ArticlePloS one2015
Determinants of Sexual Activity and Pregnancy among Unmarried Young Women in Urban Kenya: A Cross-Sectional Study.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 6 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Determinants of adolescent pregnancy in East Africa: a systematic review and meta-analysis.The Pan African medical journal · 2025Pooled it
- The prevalence of adolescent pregnancy and its associated consequences in the Eastern Mediterranean region: a systematic review and meta-analysis.Reproductive health · 2024Pooled it
- Prevalence and factors associated with adolescent pregnancies in Zambia: a systematic review from 2000-2022.Archives of public health = Archives belges de sante publique · 2023Pooled it
- Psychosocial Experiences of Adolescent Girls and Young Women Subsequent to an Abortion in Sub-saharan Africa and Globally: A Systematic Review.Frontiers in reproductive health · 2021Pooled it
- Prevalence and determinants of adolescent pregnancy in Africa: a systematic review and Meta-analysis.Reproductive health · 2018Pooled it
- Determinants of adolescent pregnancy in sub-Saharan Africa: a systematic review.Reproductive health · 2018Pooled it
- Time to first birth and its determinants among female youths in Ethiopia using accelerated failure time shared frailty models.Scientific reports · 2026Article
- Socioeconomic impacts of adolescent pregnancy on education and future employment in Batticaloa District, Sri Lanka.BMC public health · 2025Article
- Article
- Assessing the experiences of teenage mothers in accessing healthcare in Rwanda.BMC public health · 2024Article
- Socioeconomic and residence-based inequalities in adolescent fertility in 39 African countries.Reproductive health · 2024Article
- Geographically weighted regression analysis to assess hotspots of early sexual initiation and associated factors in Ethiopia.Heliyon · 2024Article
- Multilevel survival analysis of the age at first birth among women in Ethiopia.Frontiers in reproductive health · 2024Article
- Socioeconomic and geographical inequalities in adolescent fertility rates in Sierra Leone, 2008-2019.PloS one · 2024Article
- A 'hidden problem': Nature, prevalence and factors associated with sexual dysfunction in persons living with HIV/AIDS in Uganda.PloS one · 2024Article
- The effectiveness of combined approaches towards improving utilisation of adolescent sexual and reproductive health services in Kenya: a quasi-experimental evaluation.Sexual and reproductive health matters · 2023Article
- Early Sexual Debut and Its Associated Factors Among Young Women Aged 15-24 in Mali: A Multilevel Analysis.Archives of sexual behavior · 2023Article
- Early sexual debut is associated with drug use and decreased educational attainment among males and females in Kisumu County, Kenya.Reproductive health · 2023Article
- Women's marital status and use of family planning services across male- and female-headed households in low- and middle-income countries.Journal of global health · 2023Article
- The Role of Effective Knowledge on Contraceptive Methods Use in the Replication of Mother-Daughter Adolescent Pregnancy in Mexico.Archives of sexual behavior · 2022Article
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2 authors.
Funding
Abstract
objectivesWith age of marriage rising in Kenya, the period between onset of puberty and first marriage has increased, resulting in higher rates of premarital sexual activity and pregnancy. We assessed the determinants of sexual activity and pregnancy among young unmarried women in urban Kenya.
methodsBaseline data from five urban areas in Kenya (Nairobi, Mombasa, Kisumu, Machakos, and Kakamega) collected in 2010 by the Measurement, Learning & Evaluation project were used. Women aged 15-24 years, who had never been married, and were not living with a male partner at the time of survey (weighted n = 2020) were included. Using weighted, multivariate Cox proportional hazard regression and logistic regression analyses, we assessed factors associated with three outcome measures: time to first sex, time to first pregnancy, and teenage pregnancy.
resultsOne-half of our sample had ever had sex; the mean age at first sex among the sexually-experienced was 17.7 (± 2.6) years. About 15% had ever been pregnant; mean age at first pregnancy was 18.3 (± 2.2) years. Approximately 11% had a teenage pregnancy. Three-quarters (76%) of those who had ever been pregnant (weighted n = 306) reported the pregnancy was unwanted at the time. Having secondary education was associated with a later time to first sex and first pregnancy. In addition, religion, religiosity, and employment status were associated with time to first sex while city of residence, household size, characteristics of household head, family planning knowledge and misconceptions, and early sexual debut were significantly associated with time to first pregnancy. Education, city of residence, household wealth, early sexual debut, and contraceptive use at sexual debut were associated with teenage pregnancy for those 20-24 years.
conclusionUnderstanding risk and protective factors of youth sexual and reproductive health can inform programs to improve young people's long-term potential by avoiding early and unintended pregnancies.
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