Perceptions of contraception among postpartum adolescents
Keywords:
adolescent, contraceptives, perception, pregnancyAbstract
Introduction: Contraceptive methods are a key strategy in preventing adolescent pregnancy. Therefore, it is essential to guarantee access to clear information and contraceptive supplies.
Objective: To determine the perception of contraception prior to pregnancy among postpartum adolescents.
Methods: A cross-sectional descriptive study was conducted with a sample of 89 postpartum adolescents seen between July and October 2024. The main variable was the perception of contraceptive use, assessed using an instrument validated by experts with adequate reliability (Cronbach's alpha of 0.729). Descriptive statistics were used for data analysis.
Results: The median age was 18 years; 71.9% lived with a partner, and 11.2% were multiparous. There was a favorable perception of hormonal and barrier contraceptive methods; 50.6% considered the emergency contraceptive pill as a contraceptive, and more than 60% agreed that contraceptive methods have side effects. The majority rejected sources such as the internet (49.4%), friends (52.8%), and home (56.2%), preferring health facilities (80.9%) and schools (92.2%) as their main sources of information. 30.3% perceived accessibility at the Ministry of Health (MINSA), and 31.5% at pharmacies. The most frequent reasons for not using contraceptives were fear, shame, and lack of knowledge.
Conclusions: Despite favorable perceptions of contraceptives, many adolescents did not use them. Participants identified barriers such as lack of professional guidance and adequate information, highlighting the need to strengthen comprehensive sexual education.
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References
1. Organización Mundial de la Salud. Salud del adolescente [Internet]. WHO; 2023. [acceso: 01/05/2023]. Disponible en: https://www.who.int/es/health-topics/adolescent-health
2. Organización Mundial de la Salud. Embarazo adolescente [Internet]. WHO; 2023. [acceso: 31/08/2023]. Disponible en: https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy
3. Organización Panamericana de la Salud. América Latina y el Caribe tienen la segunda tasa más alta de embarazo adolescente en el mundo [Internet]. PAHO; 2018. [acceso: 13/09/2023]. Disponible en: https://www.paho.org/es/noticias/28-2-2018-america-latina-caribe-tienen-segunda-tasa-mas-alta-embarazo-adolescente-mundo
4. Organización de las Naciones Unidas. Objetivos de Desarrollo Sostenible [Internet]. ONU; 2018. [acceso: 17/01/2025]. Disponible en: https://www.un.org/sustainabledevelopment/es/2018/08/sabes-cuales-son-los-17-objetivos-de-desarrollo-sostenible/
5. Organización Mundial de la Salud. Métodos anticonceptivos / planificación familiar [Internet]. WHO; 2023. [acceso:31/08/2023]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/family-planning-contraception
6. Nshutiyukuri C, Uwingabire F, Musabwasoni MGS, Rutayisire JB, Rutayisire R, Benimana I, et al. Perceived factors contributing to teenage pregnancy and their perceived effects on teenage females health in eastern province of Rwanda [Internet]. Women’s Health. 2025;21: 17455057251325044. DOI: 10.1177/17455057251325044
7. Fehrmann O, Nisly GR, White SA, Adkins L, Wood R, Dotters-Katz SK. Tackling recurrent pregnancy in adolescents through postpartum contraception counseling [Internet]. Obstet Gynecol. 2025;145(6 Suppl):70S–71S. DOI: 10.1097/AOG.0000000000005918.043
8. Instituto Nacional de Estadística e Informática (INEI). Lima alberga 9 millones 320 mil habitantes al 2018 [Internet]. INEI; 2018. [acceso: 01/05/2023]. Disponible en: https://m.inei.gob.pe/prensa/noticias/lima-alberga-9-millones-320-mil-habitantes-al-2018-10521/
9. Hospital San Juan de Lurigancho. Análisis de la Situación de Salud Hospitalaria 2022 [Internet]. HSJL; 2022. [acceso: 19/11/2023]. Disponible en: https://cdn.www.gob.pe/uploads/document/file/6275550/5518944-asis_2022.pdf?v=1714669525
10. Madorsky TZ, Stritzel H, Sheeder J, Maslowsky J. Adolescents’ Intention to Use Long-Acting Reversible Contraception Postpartum [Internet]. J Pediatr Adolesc Gynecol. 2024;37(5):510–515. DOI:10.1016/j.jpag.2024.06.002
11. Mpunga DM, Chenge FM, Mambu TN, Akilimali PZ, Mapatano MA, Wembodinga GU. Determinants of the use of contraceptive methods by adolescents in the Democratic Republic of the Congo: results of a cross-sectional survey [Internet]. BMC Womens Health. 2022;22(1):478. DOI: 10.1186/s12905-022-02084-3
12. Coronado-Quispe J, Arias-Aroni G, Maguiña-Mendoza M, Valdivia-Soto N, Chavez-Levano K, Egusquiza-Llana J. Percepción de las madres adolescentes respecto al uso de métodos anticonceptivos en comunidades anexas en región de la selva, 2018 [Internet]. Rev. Cuerpo Med. HNAAA. 2021; 14(1):18-22. DOI: 10.35434/rcmhnaaa.2021.141.863
13. Nelson AL, Cohen S, Galitsky A, Hathaway M, Kappus D, Kerolous M, et al. Women's perceptions and treatment patterns related to contraception: results of a survey of US women [Internet]. Contraception. 2018;97(3):256-73. DOI: 10.1016/j.contraception.2017.09.010
14. Hategekimana JB, Ndikubwimana A, Ndayisenga J, Niyitegeka F, Ukwishatse D, Cyubahiro S, et al. Knowledge, attitudes and strategies on contraceptive utilization among adolescents: views from beneficiaries and parents in City of Kigali [Internet]. Contracept Reprod Med. 2024;9(1):61. DOI: 10.1186/s40834-024-00317-4
15. Adu-Kyere D, Kwarase R, Der EM. Knowledge, attitude and perception towards contraception use among adolescents [Internet]. World J Adv Healthc Res. 2021 [acceso: 20/10/2024];5(5):26-36. Disponible en: https://www.researchgate.net/publication/354845443
16. Okusanya T, Emaimo J, Okorie P, Apeh V, Okoronkwo S, Adeomi A. Assessment of the perception of contraceptives uptake among in-school Adolescents in Abuja Municipal Area Council, Abuja, Nigeria [Internet]. IDAN J Dev Adm. 2019 [acceso: 12/10/2024];4(1):30-41. Disponible en: https://www.researchgate.net/publication/349029068
17. Yeboah A, Appiah F, Asante RK. Psychosocial factors influencing contraceptive use among adolescent mothers in Ghana [Internet]. Afr Health Sci. 2021;21(4):1849–59. DOI: 10.4314/ahs.v21i4.43
18. Ahinkorah B, Hagan J, Seidu A, Hormenu T, Otoo J, Budu E, et al. Linking Female Adolescents' Knowledge, Attitudes and Use of Contraceptives to Adolescent Pregnancy in Ghana: A Baseline Data for Developing Sexuality Education Programmes [Internet]. Healthcare (Basel). 2021;9(3):272. DOI: 10.3390/healthcare9030272
19. Huaquipaco G. Conocimiento sobre métodos anticonceptivos en puérperas adolescentes atendidas en el servicio de gineco – obstetricia del Hospital Regional Manuel Núñez Butrón, Puno 2020 [Internet]. [Tesis de grado]. Puno: Facultad de Ciencias, Universidad Privada San Carlos; 2022. [acceso: 01/05/2023]. Disponible en: http://repositorio.upsc.edu.pe/handle/UPSC S.A.C./255
20. Megan K, Molly R, Jeanelle S. Negative Perceptions and Long-Acting Reversible Contraceptive Choice in Adolescents and Young Adults: A Cross-Sectional Study [Internet]. Journal of Pediatric & Adolescent Gynecoly. 2023 [acceso: 10/09/2023]; 36(5): 465-71. DOI: 10.1016/j.jpag.2023.03.003
21. Mkande AS, Mosha IH. A Qualitative Exploration of Perceptions and Experiences of Adolescent Girls and Young Women on Modern Contraceptive Methods Use in Malinyi District, Morogoro, Tanzania [Internet]. East Afr Health Res J. 2024;8(3):363–71. DOI: 10.24248/eahrj.v8i3.806
22. Martínez RF, Caudillo L, Benavides RA. Barreras, beneficios, etapas de cambio y uso de anticonceptivos en madres adolescentes en el postparto: Revisión sistemática [Internet]. Horiz Sanit. 2024;23(2):489–99. DOI: 10.19136/hs.a23n2.5725
23. Wambi R, Mujuzi H, Siya A, Maryhilda C, Ibanda I, Doreen N, et al. Factors influencing contraceptive utilisation among postpartum adolescent mothers: a cross sectional study at China-Uganda friendship hospital [Internet]. Contracept Reprod Med. 2024;9:37. DOI: 10.1186/s40834-024-00297-5
24. Washington L. Reflections: Adult Women’s Teen Experiences With Contraceptive Use and Unintended Pregnancy [Internet]. [Tesis doctoral]. Arizona: University of Arizona Global Campus; 2025. [acceso: 10/05/2025]. Disponible en: https://search.proquest.com/openview/6c74de57aeda29dfe6db64a489dd8f48/1?pq-origsite=gscholar&cbl=18750&diss=y
25. Buckingham P, Moulton JE, Subasinghe AK, Amos N, Mazza D. Acceptability of immediate postpartum and post-abortion long-acting reversible contraception provision to adolescents: A systematic review [Internet]. Acta Obstet Gynecol Scand. 2021;100(4):629–40. DOI: 10.1111/aogs.14129
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