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Background: In Cameroon, more than a third of maternal deaths occur among adolescent girls and young mothers. Unwanted pregnancies resulting from the infrequent use of modern contraceptive methods (MCMs) are one of the main causes of death in this population. Objective: To identify the determinants of modern contraceptive use among adolescents and young girls at the University of Yaounde I (UYI). Patient and method: We carried out a case-control study over a 7 months period, in female students aged between 15-24 years old at the UYI. We compared female student using MCMs with those who didn’t use MCMs. We studied their socio-demographic characteristics, gyneco-obstetrical history and knowledge of MCMs. Data were analyzed with statistically significant threshold set at p-value ≤ 0.05. Results: In this study, 702 women were included amongst which 234 cases and 438 controls. The findings indicated that: women over the age of 19 (aOR = 2.18), with partner as a source of income (aOR = 1, 96), those who had coitarche before the age of 15 (aOR = 4.25), women with a history of STIs (aOR = 2.97), abortion (aOR = 4.33) and pregnancy (aOR = 2.07), or those with knowledge on MCMs (aOR = 6.77) were more likely to use contraceptives than their counterparts. Conclusion: Several socio-demographic, gynaeco-obstetrical and economic factors influence the use of MCMs by adolescent girls and young women in universities. Quality education and efficient counseling on the use of MCMs in pre-university settings could contribute towards reducing maternal mortality in our country. *Correspondence to: Essiben Félix, Faculty of Medicine and Biomedical Sciences, The University of Yaoundé I, Yaounde, Cameroon, E-mail: essibenx@yahoo.com

Determinants of the use of modern contraceptive methods among adolescents and young girls at the University of Yaounde I