Contraceptive Knowledge Among University Students in the United Kingdom: Understanding Awareness, Information Pathways and Knowledge Gaps

Authors

  • Ekenedilichukwu Anselem Odiegwu MScPH, Tees, Esk and Wear Valleys NHS Foundation Trust, Lanchester Road Hospital, Durham, United Kingdom; and Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author
  • Kennedy Oberhiri Obohwemu PhD, Department of Interdisciplinary Research and Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author
  • Estherdon Uzochukwu Odiegwu RN,Cumbria, Northumberland, Tyne and Wear (CNTW) NHS Foundation Trust, Newcastle; and Department of Interdisciplinary Research and Statistics, PENKUP Research Institute, Birmingham, United Kingdom Author
  • Onyedika Emmanuel Odiegwu BSc, School of Health and Social Care, University of Derby, United Kingdom; and Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author
  • Chidimma Maryann Odiegwu B. Pharm, School of Pharmaceutical Sciences, Nnamdi Azikiwe University, Anambra, Nigeria; and Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author
  • Theresa Chiemelie Odiegwu BSc, Department of Nursing Science, Nnamdi Azikiwe University/Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra, Nigeria; and Department of Interdisciplinary Research and Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author
  • Celestine Emeka Ekwuluo MPH,Family Health International, Ukraine; and PENKUP Research Institute, Birmingham, United Kingdom; Department of Multidisciplinary Studies & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author
  • Gordon Mabengban Yakpir PhD, Faculty of Health, Wellbeing & Social Care, Oxford Brookes University, GBS Partnership, Birmingham Campus, United Kingdom; and Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author
  • Chika Oguguo PhD, Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author
  • Kenneth Oshiokhayamhe Iyevhobu MPH, Department of Medical Laboratory Science, Faculty of Applied Health Science, Edo State University, Iyamho, Edo State, Nigeria; Department of Medical Microbiology, Faculty of Medical Laboratory Science, Ambrose Alli University, Ekpoma, Edo State, Nigeria; and Department of Interdisciplinary Research and Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author
  • Eddy Eidenehi Esezobor PhD, Department of Management Studies, Universidad Católica San Antonio de Murcia (UCAM), Murcia, Spain; and PENKUP Research Institute, Birmingham, United Kingdom. Author
  • Oludolapo Dada MScPH, Department of Interdisciplinary Research and Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author
  • Nneka Angela Oseji PhD, Department of Library and Information Science, Faculty of Social Science, Federal University, Lokoja, Kogi State, Nigeria; and Department of Interdisciplinary Research and Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author
  • Tolulope Bayode Abejide PhD (in progress), Department of Biomedical and Forensic Science, School of Sciences, College of Science and Engineering, University of Derby, United Kingdom; and Department of Interdisciplinary Research and Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Author
  • Kesiena Uchemefuna MScPH, Department of Interdisciplinary Research and Statistics, PENKUP Research Institute, Birmingham, United Kingdom Author
  • Simeon Ehiabhi Ifada MRCA, Intensive Care Unit, Cambridge University Hospitals, Cambridge, United Kingdom; and Department of Interdisciplinary Research and Statistics, PENKUP Research Institute, Birmingham, United Kingdom Author
  • Abdulmumini Musa MPH, Doctors with Africa, Maternal and Newborn Health Project, Rumbek, South Sudan; and Department of Interdisciplinary Research and Statistics, PENKUP Research Institute, Birmingham, United Kingdom Author

DOI:

https://doi.org/10.64917/ejemph/Volume03Issue06-03

Keywords:

Contraception, contraceptive knowledge, university students, sexual-health education, reproductive health, United Kingdom

Abstract

University students remain an important population within sexual and reproductive health research because they occupy a transitional life stage characterised by increased independence, changing sexual relationships, and evolving reproductive decision-making. Despite sustained public health investment in sexual-health promotion and contraceptive access across the United Kingdom, evidence continues to suggest that important gaps persist in students’ understanding of contraception, particularly in relation to method effectiveness, access pathways, and informed decision-making. This paper examines contraceptive knowledge among students attending a university in North-East England, using evidence from broader research conducted at the University of Sunderland. The study is positioned within continuing concerns regarding unintended pregnancy, sexually transmitted infections, and inconsistent contraceptive behaviours among young adults. Particular attention is given to students’ awareness of contraceptive methods, their principal sources of information, and the social and educational factors that shape their understanding of contraception.

