Knowledge, Awareness and Perception of Contraception among Students in a Public University

Abstract

Introduction: The Contraceptive Prevalence Rate (CPR) in Malaysia is the most vulnerable group. This is one of reason for the increased incidence of teenage pregnancies. University students in particular face new challenges in sexual health including contraceptive.


Method: Cross-sectional, descriptive study conducted among university students at a public university in Malaysia. Using purposive sampling technique, 500 students participated in this study which was conducted over a period of four months from December 2016 to April 2017. Self-administered questionnaire consisted of 32 questions divided in four sections, socio-demographic profile, the knowledge, awareness and perception on contraception was used in this study. Descriptive analyses were executed for each variable.


Result: In total, 500 students participated in the study, 86.6% were female and 11.4% male. Ages ranged from 18 to 28 years old and the mean age was 21 years old (SD: 1.57). Majority of them were among Malay ethnicity (97%); 1.2% of them were married; 70.4% was currently studying at degree level and only 38.2% were among non-sciences students. More than half of the participants ever heard of contraceptive method (67.2%). Mean knowledge score of the participants was 4.41±1.33 while awareness score of participants was 20.64± 3.15. More than half of participants disagreed or strongly disagreed (52.7%) that only womenareresponsibletousecontraceptivemethodswhile54.2%ofthemagreedand strongly agreed that contraceptive pills do not guarantee 100% contraception. More thanhalfoftheparticipants’agreedandstronglyagreedthathealthcareprovidersmust provide counselling on contraceptive methods (62.4%) and sex education including contraception should be introduced in early age (55%).


Conclusion: The deficiency of contraceptive knowledge; and the importance and effectiveness of contraceptive measures call forth the university on the needs of comprehensive education and culturally-sensitive aimed at promoting healthy decision-making about family planning and STI prevention. It is important to understand the major obstacle in gaining knowledge and utilizing contraceptive among university students.


 

References
[1] World Health Organization (2011). Facts on induced abortion worldwide. Geneva, Switzerland: Department of Reproductive Health and Research. WHO Document Production Services.
[2] Akintade, O. L., Pengpid, S., & Peltzer, K. (2011). Awareness and use of and barriers to family planning services among female university students in Lesotho. South African Journal of Obstetrics and Gynaecology, 17(3), 72–78.
[3] Hossain SMI, Khan M, Rahman M, Sebastian MP. (2005). Emergency contraceptive pills. South East Asia Regional Training Manual. New Delhi: Frontiers in Reproductive Health Program (FRONTIERS) of Population Council.
[4] Finer,L.B.,&Henshaw,S.K.(2006).DisparitiesinratesofunintendedpregnancyintheUnitedStates, 1994 and 2001. Perspectives on sexual and reproductive health, 38(2), 90-96.
[5] Hubacher, D., Ifigeneia, M. & McGinn, E. (2008) ‘Unintended pregnancy in sub- Saharan Africa: Magnitude of the problem and potential role of contraceptive implants to alleviate it’, Contraception 78, 73–78.
[6] Bader V, Kelly PJ, Cheng A-L, Witt J. (2014). The role of previous contraception education and moral judgment in contraceptive use. J Midwifery Womens Health; 59 (4):447–51
[7] HigginsJA,PopkinRA,SantelliJS.(2012).Pregnancyambivalenceandcontraceptiveuseamongyoung adults in the United States. Perspect Sex Reprod Health; 44(4):236–43.
[8] Sonfield A, Hasstedt K, Gold RB. (2014). Moving forward: family planning in the era of health reform. New York: Guttmacher Institute
[9] Mohamed N., and Kanagasabai S. (2014). An insight into low contraceptive prevalence in Malaysia anditsprobableconsequences. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 3(3), 494.
[10] Tweedie,I.,&Witte,K.(2008).GhanaYouthReproductiveHealthSurveyReport,Accra,Ghana:Ghana Social Marketing Foundation
[11] Orji, E. O., & Esimai, O. A. (2005). Sexual behaviour and contraceptive use among secondary school students in Ilesha South West Nigeria. Journal of Obstetrics and Gynaecology, 25(3), 269-272.
[12] Nettleman MD, Chung H, Brewer J, Ayoola A, Reed PL. (2007). Reasons for unprotected intercourse: analysis of the PRAMS survey.
[13] Lee L.K., Chen P.C., Lee K.K., and Kaur J. (2006). Premarital sexual intercourse among adolescent in Malaysia: a cross-sectional Malaysian school survey. Singapore Medical Journal 47(6): 476-481.
[14] Rosliza AM, Majdah M. (2010). Male participation and sharing of responsibility in strengthening family planning activities in Malaysia. Malaysian Journal of Public Health Medicine 10(1): 23-27.
[15] Henry N., Juliet N., Hassard S. and Fredrick E. M. (2016). Contraceptive use, knowledge, attitude, perceptionsandsexualbehavioramongfemaleUniversitystudentsinUganda:across-sectionalsurvey. BMC Women’s Health 16:6.
[16] SaraH.,MarieK.G.,GemzellD.,HannesO.,andBirgittaE.(2013).Medicalstudents’knowledge,attitudes and perceptions towards contraceptive use and counselling: a cross-sectional survey in Maharashtra, India. BMJ Open; 3:e003739. doi: 10.1136/bmjopen-2013-003739.
[17] Marta R., Lúcia R., Margarida G. M., and José A. D. (2013). Nationwide survey of contraceptive and sexually transmitted infection knowledge, attitudes and skills of university students in Portugal. International Journal of Clinical and Health Psychology 13, 127−137.
[18] Ramadan M. E., Muhammad U.K., Akram A., Akshaya B.S, Norny S.A., Shazia Q.J., Ammar I.A., and HazrinaA.H.(2015).Knowledge,awareness,and perceptionofcontraceptionamong seniorpharmacy students in Malaysia: A pilot study. Journal of Research in Pharmacy Practice 4(2).
[19] Somba M.J., Mbonile M., Obure J., and Mahande M.J. (2014). Sexual behaviour, contraceptive knowledge and use among female undergraduates’ students of Muhimbili and Dar es Salaam Universities, Tanzania: a cross-sectional study. BMC Women’s Health 14:94.
[20] HoqueaM.E.,NtsipebT.,andMokgatleN.(2013)..Awarenessandpracticesofcontraceptiveuseamong university students in Botswana. Journal of Social Aspects of HIV/AIDS. 10(2):84.
[21] Elkahi H.A., Abirizk I.G.Y., Hlais I.S. and Adib S.M. (2012). Health-care-seeking behaviour among university students in Lebanon. Eastern Mediterranean Health Journal 18(6): 598–606.
[22] Makhaza, M., & Ige, K. D. (2014). Knowledge and Use of Contraceptives among Tertiary Education Students in South Africa. Meditranean Journal of Social Science 5(10): 500–510.