Knowledge and experience of unsafe abortion among in-school adolescents in a country with restrictive abortion laws.
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Abstract
Unintended pregnancies among the adolescents usually result in unsafe abortion especially in countries with restrictive abortion laws like Nigeria. We aimed at evaluating the knowledge of in-school adolescents about methods and complications of unsafe abortions and their actual experiences in Ekiti State, Nigeria.
This was a cross-sectional cohort study involving 192 senior public high students across all the 16 local government areas in Ekiti State, Nigeria. Self-administered structured questionnaires were used to obtain data from participants during a summer youth camp in August, 2019. The knowledge of abortion and its complication was graded into good, fair and poor. Association between the knowledge of abortion and its complications and baseline variables were tested with Pearson’s chi square. A p value < 0.05 was taken as statistically significant
None of the respondents admitted to have ever had abortion before the youth camp. Seventy-one (37%), 81(42.2%) and 41(20.8%) had good, fair and poor knowledge respectively about abortion methods and complications. There was a significant association between age at sexual debut and knowledge of abortion and its complications. (χ2 =13.95, p=0.007)
Knowledge of abortion and its complications among in-school adolescents was average. Policies should be tailored towards improving the accurate knowledge of abortion and its complication among adolescents.