The paper argues that knowledge of contraception cannot be reduced to simple awareness of contraceptive names or products. Instead, contraceptive knowledge involves confidence in method selection, understanding of effectiveness, awareness of risks and side-effects, and the ability to navigate healthcare systems and sexual-health services. Existing research shows that young adults frequently rely on peers, social media, and informal online sources for sexual-health information, even when healthcare professionals remain the most trusted source of advice. This creates an important public health challenge because inaccurate or fragmented information may contribute to contraceptive inconsistency and risky sexual practices.

This paper contributes to current research on sexual health education among university students in the United Kingdom by focusing on contraceptive knowledge within this population. The discussion highlights the continuing need for evidence-based sexual-health education, accessible reproductive-health services, and university-led interventions capable of improving informed contraceptive decision-making among young adults.

Downloads

Download data is not yet available.

References

1. Advocates for Youth & Hey Jane. (2024). New Data: Young People Face Barriers to On-Campus Reproductive Health Services (embarrassment, stigma, privacy). Available at: https://www.advocatesforyouth.org/new-data-young-people-face-barriers-to-on-campus-reproductive-health-services/, [Accessed: 18 November 2025]

2. Alhussaini, N. W. Z., Aljohani, A., Alghamdi, R., & Alsubaie, M. (2025). Sexual and reproductive health literacy of higher education students: A scoping review. Global Health Action, 18(1), 2480417. https://doi.org/10.1080/16549716.2025.2480417

3. Bazié, F., Speizer, I.S., Maytan-Joneydi, A. et al. (2024) “Everyone has their own problems and realities so the religious community cannot judge someone.” Contraception motivations and perceived consequences among young contraceptive users who practice a religion in Burkina Faso. Contracept Reprod Med 9, 33 (2024). https://doi.org/10.1186/s40834-024-00295-7

4. Bersamin M, Fisher DA, Marcell AV, Finan LJ. Reproductive Health Services: Barriers to Use Among College Students. J Community Health. 2017 Feb;42(1):155-159. https://doi.org/10.1007/s10900-016-0242-2

5. Black, K. I., Vromman, M., & French, R. S. (2025). Common myths and misconceptions surrounding hormonal contraception. Best Practice & Research Clinical Obstetrics & Gynaecology, 98, 102573.

6. Castro, C. A., Paternina-Caicedo, A., Orozco-Africano, J., & Romero-Acosta, K. (2024). Knowledge and attitudes regarding contraceptive methods among adolescents and young adults. Contraception and Reproductive Medicine, 9(1), 5. https://www.sciencedirect.com/science/article/pii/S2667193X2400005X

7. Celik, N. and Saglam, Y. H., (2026) Sexual health literacy and sexual and reproductive health service seeking among young people in Türkiye: levels and determining factors. BMC Public Health. 2026 Jan 6;26(1):454. https://doi.org//10.1186/s12889-025-26130-5.

8. Chekol, B. M., Sheehy, G., & Siraneh, Y. (2023). Sexual and reproductive health experiences, access to services, and sources of information among university students in Ethiopia. Frontiers in Reproductive Health, 5, 1271685.

9. Craig, A. D., Dehlendorf, C., Borrero, S., Harper, C. C., & Rocca, C. H. (2014). Exploring young adults' contraceptive knowledge and attitudes: disparities by race/ethnicity and age. Women's Health Issues, 24(3), e281-e289. https://doi.org/10.1016/j.whi.2014.02.003

10. D’Souza, P., Bailey, J. V., Stephenson, J., & Oliver, S. (2022). Factors influencing contraception choice and use globally: a synthesis of systematic reviews. The European Journal of Contraception & Reproductive Health Care, 27(5), 364-372.

