya, H.O., Akinwale, A.A., Oyenuga, A.J. (2010). Awareness of STIs and Contraceptives Use Among Out of School Youths in Nigeria. Ethno Med., Vol. 4 (2): 131-137.

[8]. Aspy, C.B., Vesely, S.K., Oman, R.F., Rodines, S., Marshall, L., Mcleroy, K. (2009). Parental Communication and Youth Sexual Behavior. Journal of Adolescence, vol., 30(3), 449-460.

[9]. Bale, J. R., Stoll, B.J., Lucas, A.O. (2003). Improving Birth Outcomes: Meeting the Challenge in the Developing World. Washington, DC: The National Academies Press.

[10]. Bankole A, Oye-Adeniran BA, Singh S, Adewole IF, Wulf D, Sedgh G. et al. Unwanted pregnancy and induced abortion in Nigeria: causes and consequences. New York: Guttmacher Institute, 2006.

[11]. Belmonte, L.R., Gutierrez, E.Z., Magnari, R., Lipovsek, V. (2000). Barriers to Adolescents’Use of Reproductive Health Services in Three Bolivian Cities. Washington D.C: FOCUS on Young Adults/Pathfinder International.

[12]. Belsky, J., Steinberg, L., Draper, P. (1991). Childhood Experience, Interpersonal Development and Reproductive Strategies: An Evolutionary Theory of Socialization. Child Development, 64(4): 647-670.

[13]. Berry, G. (2000). Multicultural Media Portrayals and Changing Demographic Landscape: the Psychosocial Impact of Television Representations on the Adolescent of Color. Journal of Adolescent Health, 27(2): 35-44.

[14]. Biddlecom, A., Awusabo-Asare, K., Akinrinola, B. (2009). Role of Parents in Adolescent Sexual Activity and Contraceptive Use in Four African Countries. International Perceptives on Sexual and Reproductive Health, Vol. 35(2)

[15]. Briggs, L.A. (1998). Parents’ Viewpoint on Reproductive Health and Contraceptive Practice among Sexually Active Adolescents in the Port Harcourt Local Government Area of Rivers State, Nigeria. Journal of Advanced Nursing, Vol. 27: 261-266.

[16]. Brooks-Gunn, J., Furstenberg, F. (1989). Adolescent sexual Behavior. American psychologist, Vol. 44(2): 249-257.

[17]. Center for Disease Control and Prevention (2015). HIV Among Youth. www.cdc.gov/hiv/....youth/index.html assessed 12/06/15.

[18]. Commendador, K.A. (2010). Parental Influences on Adolescent Decision Making and Contraceptive Use. Pediatric Nurs., Vol. 36(3): 147-156.

[19]. Connel J. P. (1990). Context, Self and Action: A Motivational Analysis of Self System Processes Across the Life Span. In: Dchichetti and M Beeghly (Eds). The self in Transition: Infancy to childhood Chicago: University of Chicago Press, pp. 61-97

[20]. Dangal, G. (2006). An Update on Teenage Pregnancy. Internet Journal of Gynecology and obstetrics, Vol. 5(1), 3.

[21]. Fatusi, A.O, Blum, R.W (2008). Predictors of early sexual initiation among a nationally representative sample of Nigerian adolescents. BMC Public Health, 8: 136

[22]. Federal Ministry of Health [Nigeria]. National HIV/AIDS and reproductive health survey. Abuja: Federal Ministry of Health, 2009.

[23]. Glasier, A. (1997). Emergency Postcoital Contraception. N Engl J Med, Vol. 337 (15) :1058–1064.

[24]. Gomes, E.R., Speizer, I.S., Oliveira, D.C., Moura, L.B., Gomes, F.M.(2006). Contraceptive method used by adolescents in Brazilian State Capital. Journal of Pediatric and Adolescent Gynecology, vol.21 (4), 213-219.

[25]. Heneghan A., Stein, R.E.K., Hurburt, M.S., Zheng, J., Rolls-Reutz, J., Kerker, B.D., Landsverk, J., McCue Horwitz, S. (2015). Health-risk Behavior in Teen Investigated by U.S. Child Welfare Agencies. Journal of Adolescent Health, vol.56 (5), 508-514.

