Emergency Contraceptives and Drug Misuse: Health Implications Among Female University Students

Authors

  • E. S. T. Quansah University of Cape Coast, Ghana

DOI:

https://doi.org/10.26437/ajar.v11i2.1034

Keywords:

Emergency contraceptives. female. misuse. reproductive health. university

Abstract

Purpose: This study investigated the prevalence and factors contributing to the misuse of emergency contraceptives among female university students, as well as the associated health implications.

Design/Methodology/Approach: A mixed methods approach was employed, including an electronic survey of 7,356 female students and ten focus group discussions with 60 participants. The data were analysed using descriptive statistics and thematic analysis.

Findings: The study revealed that a significant portion of female students frequently misuse emergency contraceptives, often without adequate knowledge of proper usage or awareness of the potential health risks. Factors such as insufficient sexual education, cultural stigmas, limited access to regular contraceptives, and misinformation from peers contribute to this misuse. Health impacts include hormonal imbalances, menstrual irregularities, and mental health challenges.

Research Limitation: The study is limited to a specific population group, which may not reflect broader trends. Future research could expand to other demographic groups or regions.

Practical Implication: The findings underscore the need for better sexual health education and improved access to regular contraceptive methods.

Social Implication: Addressing the misuse of emergency contraceptives requires a holistic approach, promoting open dialogue on reproductive health and tackling societal stigmas around contraception.
Originality/Value: This study contributes to the growing body of research on reproductive health among university students by highlighting key factors driving the misuse of emergency contraceptives and offering recommendations for policy and educational reforms to mitigate this issue.

Author Biography

E. S. T. Quansah, University of Cape Coast, Ghana

Dr. Eva Seraphim Tandoh Quansah is a Lecturer at the Centre for African and International Studies at the University of Cape Coast. 

References

REFERENCES

Aneblom, G., Larsson, M., Odlind, V., & Tydén, T. (2002). Knowledge, use and attitudes towards emergency contraceptive pills among Swedish women presenting for induced abortion. BJOG: An International Journal of Obstetrics and Gynaecology, 109(2), 155–160.

Barbian, J., Kubo, C. Y., Balaguer, C. S., Klockner, J., Costa, L. M. V. da, Ries, E. F., & Bayer, V. M. L. (2021). Emergency contraception in university students: Prevalence of use and knowledge gaps. Revista de Saúde Pública, 55, 74.

Bennett, T. H., & Holloway, K. R. (2015). Drug use among college and university students: Findings from a national survey. Journal of Substance Use, 20(1), 50–55. https://doi.org/10.3109/14659891.2013.878762

Boys, A., Marsden, J., & Strang, J. (2001). Understanding reasons for drug use amongst young people: A functional perspective. Health Education Research, 16(4). https://academic.oup.com/her/article-pdf/9809408/160457.pdf

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

Byamugisha, J. K., Mirembe, F. M., Faxelid, E., & Gemzell-Danielsson, K. (2006). Emergency contraception and fertility awareness among university students in Kampala, Uganda. African Health Sciences, 6(4). https://www.ajol.info/index.php/ahs/article/view/6953

Darteh, E. K. M., & Doku, D. T. (2016). Knowledge and Usage of Emergency Contraceptives Among University Students in Ghana. Journal of Community Health, 41(1), 15–21. https://doi.org/10.1007/s10900-015-0057-6

Delbanco, S. F., Mauldon, J., & Smith, M. D. (1997). Little knowledge and limited practice: Emergency contraceptive pills, the public, and the obstetrician-gynecologist. Obstetrics & Gynecology, 89(6), 1006–1011.

Downing, A. (2014). University Students’ Knowledge and Attitudes Toward Emergency Contraception Pills. Journal of Community Health Nursing, 31(2), 75–89. https://doi.org/10.1080/07370016.2014.901089

Doyle, L., Brady, A.-M., & Byrne, G. (2016). An overview of mixed methods research – revisited. Journal of Research in Nursing, 21(8), 623–635. https://doi.org/10.1177/1744987116674257

Glasier, A. (2010). Acceptability of contraception for men: A review. Contraception, 82(5), 453–456.