11. Dehlendorf, C., Krajewski, C., & Borrero, S. (2014). Contraceptive counseling: best practices to ensure quality communication and enable effective contraceptive use. Clinical obstetrics and gynecology, 57(4), 659-673.

12. Etikan, I., Musa, S. A., & Alkassim, R. S. (2016). Comparison of convenience sampling and purposive sampling. American Journal of Theoretical and Applied Statistics, 5(1), 1–4. https://doi.org/10.11648/j.ajtas.20160501.11

13. Groene, N., Nickel, A., & Rohn, A. E. (2025). Insights on the Side Effects of Female Contraceptive Products From Online Drug Reviews: Natural Language Processing–Based Content Analysis. Jmir ai, 4, e68809.

14. Hall, K. S., Ela, E., Zochowski, M. K., Caldwell, A., Moniz, M., McAndrew, L., ... & Ernst, S. (2016). “I don't know enough to feel comfortable using them:” Women's knowledge of and perceived barriers to long-acting reversible contraceptives on a college campus. Contraception, 93(6), 556-564.

15. Issah, H., Salifu, A. and Awal, I. (2022). Knowledge of Contraceptives, Knowledge of Types, and Identified Challenges to Contraceptives Use among Undergraduate Nursing Students in the University for Development Studies. OALib, 09(03), pp.1–15. https://doi.org/10.4236/oalib.1108530.

16. IWPR (2020) Improving Success in Higher Education through Increased Access to Reproductive Health Services. Institute for Women’s Policy Research, IWPR. Available at: https://iwpr.org/wp-content/uploads/2020/07/CERH-Higher-Ed-brief.pdf, [Accessed: 10 October 2025]

17. Jahanfar, S. and Zendehdel, M., (2024) Contraceptive knowledge, prevalence of contraception use, and the association between sex education and contraception knowledge among university students in Michigan, USA. J Family Med Prim Care. 2024 May;13(5):1676-1682. https://doi.org/10.4103/jfmpc.jfmpc_1212_23.

18. Jahanfar, S., Hamzah, H., Rahman, N. A., & Yusoff, N. F. M. (2024). Contraceptive knowledge, prevalence of contraceptive use, and associated factors among university students: A cross-sectional study. Cureus, 16(5), e59862. https://pmc.ncbi.nlm.nih.gov/articles/PMC11213420/

19. John, J. N., Gorman, S., Scales, D., & Gorman, J. (2024). Online misleading information about women’s reproductive health: a narrative review. Journal of General Internal Medicine, 40(5), 1123.

20. Kabunga, A., Kigongo, E., Acanga, A., Tumwesigye, R., Auma, A. G., Musinguzi, M., Kambugu, C. N., Okalo, P., Abal, J. A., Namata, H., and Mwesigwa, D., (2024). Qualitative study on stigma as a barrier to emergency contraceptive pill use among university students in the Lango subregion, Uganda. BMJ Open. 2024 Feb 28;14(2):e079478. https://doi.org/10.1136/bmjopen-2023-079478.

21. Kim, H. Y. (2017). Statistical notes for clinical researchers: Chi-squared test and Fisher's exact test. Restorative Dentistry & Endodontics, 42(2), 152–155. https://doi.org/10.5395/rde.2017.42.2.152

22. Krull, L. M., Pearce, L. D., and Jennings, E. A., (2021). How Religion, Social Class, and Race Intersect in the Shaping of Young Women's Understandings of Sex, Reproduction, and Contraception. Religions (Basel). 2021 Jan;12(1):5. https://doi.org/10.3390/rel12010005.

