Teenage Pregnancy Research Articles

Pooled prevalence and associated factors of teenage pregnancy among women aged 15 to 19 years in sub-Saharan Africa: evidence from 2019 to 2022 demographic and health survey data

BackgroundTeenage pregnancy is becoming one of the most common social and public health problems worldwide, with the highest prevalence in sub-Saharan Africa. Health risks and adverse outcomes of pregnancy and childbirth among adolescent girls are the commonest cause of the global burden of maternal morbidity and mortality. This study is intended to determine the pooled prevalence and determinants of teenage pregnancy in sub-Saharan Africa using the most recent demographic and health survey data (2019–2022).MethodsA cross-sectional study was conducted using data from the most recent demographic and health surveys of four countries (Kenya, Tanzania, Gabon, and Cameroon) in sub-Saharan Africa conducted between 2019 and 2022. A total weighted sample of 12,829 teenagers aged 15 to 19 years was included in the study. Data extracted from demographic and health survey data sets were cleaned, recorded, and analyzed using STATA/SE version 14.0 statistical software. Multilevel mixed-effects logistic regression was used to determine the factors associated with the dependent variable. Finally, variables with a p-value ≤ 0.05 and an adjusted odds ratio with a 95% confidence interval were declared statistically significant.ResultsThe pooled prevalence of teenage pregnancy among women aged 15 to 19 years was 18.15% (95% CI: 17.49, 18.83). Teenage pregnancy was positively associated with the respondent’s age [AOR = 2.97; 95% CI (2.55, 3.46)], educational status [AOR = 2.21; 95% CI (1.62, 3.03)] and [AOR = 1.80; 95% CI (1.54, 2.12)], wealth status [AOR = 2.61; 95% CI (2.12, 3.22)] and [AOR = 1.65; 95% CI (1.33, 2.05)], relation to the household head [AOR = 2.09; 95% CI (1.60, 2.72)], and unmet need for contraception [AOR = 14.3; 95% CI (11.5, 17.8)]. On the other hand, it was negatively associated with marital status [AOR = 0.08; 95% (0.07, 0.10)], working status [AOR = 0.75; 95% CI (0.64, 0.88)], age at first sex [AOR = 0.68; 95% CI (0.58, 0.80)], contraceptive use [AOR = 0.25; 95% CI (0.20, 0.30)], contraceptive knowledge [AOR = 0.27; 95% CI (0.19, 0.40)], and community contraceptive utilization [AOR = 0.85; 95% CI (0.73, 0.99)].ConclusionIn the current study, one out of six young women aged 15 to 19 experienced teenage pregnancy. Therefore, addressing unmet needs for family planning, improving women’s educational status, and giving special attention to teenagers with low educational and economic status are recommended.

Problems of teenage pregnancy: obstetric and perinatal outcomes

The review describes the problems of teenage pregnancy. A characteristic feature of the course of gestation in adolescents is a significant number of complications accompanying it. The problem of teenage pregnancy should be prevented not only by medical professionals, but also regulated by means of appropriate legal, social and economic measures. Management of young first-time mothers` pregnancy should be based on earlier consultative follow-up and planned hospitalization for targeted treatment of complications, as well as a thorough risk assessment during gestation and childbirth.

A History of Teen Pregnancy Is Associated with Early Death in Women.

Adverse childhood experiences are likely risk factors.

Concurrent decline in teenage fertility rate and binge drinking? An observational study across 45 nations.

