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Original Research
Factors associated with non-use of modern contraceptive methods in the school-going adolescent’s girls and young women in Guinea
Submitted: 14 September 2025 | Published: 30 June 2026
About the author(s)
Sidikiba Sidibé, African Centre of Excellence for the Prevention and Control of Transmissible Diseases, Gamal Abdel Nasser University, Conakry, Guinea; Department of Public Health, Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea; and Maferinyah National Centre for Training and Research in Rural Health, Forécariyah, GuineaDjiba Diakite, Department of Public Health, Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea
Almamy A. Touré, Maferinyah National Centre for Training and Research in Rural Health, Forécariyah, Guinea; and Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea
Aboubacar S. Magassouba, Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea
Hadja F. Camara, Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea
Abdoulaye Sow, Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea
Mory 1 Kourouma, Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea
Facely Camara, Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea
Ansoumane Sidibé, Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea
Alexandre Delamou, African Centre of Excellence for the Prevention and Control of Transmissible Diseases, Gamal Abdel Nasser University, Conakry, Guinea; Maferinyah National Centre for Training and Research in Rural Health, Forécariyah, Guinea; and Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea
Abstract
Background: Non-use of modern contraceptive methods among adolescents and young women remains prevalent in Africa.
Aim: This study analysed factors associated with the non-use of modern contraceptives among unmarried, sexually active school-going adolescent girls and young women in Guinea.
Setting: The study was conducted among sexually active school-going adolescent girls and young women in Guinea.
Methods: A cross-sectional survey using a three-stage sampling approach was conducted from December 2020 to March 2021 among female students (13–24 years) in secondary schools. Multivariable logistic regression identified factors associated with non-use, reporting adjusted odds ratios (AOR) with 95% confidence intervals (CI).
Results: The prevalence of non-use was 48.2% (95% CI: 46.3–50.2). Significantly higher odds of non-use were associated with: college-grade level (AOR: 1.67, CI: 1.29–2.17), private schooling (AOR: 1.69, CI: 1.29–2.21), being Muslim (AOR: 4.23, CI: 2.27–7.88) or Christian (AOR: 3.01, CI: 1.62–5.62), no contraceptive knowledge (AOR: 11.95, CI: 7.08–20.1), wanting a birth within 2 years (AOR: 2.51, CI: 1.98–3.17), partner opposition compliance (AOR: 2.05, CI: 1.53–2.74), family planning needs (AOR: 1.68, CI: 1.31–2.15), and poor contraceptive access (AOR: 3.87, CI: 2.97–5.04).
Conclusion: Modern contraceptive non-use is a stark reality among unmarried school-going youth in Guinea. Implementing robust school-based family planning education programmes is crucial to improve knowledge and uptake.
Contribution: This study guides school sexual health policies, transforming a taboo issue into an opportunity for informed public health action.
Keywords
Sustainable Development Goal
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