Fertility awareness, perceived factors and approaches to improve contraceptive uptake among sexually active adolescent girls in Phalombe, Malawi: a mixed-methods study

Hajison, Precious L.; Mpachika-Mfipa, Felistas; Pitso, Lerato; Tshotetsi, Lumbani; Chimatiro, Chancy Skenard

doi:10.1186/s12978-024-01904-z

Reproductive Health

Table 2 Multivariable model assessing the impact of the predictor variables (Religion, social barrier, cultural burrier, preference of accessing contraceptive, level of knowledge about contraceptive, level of satisfaction of family planning delivery and general knowledge of female fertility) on the response (use of modern contraceptives methods among sexually active adolescents)

From: Fertility awareness, perceived factors and approaches to improve contraceptive uptake among sexually active adolescent girls in Phalombe, Malawi: a mixed-methods study

	Univariate analysis		Initial multivariable analysis n		Final multivariable model
Variables	OR	P-value	AOR	P-value	AOR	95% CI	P-value
The religion that the adolescent girl belongs
Muslim	1.0	–	1.0		1.0	–	–
Catholic	6.97	0.007^a	12.99	0.004^a	14.01	2.50–78.47	0.003^a
CCAP	2.62	0.174	1.94	0.435	1.90	0.36 – 9.99	0.448
Anglican	Empty		Empty		Empty
Seventh day Adventist	4.89	0.061	5.46	0.077	5.89	0.92 – 37.67	0.061
Other Christians	4.28	0.024^a	5.55	0.035^a	5.82	1.20 – 28.25	0.029^a
Other religions	Empty		Empty		Empty
Cultural barriers hindering adolescents’ girls from getting access to contraceptives
Never heard any	1.0	–	1.0		1.0	–	–
Use of Herbs	1.50	0.810	0.67	0.823	0.68	0.02–23.68	0.830
Contraceptive are for married	4.50	0.143	5.89	0.108	5.68	0.66–48.85	0.113
If contraceptives are used before giving birth to first child will be barren	2.66	0.304	6.68	0.070	6.69	0.86–51.79	0.069
Contra causes long days of menstruation	Empty		Empty		Empty
People consider you as prostitute	Empty		Empty		Empty
Told during initiation never to use contraceptive	omitted		Omitted		Omitted
Other reasons	Empty		Empty		Empty
If the girl preferred to use peer to access family planning
No	1.0	–	1.0		1.0	-	-
Yes	2.88	0.040^a	4.63	0.022*	4.80	1.31 – 17.62	0.018^a
If adolescent girl has a sexual boyfriend
No	1.0	–	1.0
Yes	1.90	0.178	1.33	0.619
Social Barrier hindering adolescent girls getting access to contraceptive
Never heard	1.0	–
Long Distance	0.69	0.554
Poverty	2.08	0.386
Need to have children	1.64	0.444
Fear and being ashamed	Empty
Parental refusal and church beliefs	Empty
If the girl preferred to use youth club to access family planning
No	1.0	–
Yes	1.55	0.307
Level of knowledge about different modern contraceptive methods
High	1.0	–
Medium	0.47	0.300
Low	0.48	0.311
If the adolescent girl ever started menstrual period
Never	1.0	–
Yes	Omitted
If the girl is satisfied with the Family Planning delivery services
Yes	1.0	–
No	2.94	0.96
No Idea	0.67	0.429
General knowledge about female fertility
No	1.0	-
Yes	1.77	0.340

Non-significant terms were step-wise deleted and significant terms were retained in the final model
AIC 4 BIC 6
^aThis should mean that the results are statistically significant, indicating p-value of less than 0.05

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