Abstract
BackgroundIn developing countries, 20,000 under 18 children give birth every day. In Ethiopia, teenage pregnancy is high with Afar and Somalia regions having the largest share. Even though teenage pregnancy has bad maternal and child health consequences, to date there is limited evidence on its spatial distribution and driving factors. Therefore, this study is aimed to assess the spatial distribution and spatial determinates of teenage pregnancy in Ethiopia.MethodsA secondary data analysis was conducted using 2016 EDHS data. A total weighted sample of 3381 teenagers was included. The spatial clustering of teenage pregnancy was priorly explored by using hotspot analysis and spatial scanning statistics to indicate geographical risk areas of teenage pregnancy. Besides spatial modeling was conducted by applying Ordinary least squares regression and geographically weighted regression to determine factors explaining the geographic variation of teenage pregnancy.ResultBased on the findings of exploratory analysis the high-risk areas of teenage pregnancy were observed in the Somali, Afar, Oromia, and Hareri regions. Women with primary education, being in the household with a poorer wealth quintile using none of the contraceptive methods and using traditional contraceptive methods were significant spatial determinates of the spatial variation of teenage pregnancy in Ethiopia.Conclusiongeographic areas where a high proportion of women didn’t use any type of contraceptive methods, use traditional contraceptive methods, and from households with poor wealth quintile had increased risk of teenage pregnancy. Whereas, those areas with a higher proportion of women with secondary education had a decreased risk of teenage pregnancy. The detailed maps of hotspots of teenage pregnancy and its predictors had supreme importance to policymakers for the design and implementation of adolescent targeted programs.
Highlights
Introduction20,000 under 18 children give birth every day. In Ethiopia, teenage pregnancy is high with Afar and Somalia regions having the largest share
In developing countries, 20,000 under 18 children give birth every day
Where the hotspot areas of teenage pregnancy are concentrated in Ethiopia? Second, what are the driving factors for such spatial variations of teenage pregnancy in Ethiopia? this study is aimed at exploring the spatial variation and modeling the spatial determinates of teenage pregnancy in Ethiopia
Summary
20,000 under 18 children give birth every day. In Ethiopia, teenage pregnancy is high with Afar and Somalia regions having the largest share. Teenage delivery is related to several adverse pregnancy outcomes such as low Apgar score, preterm babies, low birth weight, neonatal mortality, and stillbirth [6,7,8]. It leads them to less educational attainment and high school dropout, disease exposure and economic problems. This will not end by themselves rather their siblings are prone to these problems and are more likely to give birth as teenagers, face unemployment and engage in criminal acts at some time during their adolescence [10, 12]
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