P-475: Contraception: knowledge, attitudes, and practices among adolescent girls and young women with diabetes followed at the enta nord regional hospital in Conakry (Republic of Guinea)
O Kourouma, A M Diallo, M C Diallo, A Diallo, M M Diallo, I Conde, A Bah, A KakeAbstract
Introduction
Sexual and reproductive health among adolescents and young women living with type 1 diabetes (T1D) remains insufficiently explored. However, this population is particularly vulnerable to complications related to unplanned pregnancy, poor metabolic control, and inadequate contraceptive follow-up.
Objectives
To assess the knowledge, attitudes, and practices of adolescents and young women living with type 1 diabetes (T1D) regarding contraception in Conakry.
Methods
This was a cross-sectional descriptive and analytical study conducted over a three-month period, from July 1 to September 30, 2025. The objective was to assess the knowledge, attitudes, and practices (KAP) of adolescent girls and young women living with T1D regarding contraception, as well as to identify associated factors.
Results
The findings showed that 48% of participants were pupils or students. The mean age= 20.3 years, and the mean duration of diabetes= 3.6 years. The mean glycated hemoglobin (HbA1c) level= 10.2%.
Good knowledge was observed in 63% of participants, favorable attitudes in 34%, and good practices in 38%. In multivariate analysis, the associated factors were:
Conclusions
Adolescent girls and young women with T1D are at increased risk of unplanned pregnancy. Therefore, integrating sexual and reproductive health into diabetes care programs is essential.