ArticleInternational journal of epidemiology2015
Relationship between school dropout and teen pregnancy among rural South African young women.
Article in International journal of epidemiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.
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Who cites it
50 citing papers in PubMed.
- Effect of a digital school-based intervention on adolescent family planning and reproductive health in Rwanda: a cluster-randomized trial.Nature medicine · 2024Trial
- The Empower Nudge lottery to increase dual protection use: a proof-of-concept randomised pilot trial in South Africa.Reproductive health matters · 2018Trial
- The Young Women's Health CoOp in Cape Town, South Africa: Study protocol for a cluster-randomised trial for adolescent women at risk for HIV.BMC public health · 2018Trial
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- Interventions for improving the health and socio-economic well-being of young parents: a scoping review of studies in Africa.BMJ open · 2026Article
- Educational Disruption, School Dropout, and Sexual and Reproductive Health (SRH) Outcomes Among Adolescent Girls and Young Women in South Africa.AIDS and behavior · 2026Article
- Sexual Relationship Typologies, Multilevel Determinants, and HIV Among Adolescent Mothers in Eastern and Southern Africa: A Multilevel Latent Class Analysis.AIDS and behavior · 2026Article
- Determinants of school dropout in the Asenze cohort study in KwaZulu-Natal, South Africa.Vulnerable children and youth studies · 2025Article
- Accelerators for improved health among adolescent mothers in South Africa: HIV and violence prevention, sexual reproductive health and education success.BMJ global health · 2025Article
- Young women's perspectives on a user-friendly self-sampling intervention to improve the diagnosis of sexually transmitted infections in underserved communities in KwaZulu-Natal, South Africa.BMC women's health · 2025Article
- School Dropout, Absenteeism and Coverage of Sexual and Reproductive Health Services in South Africa: Are Those Most at Risk Reached?AIDS and behavior · 2024Article
- Self-esteem and self-concept as correlates of life satisfaction and attitudes toward school among Ghanaian girls.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2024Article
- Adolescent perspectives on peripartum mental health prevention and promotion from Kenya: Findings from a design thinking approach.PloS one · 2024Article
- Induced abortions among Chinese adolescent girls.BMC women's health · 2023Article
- Naïve, uninformed and sexually abused: circumstances surrounding adolescent pregnancies in Malawi.Reproductive health · 2023Article
- Lived experiences of pregnant and parenting adolescents in Africa: A scoping review.Reproductive health · 2023Article
- Factors Associated with Early Sexual Activity in Adolescents Residing in an Urban Area of Northeastern Mexico Who Use WhatsApp or Facebook.Journal of community health · 2023Article
- Awareness, Utilization and Perception of Sexually Transmitted Infections Services Provided to Out-of-School-Youth in Primary Health Facilities in Tshwane, South Africa.International journal of environmental research and public health · 2023Article
- Incidence of unintended pregnancy and associated factors among adolescent girls and young women at risk of HIV infection in Kampala, Uganda.Frontiers in reproductive health · 2023Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundSexual activity may be less likely to occur during periods of school enrolment because of the structured and supervised environment provided, the education obtained and the safer peer networks encountered while enrolled. We examined whether school enrolment was associated with teen pregnancy in South Africa.
methodsUsing longitudinal demographic surveillance data from the rural Agincourt sub-district, we reconstructed the school enrolment status from 2000 through 2011 for 15 457 young women aged 12-18 years and linked them to the estimated conception date for each pregnancy during this time. We examined the effect of time-varying school enrolment on teen pregnancy using a Cox proportional hazard model, adjusting for: age; calendar year; household socioeconomic status; household size; and gender, educational attainment and employment of household head. A secondary analysis compared the incidence of pregnancy among school enrolees by calendar time: school term vs school holiday.
resultsSchool enrolment was associated with lower teen pregnancy rates [adjusted hazard ratio (95% confidence interval): 0.57 (0.50, 0.65)].This association was robust to potential misclassification of school enrolment. For those enrolled in school, pregnancy occurred less commonly during school term than during school holidays [incidence rate ratio (95% confidence interval): 0.90 (0.78, 1.04)].
conclusionsYoung women who drop out of school may be at higher risk for teen pregnancy and could likely benefit from receipt of accessible and high quality sexual health services. Preventive interventions designed to keep young women in school or addressing the underlying causes of dropout may also help reduce the incidence of teen pregnancy.
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