23. Kumar, R., Anwar, M., Naeem, N., Asim, M., Kumari, R., & Pongpanich, S. (2024). Effect of health education on knowledge, perception, and intended contraceptive use for family planning among university students in Pakistan. Scientific Reports, 14, 29569. https://doi.org/10.1038/s41598-024-79550-5

24. Lee, B. (2023). Opportunities and Barriers to Contraception Access on College Campuses. [online] www.astho.org. Available at: https://www.astho.org/communications/blog/opportunities-barriers-to-contraception-access-on-college-campuses/, [Accessed: 01 January 2026]

25. Odiegwu, E. A., Obohwemu, K. O., Odiegwu, E. U., Odiegwu, O. E., Odiegwu, C. M., Odiegwu, T. C., ... & Ekanem, I. I. (2026). Knowledge of Contraception Among University Students in Nigeria: Evidence from Theatre Arts Undergraduates. International Journal of Modern Medicine, 5(04), 45-60.

26. Pfender, E. J., & Fowler, L. R. (2024). Social media is influencing contraceptive choice. Journal of Women's Health, 33(5), 563-564.

27. Prémusz, V., Mesfin, M. D., Atmaca, L., Chauhan, S., Tándor, Z., Bodor, L. A., Várnagy, Á., and Galgalo, D. A. (2025) Exploring the Impact of Health Literacy on Fertility Awareness and Reproductive Health in University Students-A Systematic Review. Healthcare (Basel). 2025 Sep 17;13(18):2342. https://pmc.ncbi.nlm.nih.gov/articles/PMC12469965/

28. Purnat, T. D., Wilhelm, E., Scales, D., Wardle, C., Bastien, S., Ganatra, B., ... & Nihlén, Å. (2025). Impacts of Sexual and Reproductive Health and Rights Misinformation in Digital Spaces on Human Rights Protection and Promotion: Scoping Review. JMIR infodemiology, 5(1), e83747.

29. Rosenfeld E, Callegari LS, Sileanu FE, Zhao X, Schwarz EB, Mor MK, Borrero S. Racial and ethnic disparities in contraceptive knowledge among women veterans in the ECUUN study. Contraception. 2017 Jul;96(1):54-61. https://doi.org/10.1016/j.contraception.2017.03.008.

30. Ruel, E., Wagner, W. E., & Gillespie, B. J. (2021). The practice of survey research: Theory and applications (2nd ed.). SAGE Publications.

31. Setia, M. S. (2016). Methodology series module 3: Cross-sectional studies. Indian Journal of Dermatology, 61(3), 261–264. https://doi.org/10.4103/0019-5154.182410

32. Turnbull, T., Van Schaik, P., & Van Wersch, A. (2016). Sexual knowledge, contraception and accessing contraceptive methods among university students. Health Psychology Update. https://research.tees.ac.uk/en/publications/sexual-knowledge-contraception-and-accessing-contraceptive-method-3/

33. UK Health Security Agency. (2024). Sexually transmitted infections and screening for chlamydia in England, 2023 report. Available at: https://www.gov.uk/government/statistics/sexually-transmitted-infections-stis-annual-data-tables/sexually-transmitted-infections-and-screening-for-chlamydia-in-england-2024-report, [Accessed: 21 November 2025]

34. World Health Organization. (2023). Family planning/contraception methods. https://www.who.int/news-room/fact-sheets/detail/family-planning-contraception

35. World Health Organization. (2024). Adolescent health. https://www.who.int/health-topics/adolescent-health

Downloads

Published

2026-06-19

How to Cite

Odiegwu, E. A., Obohwemu, K. O., Odiegwu, E. U., Odiegwu, O. E., Odiegwu, C. M., Odiegwu, T. C., Ekwuluo, C. E., Yakpir, G. M., Oguguo, C., Iyevhobu, K. O., Esezobor, E. E., Dada, O., Oseji, N. A., Abejide, T. B., Uchemefuna, K., Ifada, S. E., & Musa, A. (2026). Contraceptive Knowledge Among University Students in the United Kingdom: Understanding Awareness, Information Pathways and Knowledge Gaps. European Journal of Emerging Medicine and Public Health, 3(06), 24-36. https://doi.org/10.64917/ejemph/Volume03Issue06-03

Similar Articles

1-10 of 14

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)