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January 6, 2021Reproductive Health71 citationsOpen Access

Beliefs and misconceptions about contraception and condom use among adolescents in south-east Nigeria

CMChinyere MbachuIAIfunanya Clara AguCOChinonso Obayi

Key Points

  • The aim is to identify misconceptions about contraception and condom use among adolescents in southeast Nigeria.
  • Conducted focus group discussions among adolescents to gather qualitative data on their beliefs about contraception and condom use.
  • Explored contraceptive preferences and perceptions on the effects of condoms during sexual activity.
  • Adolescents exhibited numerous misconceptions, including incorrect notions about emergency contraceptives and the safety of condoms.
  • There were varying beliefs about condom use affecting sexual pleasure differently among boys and girls, indicating gender-based differences.
  • A general belief existed that using contraceptives at a young age may harm future fertility prospects.

Abstract

Although majority adolescents have knowledge about contraception and condom use, some misconceptions still persist. These misconceptions put many adolescents at increased risk for pregnancy and STIs which are detrimental to their health and wellbeing. Concerted efforts should be made through educational and behaviour change interventions in schools and within communities to debunk persisting misconceptions about contraception including the use of condom, and properly educate adolescents on safe sex practices. Adolescents engage in unprotected sexual intercourse and other risky sexual behaviours because of some mistaken beliefs and wrong impressions about how to prevent unwanted pregnancy. These risky sexual behaviours predispose adolescents to sexually transmitted infections, unsafe abortion and other reproductive health problems. In this qualitative study, we explored some of these mistaken beliefs about condoms and other methods of preventing pregnancy. During focus group discussions, adolescents identified modern contraceptive methods, and described their modes of action and how they are used. They also discussed their contraceptive preferences and perceived effects of condoms on sexual pleasure. Although some of these adolescents were able to correctly mention various types of contraceptives and their modes of action, there were numerous wrong impressions. Hard drugs, laxatives, white chlorine and boiled alcoholic beverage were listed as emergency contraceptive methods. Emergency pills were perceived to work by flushing away spermatozoa from a girl's system after sexual intercourse. Male condoms were perceived to be potentially dangerous because they could break and enter into the body of the female sexual partner. Some adolescent boys had the notion that particular brands of male condoms could be washed and reused. Notions about condom use and sexual pleasure varied for girls and boys. Some adolescent girls perceived that condom use during sex increases sexual pleasure because of the assurance of being protected from STIs and pregnancy. Adolescent boys were of the opinion that condoms interfere with the pleasure of direct 'flesh to flesh' contact during sex. There was a general belief that contraceptive use in early age reduces fertility prospects for boys and girls. Mistaken beliefs about methods of preventing pregnancy persist among adolescents, and this raises concerns about the quality of information they receive. Concerted efforts should be made to debunk these wrong beliefs and properly educate adolescents on safe sex practices.

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Cite This Study

Mbachu et al. (2021) studied this question.

synapsesocial.com/papers/69dd5b1421232b10ec40c52fhttps://doi.org/10.1186/s12978-020-01062-y
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