Alcohol consumption is associated with unintended pregnancies among teenagers. Its role as a broader determinant of teenage fertility rates remains unclear. We investigate whether adolescent binge drinking affects the number of teenage births. Binge drinking data from 137,898 females aged 15-16 were collected in the HBSC study (2002-2018, 43 countries/regions) and 267,359 in the ESPAD study (1995-2019, 41 countries/regions). Age-specific fertility rates were from the Human Fertility Database and the World Health Organization. We examined changes over time in countries' average levels of binge drinking among female pupils aged 15-16 and population-level fertility rates for the same cohorts when aged 16-19 years. Controlling for differences between countries and survey waves, we found an association between binge drinking and fertility rate, B = 0.019, 95% confidence interval [0.004, 0.034]. When accounting for the countries' time trends, the association was substantially reduced, B = 0.006, 95% confidence interval [-0.0062, 0.0174]. The relationship was not moderated by abortion rates and controlling for contraceptive use had no impact on the findings. The association between adolescent binge drinking and fertility rates diminishes when accounting for country-specific time trends. Given the lack of clear mechanisms linking binge drinking to trends in fertility rates rather than shorter-term changes, the association likely reflects broader secular trends. Binge drinking may be involved in teen pregnancy and childbirth in individual cases but it does not explain recent developments in teenage fertility rates.

Necesidades sociales y dimensiones del capital social: Análisis de beneficiarios de Familias en Acción

Innovation in the social sphere is today an increasingly necessary challenge for human development. However, it is a practice little developed at a theoretical level, which limits its effective development for the effective solution of social needs and its sustainability through the impact on the social capital of the intervened communities. The objective of this article is to analyze the social needs of the beneficiaries of the program Familias en Acción in Barranquilla related to its expected impacts, as well as the social capital of the beneficiaries, identifying the most relevant aspects that require intervention in the education and health sectors in the district, in addition to social needs related to income generation and prevention of teenage pregnancy. The dimensions of social capital that should be strengthened in the respective communities are also analyzed. The quantitative methodology with a descriptive scope together with stratified sampling techniques and a non-experimental design with a sample of 467 program holders in the exercise, having as a finding that for Barranquilla there are unmet social needs in the Families in Action such as the availability of resources, access to tuition, income generation through work or entrepreneurship, job training and prevention of teenage pregnancy, therefore, it concludes that there is a clear need to strengthen the social capital of Familias en Acción members in areas such as participation and cooperation, as well as decision-making.

Gender and Other Inequalities in Secondary Education in Post-Conflict Sierra Leone: Exploring the Experiences and Outcomes of Girls in Schools

This study extends limited research on understanding gender and education in post-conflict contexts. The study goes beyond the descriptive analysis of equality in terms of numbers but rather focuses on the gendered processes and conditions of learning (i.e., The content of what girls learn and how they learn). It gives an account of how schooling experiences produce and reproduce inequalities in secondary education. This critical analysis utilizes the intersectionality framework to illustrate how the intersection of multiple identities such as gender, social class, sexuality, culture, and location influences girls' learning experiences and outcomes in secondary school in post-conflict Sierra Leone. I particularly draw on girls’ explanations of these issues as they negotiate and are affected by them. Therefore, a detailed qualitative ethnographic study was conducted in a secondary school from the south region of Sierra Leone to explore gendered experiences and their intersecting inequalities in everyday schooling. This is to understand the gendered institutional life of the school and as far as possible do this through the voices and perspectives of those within the school, especially the girls. What this research does is to broaden the in-school research knowledge by focusing on investigating the gendered process of learning, everyday formal and informal in-school interactions, cultures and practices and the intersection of gender with other social identities like sexuality, Socioeconomic status (SES), Location and Traditions. I also tracked how these new directions of knowledge influence girls' performance, retention, and attainment. This study adopted a qualitative research method using an ethnographic approach to examine the pupils’ and teachers' detailed secondary schooling experiences. This was achieved by using in-depth interviews to explore students’ individual personal experiences of secondary schooling. The studied participants were purposively selected based on the established parameters for this study. The findings of this study revealed a highly gendered school environment, and that the intersection of multiple identities, such as gender, social class, sexuality, culture, and location, exacerbates inequalities in secondary education and influences girls' learning experiences. Additionally, the study highlighted the impact of societal factors, such as early marriage and teenage pregnancy, on girls' educational outcomes, especially in a post-conflict context like Sierra Leone.

