Recent data suggest increasing rates of emergency contraception (EC) use in Ghana, particularly in urban areas. In 2018, we collected survey data from 3,703 sexually experienced women aged 16–44 years living in low-income settlements of Accra. We estimated the prevalence of lifetime and current EC use. Multivariate logistic regression was used to assess factors associated with current use of EC. Retrospective monthly calendar data on contraceptive use were analyzed to identify patterns of EC use, including repeat and continuous use, and uptake of other contraceptive methods in the months following EC use. Nearly 15 percent of women had ever used EC. About half of recent EC users (52 percent) used EC for at least four months cumulatively within a 12-month window. There was no evidence of adoption of other modern methods in the months after using EC. Our results suggest that EC is a common method for pregnancy prevention in Accra, particularly among young, unmarried, highly educated women. Counseling on effective EC use and strategies that promote equitable access should be prioritized.

中文翻译：

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加纳阿克拉紧急避孕药具使用动态

最近的数据表明，加纳的紧急避孕 (EC) 使用率正在上升，特别是在城市地区。2018 年，我们收集了 3,703 名生活在阿克拉低收入定居点的 16-44 岁有性经验的女性的调查数据。我们估计了终生和当前 EC 使用的流行率。多变量逻辑回归用于评估与当前使用 EC 相关的因素。分析了有关避孕药具使用的回顾性月历数据，以确定 EC 使用的模式，包括重复和连续使用，以及在 EC 使用后的几个月内采用其他避孕方法。近 15% 的女性曾经使用过 EC。大约一半的近期 EC 用户（52%）在 12 个月的窗口内累计使用 EC 至少四个月。没有证据表明在使用 EC 后的几个月内采用了其他现代方法。我们的研究结果表明，EC 是阿克拉预防怀孕的常用方法，特别是在年轻、未婚、受过高等教育的女性中。应优先考虑关于有效使用 EC 和促进公平获取的策略的咨询。