Greene, J. C. (2007). Mixed methods in social inquiry (Vol. 9). John Wiley & Sons.

Harper, C. C., & Ellertson, C. E. (1995). The emergency contraceptive pill: A survey of knowledge and attitudes among students at Princeton University. American Journal of Obstetrics and Gynecology, 173(5), 1438–1445.

Harper, C. C., Rocca, C. H., Thompson, K. M., Morfesis, J., Goodman, S., Darney, P. D., Westhoff, C. L., & Speidel, J. J. (2015). Reductions in pregnancy rates in the USA with long-acting reversible contraception: A cluster randomised trial. The Lancet, 386(9993), 562–568.

Harper, C., & Ellertson, C. (1995). Knowledge and perceptions of emergency contraceptive pills among a college-age population: A qualitative approach. Family Planning Perspectives, 149–154.

Harper, M. J. (2005). In search of a second contraceptive revolution. Sexuality, Reproduction and Menopause, 3(2), 59–67.

Hickey, M. T. (2009). Female college students’ knowledge, perceptions, and use of emergency contraception. Journal of Obstetric, Gynecologic & Neonatal Nursing, 38(4), 399–405.

Ibekwe, P. C., & Obuna, J. A. (2010). Awareness and practice of emergency contraception among university students in Abakaliki, southeast Nigeria. Nigerian Journal of Clinical Practice, 13(1). https://www.ajol.info/index.php/njcp/article/view/53179

Inciardi, J. A., Surratt, H. L., Martin, S. S., & Gealt, R. (2004). Prevalence of narcotic analgesic abuse among students: Individual or polydrug abuse? Archives of Pediatrics & Adolescent Medicine, 158(5), 498–499.

Kang, H. S., & Moneyham, L. (2008). Use of emergency contraceptive pills and condoms by college students: A survey. International Journal of Nursing Studies, 45(5), 775–783.

Miller, L. M. (2011). College student knowledge and attitudes toward emergency contraception. Contraception, 83(1), 68–73.

Mooney-Somers, J., Lau, A., Bateson, D., Richters, J., Stewart, M., Black, K., & Nothnagle, M. (2019). Enhancing use of emergency contraceptive pills: A systematic review of women’s attitudes, beliefs, knowledge, and experiences in Australia. Health Care for Women International, 40(2), 174–195. https://doi.org/10.1080/07399332.2018.1526286

Prendergast, M. L. (1994). Substance Use and Abuse among College Students: A Review of Recent Literature. Journal of American College Health, 43(3), 99–113. https://doi.org/10.1080/07448481.1994.9939094

Puri, S., Bhatia, V., Swami, H. M., Singh, A., Sehgal, A., & Kaur, A. (2007). Awareness of emergency contraception among female college students in Chandigarh, India. Indian Journal of Medical Sciences, 61(6), 338–346.

Sedgh, G., Singh, S., & Hussain, R. (2014). Intended and Unintended Pregnancies Worldwide in 2012 and Recent Trends. Studies in Family Planning, 45(3), 301–314. https://doi.org/10.1111/j.1728-4465.2014.00393.x

Vahratian, A., Patel, D. A., Wolff, K., & Xu, X. (2008). College Students’ Perceptions of Emergency Contraception Provision. Journal of Women’s Health, 17(1), 103–111. https://doi.org/10.1089/jwh.2007.0391

Downloads

Published

2025-04-30

How to Cite

Quansah, E. S. T. (2025). Emergency Contraceptives and Drug Misuse: Health Implications Among Female University Students. AFRICAN JOURNAL OF APPLIED RESEARCH, 11(2), 237–252. https://doi.org/10.26437/ajar.v11i2.1034