ArticleBMJ global health2018
Using three indicators to understand the parity-specific contribution of adolescent childbearing to all births.
Article in BMJ global health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Psychosocial interventions targeting mental health in pregnant adolescents and adolescent parents: a systematic review.Reproductive health · 2020Pooled it
- Effect of adolescent pregnancy on child mortality in 46 countries.BMJ global health · 2022Article
- "… I would have left that man long time ago but, …" exploring circumstances of and motivators for repeat adolescent birth in Eastern Uganda.Archives of public health = Archives belges de sante publique · 2021Article
- Trends in contraceptive use, unmet need and associated factors of modern contraceptive use among urban adolescents and young women in Guinea.BMC public health · 2020Article
- Trends in teenage motherhood in Ecuador: challenges and inequalities.International journal of public health · 2020Article
- Lactational amenorrhoea among adolescent girls in low-income and middle-income countries: a systematic scoping review.BMJ global health · 2020Article
- Time trends in and factors associated with repeat adolescent birth in Uganda: Analysis of six demographic and health surveys.PloS one · 2020Article
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
introductionA strong focus on sexual and reproductive health of female adolescents is a key to achieving sustainable development goals, due to the large size of the current cohort in low-income and middle-income countries (LMICs) and adolescents' biological and social vulnerability. Several indicators of fertility among adolescents are in wide use, but the contribution of adolescent births to all births is poorly understood. We propose and calculate a package of three indicators capturing the contribution of adolescent births to all births, stratified by parity (first and second/higher).
methodsWe used Demographic and Health Survey data for 30 LMICs and vital registration for two high-income countries (to calculate levels and trends across a range of countries) for three time periods: 1990-1999, 2000-2009 and 2010-2015. The three indicators were calculated overall and by age thresholds (<16, <18 and <20 years) and exact ages, for each country and time point. Patterns of changes in indicators for the three cumulative thresholds over time are described.
resultsIn the 30 LMICs, the percentage of all live births occurring to adolescents varied across countries, with a median of 18% for adolescents <20 years. Three countries (Jordan, Indonesia and Rwanda) had levels below 10%; Bangladesh had the highest at 33%. The contribution of adolescent first-order births to all first-order births was high; a median of 49%. Even among second-order and higher-order births, the contribution of adolescent childbearing was appreciable (median of 6%). Over the period under examination, the proportion of adolescent births among all live births declined in the majority of the LMICs.
conclusionThese three indicators add to our understanding of the scale of adolescent childbearing and can be used in conjunction with population estimates to assess the absolute need for age-appropriate and parity-appropriate reproductive, maternal and newborn healthcare and to monitor progress in improving young people's health.
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