The shadow side of demography: the problem of teenage pregnancies and socio-psychological support for underage mothers

The shadow side of demography: the problem of teenage pregnancies and socio-psychological support for underage mothers

Determinants of Unwanted Pregnancy in Indonesia in 2022

Unwanted pregnancy in teenagers is the impact of deviant sexual behavior. Adolescents with Unwanted pregnancy are faced with various problems, especially health problems for mothers and babies, and socio-economic problems. This research aims to examine the determinants of untimely pregnancy in adolescents in North Konawe Regency. The research design uses a Cross Sectional Study conducted in September 2022-February 2023 in three randomly selected sub-districts of North Konawe Regency. A total of 80 teenage girls aged 14-19 years who experienced untimely pregnancy were sampled. The research uses a structured questionnaire technique guided by researchers which has been previously tested and analyzed using the Fisher Exact test. The results of the bivariate analysis showed that the variables were Knowledge (p=0.568>0.05), Attitude (p=0.002<0.05), Action (p=0.74>0.05), Permissive Parenting Pattern (p=0.109>0.05), Peer Pressure Peers (p=0.592>0.05), Use of Technology (p=0.034<0.05) and Religiosity (p=0.001<0.05). The results of this research show that there is a relationship between Attitude, Use of Technology and Religiosity, and there is no relationship between Knowledge, Action, Permissive Parenting Patterns and Peer Pressure with Unwanted Pregnancy in teenagers in the North Konawe Regency Area. Thus, the Reproductive Health Education program for Adolescents in formal education involves education stakeholders including the School Committee which is a reference material and a program to reduce the number of unwanted pregnancy in adolescents in the North Konawe Regency area.

Understanding the burden of teenage pregnancy: A five-year analysis at a tertiary care center of northern Karnataka in India

: The present study was planned to comprehensively investigate the epidemiological aspects and clinical feto-maternal outcomes associated with teenage pregnancy, to provide a holistic understanding of teenage pregnancy and the possible solutions. : This is retrospective record-based research conducted over a five-year period, spanning from January 2018 to December 2022, in the department of Obstetrics and Gynaecology of a tertiary care centre in northern part of Karnataka, India. The teenage pregnancy was considered as all pregnancies that occurred in women aged between 13 to 19 years who visited the institute for delivery during the study period. A comprehensive analysis was conducted, encompassing various facets of their antenatal experiences, delivery methods, postpartum complications, as well as the well-being of the new-borns. : A total of deliveries 52,715 deliveries had been recorded in our institute during the study period. Among these deliveries, 1,754 were among teenagers, resulting in a prevalence rate of 3.33%. Nearly one-fifth (19.16%) of teenage mothers were short stature whereas only 7.02% of adult mothers were short stature. The relatively higher proportion of teenage mothers were underweight. Maternal and fetal complication were comparatively higher among teenage mothers whereas caesarean sections were relatively more among adult mothers. : The present study emphasizes the importance of targeted healthcare interventions, including improved prenatal care, nutritional support, and education for teenage mothers, to mitigate these risks and improve the overall health and well-being of both mothers and their infants.

Pregnancy and childbirth characteristics description in teenagers Aged 15 to 19 years old in dr. Zainoel Abidin general hospital Banda Aceh in January 2020 to December 2022

Pregnancy and childbirth characteristics description in teenagers Aged 15 to 19 years old in dr. Zainoel Abidin general hospital Banda Aceh in January 2020 to December 2022

Understanding the contents and gaps in sexual and reproductive health toolkits designed for adolescence and young adults: a scoping review.