[26]. Idonije B.O., Oluba, O.M, Otamere, H.O. (2011). A Study on Knowledge, Attitude and Practice of Contraception among Secondary School Students in Ekpoma Nigeria. JPCS, Volume, 2.

[27]. Ikeme ACC, Ezegwui HU, Uzodinma, AC. Knowledge, attitude and use of emergency contraception among female undergraduates in eastern Nigeria. J Obstet Gynaecol 2005; 25: 491-3.

[28]. International Planned Parenthood Federation (1994). Understanding Adolescents. London

[29]. Jaccard, J., Dittus, P. (2000). Adolescent Perceptions of Maternal Approval of Birth Control and Sexual Risk Behavior. American Journal of Public Health, Vol. 90 (9): 1426-1430.

[30]. Jaccard J, Dodge T, Dittus P. (2002). Parent-Adolescent Communication about Sex and Birth Control in Talking Sexuality. New Directions in Child and Adolescent Development San Francisco, CA: Jossey-Bass pp. 9-41.

[31]. Kaunitz, A.M. (1992) Guiding Adolescents in Proper Contraceptive Use. Cont OB/GYN, pp. 15–33.

[32]. Kinaro, J.W. (2013). Perceptions and Barriers to Contraceptive use among adolescents: A Case Study of Nairobi. http://erepository.unobi.ac.ke:8080/xmlui/handle/123456789/43838.

[33]. Kirby, D. (2008). The Impart of Abstinence and Comprehensive Sex and STD/HIV Reduction Program on Adolescent Sexual Behavior. Sexuality Research and Social Policy, Vol. 5(3): 6-17.

[34]. Lagana, L. (1999). Psychosocial correlates of contraceptive Practices During the Late Adolescence. Adolescence, Vol. 34(135):463-483.

[35]. Lebese, R.T., Maputle, S.M., Ramathuba, D.U., Khoza, L.B. (2013). Factors Influencing the Uptake of Contraception Services by Vatsonga Adolescents in Rural Communities of Vhembe District in Limpopo Province, South Africa. Health SA Gesondheid, vol. 18(1)

[36]. Martino, S.C., Elliott, M.N., Corona, R., Kanouse, D.E., Mark, S.A.(2008). The Roles of Breadth and Repetition in Parent-adolescent Communication about Sexual Topics. Off J Am Acad Pediatrics 121(3):612-618.

[37]. Mestad, R., Secura, G., Allsworth, J.E., Madden, T., Zhao, Q., Pelpert, J. F. (2011). Acceptance of long-acting reversible contraceptive methods by adolescent participants in the contraceptive CHOICE project. Contraception, vol. 84 (5), 493-498.

[38]. Mollborn, S & Everett, B. (2010). Correlates and Consequences of Parent-teen Incongruence in Reports of Teens Sexual Experience. J Sex Res, Vol. 47 (4): 314-329.

[39]. Mturi, A. J. (2003). Parents’ Attitude to adolescent Sexual Behavior in Lesotho. African Journal of Reproductive Health, Vol. 7 (2): 25-33.

[40]. National Population Commission (NPC) and ORC Macro (2003). Nigeria demographic and health survey. NPC and ORC Macro, Calverton, Maryland, 2004.

[41]. National Population Commission (NPC) and ICF Macro (2009). Nigeria demographic and health survey 2008. Abuja: NPC and ICF Macro.

[42]. Obisesan K. A., Adeyemo, A., Fakokunde, B. O. (1998). Awareness and Use of Family Planning Methods among Married Women in Ibadan, Nigeria. East African Medical Journal, Vol. 75 (3): 135-138.

[43]. Odimegwu, C.O., Solanke, L.B, Adedokun, A (2002). Parental characteristics and adolescent sexual behaviour in Bida LGA of Niger State, Nigeria. African Journal of Reproductive Health, Vol. 6(1): 95-106.

