ArticlePloS one2019
An evolution of socioeconomic related inequality in teenage pregnancy and childbearing in Malawi.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Under-five mortality and social determinants in africa: a systematic review.European journal of pediatrics · 2025Pooled it
- Equity in prenatal healthcare services globally: an umbrella review.BMC pregnancy and childbirth · 2024Pooled it
- Machine learning-based prediction and identification of determinants of teenage pregnancy in ten East African countries.Scientific reports · 2026Article
- Maternity in adolescence in Brazil: high fertility rates and stark inequalities across municipalities and regions.Cadernos de saude publica · 2026Article
- Survival probability and under-five mortality predictors in Western Kenya between 2015 and 2020.BMC public health · 2025Article
- Article
- Under-Five Mortality and Associated Risk Factors in Children Hospitalized at David Bernardino Pediatric Hospital (DBPH), Angola: A Hierarchical Approach.International journal of environmental research and public health · 2024Article
- Determinants of teenage pregnancy in Malawi: a community-based case-control study.BMC women's health · 2024Article
- High prevalence of zero-dose children in underserved and special setting populations in Ethiopia using a generalize estimating equation and concentration index analysis.BMC public health · 2024Article
- Socioeconomic inequality in teenage pregnancy in Papua New Guinea: a decomposition analysis.BMC public health · 2023Article
- The Socioeconomic consequences of femoral shaft fracture for patients in Malawi.Malawi medical journal : the journal of Medical Association of Malawi · 2023Article
- Socioeconomic inequalities in modern contraceptive use among women in Benin: a decomposition analysis.BMC women's health · 2023Article
- Naïve, uninformed and sexually abused: circumstances surrounding adolescent pregnancies in Malawi.Reproductive health · 2023Article
- Prevalence, Trends, and Factors Associated with Teen Motherhood in Nigeria: An Analysis of the 2008-2018 Nigeria Demographic and Health Surveys.International journal of sexual health : official journal of the World Association for Sexual Health · 2023Article
- Wealth inequalities in reproductive and child health preventive care in Mozambique: a decomposition analysis.Global health action · 2022Article
- Chasing the Youth Dividend in Nigeria, Malawi and South Africa: What Is the Role of Poverty in Determining the Health and Health Seeking Behaviour of Young Women?International journal of environmental research and public health · 2022Article
- Socioeconomic inequalities in teenage pregnancy in Nigeria: evidence from Demographic Health Survey.BMC public health · 2022Article
- Spatial distribution and factors associated with adolescent pregnancy in Nigeria: a multi-level analysis.Archives of public health = Archives belges de sante publique · 2022Article
- Transition in social risk factors and adolescent motherhood in low- income and middle- income countries: Evidence from Demographic and Health Survey data, 1996-2018.PLOS global public health · 2022Article
- Teenage pregnancy and timing of first marriage in Cameroon-What has changed over the last three decades, and what are the implications?PloS one · 2022Article
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6 authors.
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Abstract
backgroundTeenage pregnancies and childbearing are important health concerns in low-and middle-income countries (LMICs) including Malawi. Addressing these challenges requires, among other things, an understanding of the socioeconomic determinants of and contributors to the inequalities relating to these outcomes. This study investigated the trends of the inequalities and decomposed the underlying key socioeconomic factors which accounted for the inequalities in teenage pregnancy and childbearing in Malawi.
methodsThe study used the 2004, 2010 and 2015-16 series of nationally representative Malawi Demographic Health Survey covering 12,719 women. We used concentration curves to examine the existence of inequalities, and then quantified the extent of inequalities in teenage pregnancies and childbearing using the Erreygers concentration index. Finally, we decomposed concentration index to find out the contribution of the determinants to socioeconomic inequality in teenage pregnancy and childbearing.
resultsThe teenage pregnancy and childbearing rate averaged 29% (p<0.01) between 2004 and 2015-16. Trends showed a "u-shape" in teenage pregnancy and childbearing rates, albeit a small one (34.1%; p<0.01) in 2004: (25.6%; p<0.01) in 2010, and (29%; p<0.01) in 2016. The calculated concentration indices -0.207 (p<0.01) in 2004, -0.133 (p<0.01) in 2010, and -0.217 (p<0.01) in 2015-16 indicated that inequality in teenage pregnancy and childbearing worsened to the disadvantage of the poor in the country. Additionally, the decomposition exercise suggested that the primary drivers to inequality in teenage pregnancy and child bearing were, early sexual debut (15.5%), being married (50%), and wealth status (13.8%).
conclusionThe findings suggest that there is a need for sustained investment in the education of young women concerning the disadvantages of early sexual debut and early marriages, and in addressing the wealth inequalities in order to reduce the incidences of teenage pregnancies and childbearing.
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