Adolescence is a crucial stage of physical and sexual maturation and development and a period in which understanding sexual and reproductive health (SRH) is important. SRH interventions and toolkits provide a range of valuable resources and information to young people, educators, and members of the community on numerous topics, including contraception and puberty. The usefulness and reliability of these available toolkits have not been previously studied, thus limiting our understanding of their appropriateness and contents. Hence, this scoping review aimed to synthesize the available toolkits aimed at the SRH of adolescents and young adults to understand the contents, design, and information gaps. A systematic search was conducted of 6 medical databases and 12 gray literature sites. Sixteen toolkits published globally before May 2023 were included in our review. The majority of toolkits (n = 12) contained information related to general SRH knowledge and contraception, whereas only 3 contained information on teenage pregnancy. We found that aiming the toolkits toward educators and health care workers was a favorable design over targeting adolescents and young adults directly and that vulnerable youth-including LGBTQI+ (lesbian, gay, bisexual, transgender, queer or questioning, asexual or allied, intersex, and additional identities) and youth from humanitarian settings-were not well represented. We identified key gaps in the inclusion of information in a range of SRH topics, such as LGBTQI+ sexuality, teenage pregnancy, and safe abortion, in the currently available SRH toolkits and their lack of applicability in a global context. Furthermore, we provide recommendations for areas of improvement to encourage adolescents' agency in their SRH education.

“Sex Out of Boredom”: Key Stakeholders’ Perspectives on Teen Pregnancy Prevention in Emerging Immigrant Latino Rural Communities

Abstract Introduction Teen pregnancy (TP) rates are 1.5 times higher among Latina youth than the United States national average and one-third times higher in rural counties. The Socio-Ecological framework recognizes the myriad of issues that impact TP, including four bidirectional levels of influence on teenagers’ behaviors: macro, community, institutional, and interpersonal levels. We aim to fill critical knowledge gaps regarding the influence of key community stakeholders living in rural, Latino-majority communities shaping Latino/a, immigrant adolescents’ TP-related environments. Methods A purposive sample of 48 key stakeholders was drawn from three rural counties (Finney, Ford, and Seward) in southwestern Kansas from 2016 to 2017; participants completed a brief demographic survey and a semi-structured qualitative interview. Qualitative data analysis followed grounded theory within a Socio-Ecological framework, and we used descriptive statistics to analyze survey data. Results Respondents (N = 48) included 5 public health department staff, 8 community health workers, 8 healthcare workers, 9 community members, and 18 high school/college administrators. The mean age was 43 years (SD = 15.5) and 50% self-identified as Latino/a. Recommendations included developing TP prevention education programs for parents, utilizing ongoing events and familiar venues, and keeping content consistent with local culture and norms. Conclusions Key stakeholders’ perceptions regarding TP are often unaccounted for but play a role in shaping youth’s decision-making environments. Policy Implications This information could inform the development of culturally specific TP prevention interventions, especially considering the controversial politics centered on immigration to the U.S. and its negative impact on the overall health of Immigrant Latinos living in the U.S.

Factors contributing to rise in teenage pregnancy in Sekhukhune district, Limpopo province.

The Department of Health in South Africa has reported an alarming total of 90 037 teenage girls between the ages of 10 years and 19 years who gave birth from March 2021 to April 2022, across all provinces and districts. The rise in teenage pregnancy is of serious concern as adolescents girls are more likely to experience difficult pregnancies and deliveries which could lead to detrimental effects on their health. The study aimed to explore and describe factors contributing to the increase in teenage pregnancy in the Sekhukhune district of Limpopo. The study was conducted in the healthcare facilities of Sekhukhune area. A qualitative, exploratory design was followed. Participants were purposively selected, and data were gathered through face-to-face individual interviews. Data analysis employed Tesch's inductive, descriptive coding method. Negligence, peer pressure, ambiguity, choice, lack of contraceptive use, and lack of family attachment were identified as exacerbating factors in the district's surge in teenage pregnancy. To reduce teen pregnancy, it is crucial to promote contraception, enhance cooperation between schools and the government, involve families in sexual and reproductive health discussions, prioritise a supportive home environment, advocate for child support grants, revitalise school health services, and empower teenagers to make informed choices and resist peer pressure.Contribution:The study will provide guidance to policy makers and other stakeholders in developing appropriate programmes to address the problem and improve the health and socioeconomic status of adolescents in rural areas. This will reduce healthcare costs associated with complications and premature birth.