[44]. Ojo, O., Aransiola, J., Fatusi, A., Akintomide, A. (2011). Pattern of Socio-demographic Correlates of Parent-child Communication on Sexual and Reproductive Health Issues in South-Western Nigeria; A Mixed Method Study. The African Symposium, Vol. 11 (2).

[45]. Olukoya, A.A., Kaya, A., Ferguson, B.J., AbouZahr, C. (2001). Unsafe Abortion in Adolescents. International Journal of Gynecology and obstetrics, Vol. 75, pp. 137-147.

[46]. Olubusayo-Fatiregun, M.A. (2012). Parenting Attitude Towards Adolescent Sexual Behavior in Akoko-Edo and Estako-West Local Government Areas, Edo State, Nigeria. World Journal of Education, Vol. 2, No 6.

[47]. Omo-Aghoja, L.O., Omo-Aghoja, V.W., Aghoja, C.O., Okonofua, F.E., (2009). Factors Associated with the Knowledge, Practice and Perception of Contraception Rural Southern Nigeria. Ghana Med J, 43 (3): 115-211.

[48]. Omobude-Idiado, S.N., Bazuaye, G.N. (2009). Patterns of Sexually Transmitted Infections (STIS) Reported Among Students in a Federal University in Mid-Western Nigeria. College Student Journal, Vol. 43(2).

[49]. Onifade, C.A., Osibanjo, D., Taiwo, A. (2013). The Role of Parents in the Prevention of HIV/AIDS among Secondary Students in Ijebu-ode, Ogun State, Nigeria. Canadian Social Science, Vol. 9 (2): 95-106.

[50]. Orji EO, Esimai OA. Sexual behaviour and contraceptive use among secondary school students in Ilesha southwest, Nigeria. J Obstet Gynaecol. 2005; 25: 269–72.

[51]. Ott, M.A., Adler, N.E., Millstein, S.G., Tschan, J.M., Ellen, J.M. (2002). The trade-off between hormonal contraceptives and condoms among adolescents. Perspectives on Sexual and Reproductive Health, 34(1):6–14.

[52]. Oye-Adeniran, B.A., Adewole, I.F., Umoh, A.V., Oladokun, A., Gbadegesin, A., Ekanem, E.E., Yusuf, B. (2006). Community Based Study of Contraceptive Behavior in Nigeria. African Journal of Reproductive Health, Vol. 10(2); 90-1             04.

[53]. Oyediran, O.O., Faronbi, J., Ajibade, B.L. (2013). Parental Attitude towards the Use of Contraceptives by Adolescents in Osogbo, Osun State. IOSR Journal of Pharmacy and Biological Sciences, Vol. 8, issue 3.

[54]. Remez, L. (2000) Oral Sex Among Adolescents: Is it Sex or is it Abstinence. Fam Plann Perspect, Vol. 32(6):295–298.

[55]. Santelli, J.S., Brener, N.D., Lowry, R., Bhatt, A., Zabin, L.S. (1998) Multiple sexual partners among US adolescents and young adults. Fam Plann Perspect, 30(6):271–275.

[56]. UNAIDS (2012). UNAIDS Report on Global Aids Epidemic 2012.

[57]. UNAIDS (2014). Epidemiology Slides- GAP report 2014.

[58]. UNFPA (2010). HIV and AIDS in Nigeria

[59]. UNICEF (2002). Adolescence: a time that matters. New York: UNICEF.

[60]. Wagstaff, A., Claeson, M. (2004). The Millennium Development Goals for Health: rising to the challenges. Washington DC: the World Bank.

[61]. World Health Organization (2004). Adolescent Health and Development. Department of Child and Adolescent Health and Development.

[62]. World Health Organization (2009): Adolescent pregnancy: a culturally complex issue. Bull World Health Organ, 87(6):405-484.

[63]. World Health Organization (2012). Expanding Access to Contraceptive Services for Adolescents. Policy Brief WHO/RHR/12.21

[64]. World Health Organization (2015). Adolescent Development, Maternal, Newborn, Child and Adolescent health.