ArticleMaternal and child health journal2020
Individual and Contextual Factors Associated with Teenage Pregnancy in Colombia: A Multilevel Analysis.
Article in Maternal and child health journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Machine learning-based prediction and identification of determinants of teenage pregnancy in ten East African countries.Scientific reports · 2026Article
- Addressing health inequalities and barriers to access among adolescent migrants in Chile: a mixed methods study.International journal for equity in health · 2025Article
- Prevalence and Risk Factors of Teenage Pregnancy at Burji District, Southwestern Ethiopia; Mixed Approach Study.International journal of public health · 2025Article
- Mapping socio-geographical disparities in the occurrence of teenage maternity in Colombia using multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA).International journal for equity in health · 2024Article
- Determinants of non-institutional childbirth: Evidence from the Peruvian demographic and health survey.European journal of obstetrics & gynecology and reproductive biology: X · 2023Article
- Perinatal Health in Amazon Triple Border Region: Cross-Sectional Analysis Comparing Outcomes in the Brazilian, Peruvian and Colombian Population.Maternal and child health journal · 2023Article
- Association of service facilities and amenities with adolescent birth rates in Mexican cities.BMC public health · 2023Article
- Magnitude and Factors Associated with Teenage Pregnancy in Somaliland: Evidence from Somaliland Health and Demographic Survey, 2020.International journal of women's health · 2023Article
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Authors and funding
4 authors.
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Abstract
objectiveTo analyze municipal- and individual-level factors related to the prevalence of teenage pregnancy in Colombia during 2015.
methodsWe analyzed 660,767 births registers, of which 21.5% recorded adolescent women. At an individual level, marital status, educational level, area of residence, and access to health services were included in the analysis. At the contextual level, Colombian municipal socioeconomic characteristics and proxies of violence and poverty were analyzed. A multilevel logistic regression model was generated with a Markov Chain Monte Carlo estimation method using 100,000 simulations in MLwiN 2.32 software.
resultsMultilevel modeling revealed an increased risk of teenage pregnancy in municipalities with the highest numbers of people expelled by forced displacement (OR 1.21; CI 95%, 1.13-1.29) and with unsatisfied basic needs (OR 1.09; CI 95%, 1.02-1.17). At an individual level, the majority of the teenage women were unmarried and/or had an unstable partnership, a low level of educational, a subsidized health regimen, and resided in the municipal seat.
conclusionsMunicipal contextual variables related to poverty, violence, and social inequity contribute to an increase in teenage pregnancy in Colombia. At the individual level, marital status, educational level, and area of residence is associated with teenage pregnancy. It is therefore imperative to include municipal contextual characteristics in the design of the national political agenda.
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