The effect of a peer’s teen pregnancy on sexual behavior

We examine whether a friend or older sibling’s teen pregnancy impacts one’s own sexual behavior. Employing an event study design and rich retrospective data on sexual activity, we find that those who observe a peer’s teen pregnancy change sexual behavior after the pregnancy ends to put themselves at lower risk of their own teen pregnancy; specifically, they are less likely to have unprotected sex and have fewer sexual partners in the year following the end of the teen pregnancy. We find that females are more likely to change their sexual behavior compared to males, and the effects are primarily driven by peer live births, as opposed to other pregnancies. Ultimately, we find a slight decline in the likelihood of one’s own teen pregnancy, though estimates are noisy. Our work suggests that education campaigns that provide a realistic portrayal of teen parenthood may be an effective tool for impacting teen behavior.

Principal’s Involvement of Parents in Student’s Discipline; Assessing its Relationship with Teenage Pregnancy in Public Secondary Schools in Kenya

Teenage pregnancy remains a persistent global crisis that profoundly affects the socio-economic wellbeing of nations, citizens and families. The purpose of this study was to assess the relationship between principals’ involvement of parents in students discipline and teenage pregnancy in public secondary schools in Kenya. The article is an extract of a study done in public secondary schools in Machakos County, Kenya. The study was guided by the social learning theory postulated by Albert Bandura. The research utilized a descriptive research design. The research target population comprised of 360 principals, 360 Heads of Department (HoDs) Guidance and Counseling (G&C), 360 Parent Association (PA) chairpersons and, 103,517 students. The study sample size was 450 comprising of 189 principals, 189 HoDs G&C, 36 PA chairpersons and 36 FGD. Questionnaires were used to collect data from the principal’s and HoDs G&C. Interview schedules collected data from the PA chairperson while Focused Group Discussions (FGD) collected data from form three students. Data was analyzed using SPSS software version 25.The correlational analysis findings from the principal and HoDs G&C responses showed a positive and significant relationship between principal’s engagement of parents in student’s discipline and teenage pregnancy (rp =.379 & rh = 0.564; p≤ .01). The study concludes that involving parents enhances learner discipline and can help curb cases of teenage pregnancies. The study recommended that PAs should work collaboratively with principals to make sure that parents are engaged in all matters affecting their children.

An Examination of the Mortality Rate Associated With Teenage Pregnancy in South Africa

This study investigates factors contributing to teenage pregnancy in South Africa and their impact on maternal mortality. Twenty participants were purposively sampled for one-on-one interviews using a mixed-methods and descriptive study design. SPSS software analysed the data, revealing reduced risk factors through educational policies. Teenage mortality rates from pregnancy and maternal health issues are lower than the rates in adults, with high blood pressure, abortion and injuries being the leading causes of adolescent death. The study emphasises a significant public health concern in South Africa, influencing women’s life expectancy due to socioeconomic barriers and insufficient awareness of danger signs, urging prioritised policies and programmes.

Utilizing social determinants of health to identify most vulnerable neighborhoods–Latent class analysis and GIS map

