ArticleReproductive health2021
"I was tricked": understanding reasons for unintended pregnancy among sexually active adolescent girls.
Article in Reproductive health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 51 citations in OpenAlex.
- Measurement of Human Flourishing Constructs in Evaluation of Voluntary Family Planning Interventions: A Modified Scoping Review of the Literature.International journal of environmental research and public health · 2026Article
- 'You may be a mother, but you're also a child.'- the importance of unintended pregnancy of underaged women in Germany for sexual and reproductive health: a biographical narrative analysis.Reproductive health · 2026Article
- Unintended pregnancy among women living with HIV in Cross River State, Nigeria: prevalence, associated factors, and implications for HIV prevention.BMC public health · 2026Article
- Perceived factors shaping unsafe abortion practices among young women in Bongo District, Ghana.Frontiers in reproductive health · 2026Article
- Capturing the Dynamic Nature of Choice: Qualitative Perspectives on Contraceptive Acceptability from Cameroon and Kenya.Studies in family planning · 2025Article
- Unintended pregnancy and its associated factors in Mi'eso Woreda, West Hararghe Zone, Oromia Regional State, Eastern Ethiopia.Journal of public health research · 2025Article
- How do gender transformative interventions reduce adolescent pregnancy in low- and middle-income countries: a realist synthesis.Journal of global health · 2025Review
- Wealth-based inequality in underweight among Scheduled Tribe women in India: a regional analysis.International journal for equity in health · 2025Article
- Article
- Prevalence of unplanned first pregnancy and socioeconomic factors in Benin: a cross-sectional and analytical study.BMJ public health · 2024Article
- The reasons for and influences of unintended teenage pregnancy in Kericho county, Kenya: a qualitative study.Reproductive health · 2024Article
- "My friends said they should no longer be with a b*tch like me…": A qualitative study to explore the consequences of adolescent childbearing among teen mothers in Gatsibo district, Rwanda.PLOS global public health · 2024Article
- Using the Family Planning Estimation Tool (FPET) to assess national-level family planning trends and future projections for contraceptive prevalence and associated demand for HIV-infected women in sub-Saharan Africa.PLOS global public health · 2024Article
- Article
- "My father insisted that I have the baby but not in his house": Adolescent pregnancy, social exclusion and (dis)empowerment of girls in an urban informal settlement in Kenya.PLOS global public health · 2024Article
- Creating an Intercultural User-Centric Design for a Digital Sexual Health Education App for Young Women in Resource-Poor Regions of Kenya: Qualitative Self-Extended Double Diamond Model for Requirements Engineering Analysis.JMIR formative research · 2023Article
- Exploring health insurance and knowledge of the ovulatory cycle: evidence from Demographic and Health Surveys of 29 countries in Sub-Saharan Africa.Reproductive health · 2023Article
- Naïve, uninformed and sexually abused: circumstances surrounding adolescent pregnancies in Malawi.Reproductive health · 2023Article
- School attendance and sexual and reproductive health outcomes among adolescent girls in Kenya: a cross-sectional analysis.Reproductive health · 2023Article
- Sexual and reproductive health service utilization among adolescent girls in Kenya: A cross-sectional analysis.PLOS global public health · 2023Article
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Authors and funding
6 authors at 1 institution in 1 country.
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Abstract
backgroundWhile the Kenya government is mobilizing high-level strategies to end adolescent pregnancy by 2030, a clear understanding of drivers of early unintended pregnancy in the country is a necessary precursor. In this study, we determine the prevalence, associated factors, and reasons for unintended pregnancy among sexually active adolescent girls (aged 15-19 in two Kenya counties with the highest rate of teenage pregnancy.
methodsWe used the "In Their Hands" (ITH) program's baseline evaluation data. The study adopted a mixed-methods design with 1110 sexually active adolescent girls in the quantitative component and 19 girls who were either pregnant or nursing a child in the qualitative. We used adjusted and unadjusted logistic regression to model factors associated with unintended pregnancy among respondents. We used a thematic analysis of qualitative data to examine girls' reasons for having unintended pregnancy.
resultsOverall, 42% of respondents have had an unintended pregnancy; however, higher proportions were observed among girls who were 19 years (49.4%), double orphans (53.6%), never used contraceptive (49.9%), out-of-school (53.8%), and married (55.6%). After adjusting for relevant covariates, the odds of unintended pregnancy were higher among girls who resided in rural areas (AOR 1.64, 95% CI 1.22-2.20), had primary or no formal education (AOR 1.50 95% CI 1.11-2.02), and had never used contraceptive (AOR 1.69 95% CI 1.25-2.29) compared with their counterparts. Current school attendance was associated with a 66% reduction in the probability of having an unintended pregnancy. Participants of the qualitative study stated that the desire to maintain a relationship, poor contraceptive knowledge, misinformation about contraceptive side effects, and lack of trusted mentors were the main reasons for their unintended pregnancies.
conclusionA massive burden of unintended pregnancy exists among sexually active adolescent girls in the study setting. Adolescent boys and girls need better access to sexuality education and contraceptives in the study setting to reduce early unintended pregnancy.
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