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

Abstract

Background: Misconceptions about the usefulness of condoms and other contraceptives in preventing unwanted teenage pregnancies and sexually-transmitted infections (STIs) among unmarried adolescents, still expose many adolescents to the risk of both conditions due to certain misconceptions. This study explored beliefs and misconceptions about condoms and other contraceptives among adolescents in Ebonyi state, south-east Nigeria.Method: A qualitative study was undertaken in six local government areas in Ebonyi state, southeast Nigeria. Data was collected within a period of one month from in and out-of-school adolescents aged 13 to 18 years using twelve focus group discussions (FGD). The data was analyzed using the thematic framework approach.Result: Majority of the adolescents were knowledgeable about methods of contraception, how they are used and their modes of action. They were also knowledgeable about the dual effects of condoms for prevention of pregnancy and STIs. However, some misconceptions that were expressed by some adolescents were that pregnancy could be prevented by the use of i) hard drugs, ii) laxatives, iii) white chlorine, and iv) boiled alcoholic beverages. Condoms were described by some adolescent boys as reusable. Condoms were also perceived by some adolescents to reduce sexual pleasure, and this opinion was mostly held by boys. Coitus interruptus (withdrawal method) was therefore considered more preferable than condoms for prevention of pregnancy. Conclusion: 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 behavior change interventions in schools and within communities to debunk persisting misconceptions about contraception, and properly educate adolescents on safe sex practices. Plain English SummaryAdolescents engage in unprotected sexual intercourse and other risky sexual behaviors because of some mistaken beliefs and wrong impressions about how to prevent unwanted pregnancy. These risky

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