ObjectivesPublic Health officials are often challenged to effectively allocate limited resources. Social determinants of health (SDOH) may cluster in areas to cause unique profiles related to various adverse life events. The authors use the framework of unintended teen pregnancies to illustrate how to identify the most vulnerable neighborhoods. MethodsThis study used data from the U.S. American Community Survey, Princeton Eviction Lab, and Connecticut Office of Vital Records. Census tracts are small statistical subdivisions of a county. Latent class analysis (LCA) was employed to separate the 832 Connecticut census tracts into four distinct latent classes based on SDOH, and GIS mapping was utilized to visualize the distribution of the most vulnerable neighborhoods. GEE Poisson regression model was used to assess whether latent classes were related to the outcome. Data were analyzed in May 2021. ResultsLCA's results showed that class 1 (non-minority non-disadvantaged tracts) had the least diversity and lowest poverty of the four classes. Compared to class 1, class 2 (minority non-disadvantaged tracts) had more households with no health insurance and with single parents; and class 3 (non-minority disadvantaged tracts) had more households with no vehicle available, that had moved from another place in the past year, were low income, and living in renter-occupied housing. Class 4 (minority disadvantaged tracts) had the lowest socioeconomic characteristics. ConclusionsLCA can identify unique profiles for neighborhoods vulnerable to adverse events, setting up the potential for differential intervention strategies for communities with varying risk profiles. Our approach may be generalizable to other areas or other programs. Key messagesWhat is already known on this topicPublic health practitioners struggle to develop interventions that are universally effective. The teen birth rates vary tremendously by race and ethnicity. Unplanned teen pregnancy rates are related to multiple social determinants and behaviors. Latent class analysis has been applied successfully to address public health problems.What this study addsWhile it is the pregnancy that is not planned rather than the birth, access to pregnancy intention data is not available resulting in a dependency on teen birth data for developing public health strategies. Using teen birth rates to identify at-risk neighborhoods will not directly represent the teens at risk for pregnancy but rather those who delivered a live birth. Since teen birth rates often fluctuate due to small numbers, especially for small neighborhoods, LCA may avoid some of the limitations associated with direct rate comparisons. The authors illustrate how practitioners can use publicly available SDOH from the Census Bureau to identify distinct SDOH profiles for teen births at the census tract level.How this study might affect research, practice or policyThese profiles of classes that are at heightened risk potentially can be used to tailor intervention plans for reducing unintended teen pregnancy. The approach may be adapted to other programs and other states to prioritize the allocation of limited resources.

Sexual experiences and behaviours in the offspring generation of the Avon Longitudinal Study of Parents and Childhood

Previous research on child/teenage sexual experiences has largely focussed on negative outcomes such as teen pregnancy or acquiring sexually transmitted infections and are mainly cross-sectional. Longitudinal research is required to assess normal sexual development and the attainment of psychologically healthy attitudes towards sexuality. The Avon Longitudinal Study of Parents and Children (ALSPAC) has administered questions on relationships and sexual experiences from the age of 11 years to the index children. This data note describes these data.

Upholding Informed Consent: Experiences of Note –Taking without Audio Recording of in-Depth Individual Interviews in a Qualitative Study on the Implementation of the Pregnancy Re-Entry Policy in Zambia

The context of the research study needs to determine the data recording method to be used in order to ensure that no harm is done to the participants. In-depth individual Interviews (IDIs) is one of the main data collecting strategy used in qualitative research on sensitive topics such as teenage pregnancy. Audio recording in capturing data during IDIs is a common practice. However, audio recording of IDIs should be done in the context of informed consent. The objective of this paper is to elaborate on how note-taking was used to capture data within the context of informed consent. The research design was multiple cohort Case studies involving Chongwe district plus national stakeholders of the Pregnancy Re-entry policy in Zambia. Semi-structured interviews were conducted with hundred (100) participants from different cohorts of stakeholders using note-taking to capture the data. Ninety percent (90%) of the interviews involved physical note-taking with 10 % being electronic notes. The results are that note-taking increased the interview time but it afforded the interviewer the opportunity to probe further as the data was being collected. The major disadvantage with note –taking is that it reduces the pace of data collection as time has to be dedicated to consolidating the notes and memory recall of information shared. The conclusion drawn is that upholding informed consent in research is key, therefore the capturing of data during IDIs should be guided by what best upholds the rights of the participants. Therefore, note-taking offers an alternative to audio recording.

Project to Reduce the Teenage Pregnancies Through Health Education at MOH Level

Project to Reduce the Teenage Pregnancies Through Health Education at MOH Level