SynthesisBMJ global health2019
Predictors of pregnancy among young people in sub-Saharan Africa: a systematic review and narrative synthesis.
Synthesis in BMJ global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
44 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Effect of a digital school-based intervention on adolescent family planning and reproductive health in Rwanda: a cluster-randomized trial.Nature medicine · 2024Trial
- Alarming disparities of adolescent motherhood in Nigeria: results from 36 states and the Federal Capital Territory.BMJ global health · 2026Article
- Machine learning-based prediction and identification of determinants of teenage pregnancy in ten East African countries.Scientific reports · 2026Article
- Global trends and geographic variations of hypertension in childhood and adolescence 1990-2021: a systematic analysis of the Global Burden of Disease Study 2021.Clinical hypertension · 2026Article
- Healthcare services provided to pregnant women with HIV and their outcomes at primary healthcare clinics in the Free State province, South Africa.Southern African journal of HIV medicine · 2026Article
- Factors associated with adolescent pregnancy in Zambia: a secondary data analysis of the 2018 Zambia demographic and health survey.BMC pregnancy and childbirth · 2025Article
- Prevalence, determinants, and complications of adolescent pregnancy: an umbrella review of systematic reviews and meta-analyses.AJOG global reports · 2025Review
- Teenage mothers report poor health and economic functioning in Western Kenya: A call to action.PLOS global public health · 2025Article
- Predicting pregnancy loss and its determinants among reproductive-aged women using supervised machine learning algorithms in Sub-Saharan Africa.Frontiers in global women's health · 2025Article
- Provider perspectives on adolescent access to contraception in South Africa.African journal of primary health care & family medicine · 2024Article
- Determinants of teenage pregnancy in Malawi: a community-based case-control study.BMC women's health · 2024Article
- Socioeconomic and residence-based inequalities in adolescent fertility in 39 African countries.Reproductive health · 2024Article
- Socioeconomic and geographical inequalities in adolescent fertility rates in Sierra Leone, 2008-2019.PloS one · 2024Article
- Article
- Fertility awareness and teenage pregnancy in rural western Uganda: a community-based cross-sectional study.African health sciences · 2023Article
- Assessing acceptability and effectiveness of a pleasure-oriented sexual and reproductive health chatbot in Kenya: an exploratory mixed-methods study.Sexual and reproductive health matters · 2023Article
- Socioeconomic inequality in teenage pregnancy in Papua New Guinea: a decomposition analysis.BMC public health · 2023Article
- Adolescent-Parent Relationships and Communication: Consequences for Pregnancy Knowledge and Family Planning Service Awareness.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023Article
- Prevalence and factors associated with teenage pregnancy in Sierra Leone: evidence from a nationally representative Demographic and Health Survey of 2019.BMC public health · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSub-Saharan Africa has among the highest prevalence of teenage pregnancy in the world. Teenage mothers and their children are at risk to a host of medical, social and economic challenges. Adolescent pregnancy is a significant cost to the mother and newborn child, and also to their family and the wider society. Despite measures taken by some sub-Saharan nations to tackle the issue of adolescent pregnancy, the phenomenon remains a public health concern that is widespread throughout the region. Currently, there are few studies that examine the predictors of teenage pregnancy in the sub-Saharan region. The objective of the present study was to systematically review predictors of pregnancy among young people in sub-Saharan Africa.
methodsA literature search was conducted using Medline, CINAHL and EMBASE electronic databases. Following duplicate removal, abstract and full-text screening, 15 studies were ultimately included in the final review. Narrative synthesis was used to synthesise the qualitative and quantitative findings. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses.
resultsTwenty-seven predictors of teenage pregnancy were identified and grouped into six themes (Partner and peer-related predictors; Sexual health knowledge, attitude and behaviour-related predictors; Parenting and family-related predictors; Economic, environmental and cultural predictors; Personal predictors; and Quality of healthcare services predictors). The most obvious predictors included sexual coercion and pressure from male partners, low or incorrect use of contraceptives, and poor parenting or low parental communication and support.
conclusionThis review emphasises that the large prevalence of adolescent pregnancy in sub-Saharan Africa is attributable to multiple predictors that our study was able to group into six themes. Policy changes and programmes must be implemented in sub-Saharan Africa to address these determinants in order to reduce adolescent pregnancy within the region.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.