title: Contraceptive use among in and out-of school adolescents in rural southwest Uganda.
abstract: OBJECTIVE
  To compare the level of contraceptive use among in and out-of school rural Ugandan adolescents.
  
  
  METHODS
  Cross sectional survey.
  
  
  METHODS
  Mbarara district.
  
  
  METHODS
  Five hundred in-school and 220 out-of school adolescents aged 15-19 years.
  
  
  METHODS
  Contraceptive use.
  
  
  RESULTS
  Contraceptive prevalence was 171 (23.8%), with 99 (19.8%) among in-school and 72 (32.7%) in out-of school (OR=0.8, 95% CI=0.5-1.3). Of the 286 who had had sexual intercourse, 171 (59.8%) were current users with 99 (57.9%) in-school and 72 (42.1%) out-of school. The predominant method was the male condom with 80 (56.7%) in-school and 61 (43.3%) out-of-school (p=0.3). Sixty five (67%) of in-school aged 18-19 used contraceptives compared to those less than 18 years (OR=0.4, 95% CI=0.2-0.8). The out-of school who were urban residents 51(75%) were more likely to use contraceptives (OR=0.3, 95% CI=0.1-0.6). Out-of school with secondary education 37(84.1%) were more likely to use contraceptives (OR=0.2, 95% CI=0.1-0.5). Cost was a barrier for contraceptive use among in-school users 37(77.1%) (OR=2.6, 95% CI=1.7-5.4). Stigma surrounding their sexual activity was a barrier to out-of school 25 (58.1%) (OR=0.4, 95% CI=0.2-0.8).
  
  
  CONCLUSIONS
  Contraceptive use among rural sexually active adolescents is low although the prevalence is higher in out-of school. Reorientation of contraceptive services to make them more accessible through strengthening of school health programme and establishment of out-of school adolescent health programme are urgently needed.
authors.affiliation: Department of Community Health, Faculty of Medicine, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara,Uganda.
authors.forename: V K
authors.initials: VK
authors.lastname: Batwala
authors.forename: F
authors.initials: F
authors.lastname: Nuwaha
authors.forename: E M
authors.initials: EM
authors.lastname: Mulogo
authors.forename: F
authors.initials: F
authors.lastname: Bagenda
authors.forename: F
authors.initials: F
authors.lastname: Bajunirwe
authors.forename: J B
authors.initials: JB
authors.lastname: Mirembe
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000208:ethnology / Q000523:psychology; D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data; D003268:Contraception Behavior / Q000208:ethnology / Q000523:psychology; D003271:Contraceptive Agents, Female; D003430:Cross-Sectional Studies; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D019035:Rural Health Services; D012424:Rural Population / Q000706:statistics & numerical data*; D012572:School Health Services; D011795:Surveys and Questionnaires; D014454:Uganda
chemical_list: D003271:Contraceptive Agents, Female