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Background <p>Unplanned pregnancies among Indian adolescents and young adults remain a public health challenge despite declines over two decades. Effective contraception is crucial to reducing these risks and associated health vulnerabilities. This paper aims to study Spatio-temporal changes in modern contraceptive use among married adolescent girls. Another objective is to identify major controlling socio-economic factors in modern contraceptive use within adolescent girls.</p> Methods <p>The study uses data from all five National Family Health Surveys but mainly targeting 12,301 currently non-pregnant married adolescent girls aged 15–19 year in NFHS-5. Total married adolescent girls were 9445 (NFHS-1), 8276 (NFHS-2), 6842 (NFHS-3), 18,712 (NFHS-4), and 15,584 in NFHS-5. In statistical analysis included prevalence, percentage point change, relative change, bivariate analysis, and binary logistic regression.</p> Results <p>Data depicts a declining trend in contraceptive non-use among married adolescent girls (15–19 years). Use of short-acting reversible contraceptives (SARC) increased from 2% in NFHS-1 to 19% in NFHS-5. Modern contraceptive use is highest in West Bengal (35%)&#xa0;among the married adolescent girls, followed by Himachal Pradesh (33%) and Assam (29%). Logistic regression showcases that modern method use is slightly higher in urban area among young girls (OR: 1.07, CI: 0.861–1.338) compared to rural girls. Higher educated adolescent girl shows 21% more chance for this practice (OR: 1.21, CI: 0.744–1.964)&#xa0;with comparison to no educated girls.</p> Conclusion <p>Contraceptive use among adolescent is increasing in India, with declining trend of the non-user percentages indicates the improved awareness and access. The findings from this study offer valuable insights that can inform targeted interventions and policies aimed at fostering a healthier and more empowered adolescent population.</p>

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Changes and determinants of modern contraceptive use among adolescent married girls in India

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年6月30日

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  • Gita Naik,
  • Dinabandhu Patra,
  • Jagannath Behera

摘要

Background

Unplanned pregnancies among Indian adolescents and young adults remain a public health challenge despite declines over two decades. Effective contraception is crucial to reducing these risks and associated health vulnerabilities. This paper aims to study Spatio-temporal changes in modern contraceptive use among married adolescent girls. Another objective is to identify major controlling socio-economic factors in modern contraceptive use within adolescent girls.

Methods

The study uses data from all five National Family Health Surveys but mainly targeting 12,301 currently non-pregnant married adolescent girls aged 15–19 year in NFHS-5. Total married adolescent girls were 9445 (NFHS-1), 8276 (NFHS-2), 6842 (NFHS-3), 18,712 (NFHS-4), and 15,584 in NFHS-5. In statistical analysis included prevalence, percentage point change, relative change, bivariate analysis, and binary logistic regression.

Results

Data depicts a declining trend in contraceptive non-use among married adolescent girls (15–19 years). Use of short-acting reversible contraceptives (SARC) increased from 2% in NFHS-1 to 19% in NFHS-5. Modern contraceptive use is highest in West Bengal (35%) among the married adolescent girls, followed by Himachal Pradesh (33%) and Assam (29%). Logistic regression showcases that modern method use is slightly higher in urban area among young girls (OR: 1.07, CI: 0.861–1.338) compared to rural girls. Higher educated adolescent girl shows 21% more chance for this practice (OR: 1.21, CI: 0.744–1.964) with comparison to no educated girls.

Conclusion

Contraceptive use among adolescent is increasing in India, with declining trend of the non-user percentages indicates the improved awareness and access. The findings from this study offer valuable insights that can inform targeted interventions and policies aimed at fostering a healthier and more empowered adolescent population.