ArticlePloS one2020
Time trends in and factors associated with repeat adolescent birth in Uganda: Analysis of six demographic and health surveys.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Behavioural intervention for adolescent uptake of family planning: a randomized controlled trial, Uganda.Bulletin of the World Health Organization · 2021Trial
- Health facility capacities for providing adolescent sexual and reproductive health services in Southwestern Uganda.BMC health services research · 2026Article
- Effectiveness of Facility-Based Group Postpartum and Postabortion Counselling Among Adolescent Girls and Young Women in Southwestern Uganda: A Quasi-Experimental Study.Open access journal of contraception · 2026Article
- Determinants and barriers of modern family planning uptake among postpartum mothers at selected regional referral hospitals in Uganda: a cross-sectional study.Reproductive health · 2025Article
- Reflections of adolescent motherhood on infant and young child feeding practices: the case of Uganda.BMC public health · 2025Article
- A multicenter study on the mental health of Brazilian adolescent mothers, 2024.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025Article
- Correlates of repeat pregnancies among adolescent girls and young women in sub-Saharan Africa.BMC pregnancy and childbirth · 2023Article
- Article
- How a co-design process led to more contextually relevant family planning interventions in emerging urban settings in Eastern Uganda.PLOS global public health · 2023Article
- The more, the better: influence of family planning discussions during the maternal, newborn and child health continuum of care on postpartum contraceptive uptake and method type among young women in Ethiopia.Gates open research · 2023Article
- Repeated adolescent pregnancy in Brazil from 2015 to 2019.Revista da Associacao Medica Brasileira (1992) · 2023Article
- Rural-urban correlates of modern contraceptives utilization among adolescents in Zambia: a national cross-sectional survey.BMC women's health · 2022Article
- Prevalence and factors associated with teenage pregnancy among parturients in Mbale Regional Referral Hospital: a cross sectional study.African health sciences · 2022Article
- Short interbirth interval and associated factors among women with antecedent cesarean deliveries at a tertiary hospital, Southwestern Uganda.BMC pregnancy and childbirth · 2022Article
- Article
- "… 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
- Later life outcomes of women by adolescent birth history: analysis of the 2016 Uganda Demographic and Health Survey.BMJ open · 2021Article
- Trends and factors associated with repeated adolescent pregnancies in Tanzania from 2004-2016: evidence from Tanzania demographic and health surveys.The Pan African medical journal · 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
- Lactational amenorrhoea among adolescent girls in low-income and middle-income countries: a systematic scoping review.BMJ global health · 2020Article
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Abstract
backgroundInformation on repeat adolescent birth remains scarce in sub-Sahara Africa. We investigated the prevalence and time trends in repeat adolescent birth in Uganda, and associated factors.
methodsWe analyzed Uganda Demographic and Health Survey data of women age 20-24 years collected on 6 surveys (1988/89-2016) to estimate repeat adolescent birth (first live birth <18 years of age followed by another live birth(s) <20 years). Further, we estimated the wantedness of the second order birth and the prevalence of short birth intervals birth (<13 months) between the first and second such birth. On the 2016 survey, we examined factors associated with repeat adolescent birth using bivariate and multivariate modified Poisson regression.
resultsAt the 1988/89 survey, 58.9% of women with first birth <18 years reported a repeat adolescent birth. This percentage increased to 66.8% in 2006 (+7.9 percentage points [pp], p = 0.010) and thereafter declined to 55.6% by 2016 (-11.2 pp, p<0.001), nevertheless, no change occurred between 1988/89 and 2016 (-3.3pp, p = 0.251). Among women with repeat adolescent births, the mean number of live births by exact age 20 years (2.2 births) and prevalence of short birth intervals (3.5% in 1988/89, 5.4% in 2016) (+1.9pp, p = 0.245) did not change. Increasingly more women with repeat adolescent births preferred to have had the second child later, 22.5% in 1995 and 43.1% in 2016 (+20.6pp, p = <0.001). On the 2016 survey, women from poorer households and those of younger age at first birth were significantly more likely to report repeat adolescent birth.
conclusionFollowing a first birth <18 years, more than half of the women report a repeat adolescent birth (<20 years), with no decline observed in 30 years. Increasingly more women wanted the second adolescent pregnancy later, highlighting the need to support adolescents with improved family planning services at each contact.
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