Knowledge of, attitudes towards, and practices of contraception in high school pupils in Tswaing subdistrict, North West province

Onyensoh, O.; Govender, I.; Tumbo, J.
December 2013
Southern African Journal of Epidemiology & Infection;2013, Vol. 28 Issue 4, p227
Academic Journal
In South Africa, contraceptive use is low in adolescents in the sense that sexual maturation and initiation of sexual activities is taking place at a younger age. This is evident from the high levels of teenage pregnancy that constitute a major health and social problem in South Africa. The risk-taking behaviour of high school pupils who engage in unsafe sexual practices also predisposes them to sexually transmitted infections (STIs), human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) and unplanned pregnancies. A cross-sectional survey was carried out in 2009 among Grade 10-12 high school pupils in 15 schools in the rural Tswaing subdistrict of North West province to determine their contraceptive knowledge, attitudes and practices. Data were collected from 231 pupils using a questionnaire. The mean age for sexual maturation was 14.6 years (a range of 14-15 years). Almost equal numbers of males (88, 50.3%) and females (87,49.7%) indicated that they had engaged in sexual intercourse. The average age of respondents was 14.9 years (males) and 15.4 years (females) when they engaged in sexual intercourse for the first time. One hundred and thirty pupils were reported to have had a previous pregnancy. Of the pupils who used contraception, the most common form used by the females was injectable contraceptives (34/81, 43%), and by the males, condoms (42/54, 77%). A high proportion of respondents knew about, and had awareness of, contraception and STIs, i.e. 83/101 of the males (83%) and 113/130 of the females (86.9%). A high number of pupils (128, 73.1%) indicated that they had used contraceptives when they had sexual intercourse for the first time. Of all of the males, only 32 (36.4%), and of all of the females, only 32 (36.8%) always used contraceptives. Eighty-eight pupils (38.1%) lived with both parents. Pupils in this rural area were familiar with contraception, started sexual intercourse at an early age and were generally inconsistent with their use of contraceptives. The study highlights that knowledge and awareness do not always lead to good practice with regard to contraception. A high level of sexual activity, early sexual initiation and low contraceptive use place these adolescents at risk of pregnancy and STIs, including HIV/AIDS.


Related Articles

  • Understanding sexual and reproductive health needs of young women living in Zika affected regions: a qualitative study in northeastern Brazil. Diniz, Debora; Ali, Moazzam; Ambrogi, Ilana; Brito, Luciana // Reproductive Health;2/6/2020, Vol. 17 Issue 1, p1 

    Background: In 2016, the World Health Organization declared a Public Health Emergency of International Concern due to Zika's association with microcephaly and other neurological disorders. Brazil was the epicenter of this epidemic and the most affected region has the lowest Human Development...

  • Prepregnancy Contraceptive Use Among Teens with Unintended Pregnancies Resulting in Live Births -- Pregnancy Risk Assessment Monitoring System (PRAMS), 2004--2008.  // MMWR: Morbidity & Mortality Weekly Report;1/20/2012, Vol. 61 Issue 2, p25 

    The article focuses on the use of contraceptives among teenagers 15-19 years of age with unintended pregnancies that resulted in live births. According to data collected from the 2004-2008 Pregnancy Risk Assessment Monitoring System (PRAMS), 50.1% of the teenagers from 19 participating states,...

  • Sexual behaviour and risk in Vietnamese men living in metropolitan Sydney. O'Connor, C. C.; Wen, L. M.; Rissel, C.; Shaw, M. // Sexually Transmitted Infections;Apr2007, Vol. 83 Issue 2, p147 

    Objective: To describe sexual risk in Vietnamese men who have sex with female sex workers by describing the prevalence of sexual risk behaviours among Vietnamese men living in inner Sydney and comparing this prevalence with national data. Method: Telephone interviews...

  • High-risk lovemaking. Lever, Janet; Schwartz, Pepper // Glamour;Sep96, Vol. 94 Issue 9, p120 

    Provides information on the risks involved in sexual encounters. High-risk sexual behaviors of both men and women; Anal sex; Paid sex; Risk factors for sexually-transmitted diseases in women.

  • Strategies for Managing the Dual Risk of Sexually Transmitted Infections and Unintended Pregnancy Among Puerto Rican and African American Young Adults. Carter, Marion W.; Hock-Long, Linda; Kraft, Joan Marie; Henry-Moss, Dare; Hatfield-Timajchy, Kendra; Singer, Merrill // American Journal of Public Health;Mar2012, Vol. 102 Issue 3, p449 

    Although young adults in the United States are at increased risk for sexually transmitted infections (STIs) and unintended pregnancy, they do not report high rates of dual-method use (condoms plus other contraception) for prevention. We used prospective qualitative data from 69 urban Puerto...

  • TEEN PREGNANCY AND THE USE OF CONTRACEPTIVE METHODS. Spindola, Thelma; da Silva Baptista Siqueira, Nathalia; Lazone Cavalcanti, Renata // Revista de Pesquisa: Cuidado e Fundamental;jan-mar2012, Vol. 4 Issue 1, p2636 

    Objectives: Perceptions of pregnant adolescents about employment of contraceptive methods and discuss the experience of young people regarding contraception and sexual practices. Method: Descriptive Research, qualitative approach, employment of content analysis technique and semi-structured...

  • Assessing Plan B: The Effect of the Morning After Pill on Children and Women. Bentancor, Andrea; Clarke, Damian // Economic Journal;Dec2017, Vol. 127 Issue 607, p2525 

    We test whether the availability of the emergency contraceptive ('morning after') pill in the absence of legalised abortion can have effects similar to those of other large-scale contraceptive reforms. To do so, we examine a quasi-experimental policy reform occurring in Chile in 2008. Using...

  • Sexual abuse among juvenile female street hawkers in Anambra State, Nigeria. J. I., Ikechebelu; G. O., Udigwe; C. C., Ezechukwu; A. G., Ndinechi; N. N., Joe-Ikechebelu // African Journal of Reproductive Health;Aug2008, Vol. 12 Issue 2, p111 

    Street hawking exposes young girls to all forms of hazards, including sexual abuse. This descriptive study examines the size of the problem and the consequences of sexual abuse on juvenile female street hawkers randomly recruited from two urban towns in Anambra State of Nigeria. Data was...

  • ABSTINENCE EDUCATION FOR URBAN YOUTH. Carter- Jessop, Linda; Franklin, Lisa N. // Journal of Community Health;Aug2000, Vol. 25 Issue 4, p293 

    Describes a pilot program of abstinence-only education in an attempt to prevent the alarming teen sexual problems in the United States such as pregnancy and sexually transmitted diseases. Efforts of community, health, academic and government organizations in preventing the problem; Study of...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics