ArticleBMJ open2021
Later life outcomes of women by adolescent birth history: analysis of the 2016 Uganda Demographic and Health Survey.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Family planning and nutrition: systematic review of the effects of family planning on nutritional status of adolescent girls and women of reproductive age.BMJ global health · 2025Pooled it
- Article
- Supporting pregnant and mothering adolescents in their schooling: Insights for policy and practice.International journal of educational development · 2025Article
- Low uptake and poor knowledge of preconception sickle cell trait screening among pregnant women in Bushenyi District, southwestern Uganda: Implications for sustainable development goals.Preventive medicine reports · 2025Article
- Teenage mothers report poor health and economic functioning in Western Kenya: A call to action.PLOS global public health · 2025Article
- Addressing social norms for adolescent timing and spacing of pregnancy in low and middle-income countries: Developing a global research agenda.Journal of global health · 2024Article
- 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
- Teenage first-time mothers' perceptions about their health care needs in the immediate and early postpartum period in Uganda.BMC pregnancy and childbirth · 2022Article
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Authors and funding
8 authors at 4 institutions in 5 countries.
Funding
Abstract
objectivesTo describe the long-term socioeconomic and reproductive health outcomes of women in Uganda by adolescent birth history.
designCross-sectional study.
settingUganda.
participantsWomen aged 40-49 years at the 2016 Uganda Demographic and Health Survey. OUTCOME MEASURES: We compared socioeconomic and reproductive outcomes among those with first birth <18 years versus not. Among those with a first birth <18 years, we compared those with and without repeat adolescent births (another birth <20 years). We used two-sample test for proportions, linear regression and Poisson regression.
findingsAmong the 2814 women aged 40-49 years analysed, 36.2% reported a first birth <18 years and 85.9% of these had a repeat adolescent birth. Compared with women with no birth <18 years, those with first birth <18 years were less likely to have completed primary education (16.3% vs 32.2%, p<0.001), more likely to be illiterate (55.0% vs 44.0%, p<0.001), to report challenges seeking healthcare (67.6% vs 61.8%, p=0.002) and had higher mean number of births by age 40 years (6.6 vs 5.3, p<0.001). Among women married at time of survey, those with birth <18 years had older husbands (p<0.001) who also had lower educational attainment (p<0.001). Educational attainment, household wealth score, total number of births and under-5 mortality among women with one adolescent birth were similar, and sometimes better, than among those with no birth <18 years.
conclusionsResults suggest lifelong adverse socioeconomic and reproductive outcomes among women with adolescent birth, primarily in the category with repeat adolescent birth. While our results might be birth-cohort specific, they underscore the need to support adolescent mothers to have the same possibilities to develop their potentials, by supporting school continuation and prevention of further unwanted pregnancies.
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