ArticleBMC public health2020
Association between sexual violence and unintended pregnancy among adolescent girls and young women in South Africa.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.
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Who cites it
40 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.
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- Suicidal Thoughts and Behaviors Among Chinese Adolescents in Relation to Negative Life Events, Internet Addiction, and Sexual Abuse: Cross-Sectional Study.Journal of medical Internet research · 2026Article
- Reproductive coercion and violence against women with unplanned pregnancies in Turkiye.Archives of women's mental health · 2026Article
- Prevalence of Sexual Violence and Its Associated Factors Among Pregnant Women in Arba Minch Town, Southern Ethiopia: A Cross-Sectional Study.Journal of pregnancy · 2026Article
- The 21st-century adolescent mothers' profile and adolescent pregnancy reduction in Brazil.Revista da Associacao Medica Brasileira (1992) · 2026Article
- Multilevel analysis of factors associated with abortion among adolescents in Uganda insights from UDHS 2022 dataset.PLOS global public health · 2026Article
- Knowledge and use of emergency contraceptives amid women seeking termination of pregnancy in the North West province.African journal of primary health care & family medicine · 2025Article
- Sexual Self-Objectification and Sex-Related Drinking Motives Among College Women: Do Emotion Regulation and Distress Tolerance Matter?Archives of sexual behavior · 2025Article
- Domestic violence laws and women's unmet need for family planning: Quasi-experimental evidence from Africa.Reproductive health · 2025Article
- Exploring Stakeholder Roles and Strategies for Preventing Teenage Pregnancy: A Comprehensive Analysis in Lepelle-Nkumpi District: South Africa.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Pregnancy risk behaviour among sexually active adolescent girls aged 10-17 years in high HIV prevalence districts in Uganda: a cross-sectional secondary analysis of the 2018 AGYW survey data.BMJ public health · 2025Article
- Navigating norms: a qualitative exploration of factors shaping contraceptive use in Senegal.Frontiers in global women's health · 2025Article
- Impact of layered behavioral, socio-economic and school-based interventions on selected behavioral and biomarker indicators among adolescent girls and young women in Uganda.PLOS global public health · 2025Article
- War impact on mental health and well-being among Ukrainian and Israeli women: A cross-national comparison.Global mental health (Cambridge, England) · 2025Article
- Early and unintended pregnancy in Eastern and Southern Africa: analysis of adolescent sexual and reproductive health and rights policies.BMJ global health · 2024Review
- Prevalence and Quantification of the Effects of Sexual Harassment Victimization of School-Aged Adolescents.Children (Basel, Switzerland) · 2023Article
- Key normative, legal, and policy considerations for supporting pregnant and postpartum adolescents in high HIV-burden settings: a critical analysis.Sexual and reproductive health matters · 2023Review
- Assessing the relationship between reproductive autonomy and contraceptive use in rural Malawi.Reproductive health · 2023Article
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUnintended pregnancy has dire consequences on the health and socioeconomic wellbeing of adolescent girls and young women (AGYW) (aged 15-24 years). While most studies tend to focus on lack of access to contraceptive information and services, and poverty as the main contributing factor to early-unintended pregnancies, the influence of sexual violence has received limited attention. Understanding the link between sexual violence and unintended pregnancy is critical towards developing a multifaceted intervention to reduce unintended pregnancies among AGYW in South Africa, a country with high teenage pregnancy rate. Thus, we estimated the magnitude of unintended pregnancy among AGYW and also examined the effect of sexual violence on unintended pregnancy.
methodsOur study adopted a cross-sectional design, and data were obtained from AGYW in a South African university between June and November 2018. A final sample of 451 girls aged 17-24 years, selected using stratified sampling, were included in the analysis. We used adjusted and unadjusted logistic regression analysis to examine the effect of sexual violence on unintended pregnancy.
resultsThe analysis shows that 41.9% of all respondents had experienced an unintended pregnancy, and 26.3% of those unintended pregnancies ended in abortions. Unintended pregnancy was higher among survivors of sexual violence (54.4%) compared to those who never experienced sexual abuse (34.3%). In the multivariable analysis, sexual violence was consistently and robustly associated with increased odds of having an unintended pregnancy (AOR:1.70; 95% CI: 1.08-2.68).
conclusionOur study found a huge magnitude of unintended pregnancy among AGYW. Sexual violence is an important predictor of unintended pregnancy in this age cohort. Thus, addressing unintended pregnancies among AGYW in South Africa requires interventions that not only increase access to contraceptive information and services but also reduce sexual violence and cater for survivors.
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