ArticleBMC women's health2022
Prevalence and factors associated with unintended pregnancy among adolescent girls and young women in sub-Saharan Africa, a multilevel analysis.
Article in BMC women's health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.
- Early motherhood, early burden: depression among teenage pregnancy and early motherhood in Africa: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2026Pooled it
- The abortion trend after the pronatalist turn of population policies in Iran: a systematic review from 2005 to 2022.BMC public health · 2024Pooled it
- Unmet need for contraceptives and unintended pregnancies among adolescent girls and young women aged 15 to 24 in Zambia: insights from the Yathu Yathu trial.Reproductive health · 2025Trial
- Article
- Pregnant women's perceived unhappiness with current pregnancy: an analysis of prevalence, reasons, and associated factors in Quelimane district, Mozambique.BMC pregnancy and childbirth · 2026Article
- Reproductive Health Knowledge, Contraceptive Practices and Predictors of Unprotected Sexual Intercourse among Female Undergraduates in Ogbomoso, Nigeria.Rwanda journal of medicine and health sciences · 2026Article
- Sexual health literacy and risky sexual behaviour among female university students in Tanzania: a social-ecological analysis of levels, differences, and determinants.BMC public health · 2026Article
- Prevalence and determinants of unmet sexual and reproductive health needs among adolescent girls and young women in the Haut-Sassandra Region, Côte d'Ivoire.Public health in practice (Oxford, England) · 2026Article
- Prevalence of unintended pregnancy and associated factors among women attending antenatal care at a tertiary public health facility in Northern Uganda: a cross-sectional study.BMC pregnancy and childbirth · 2026Article
- The Role of Ideation on Intention to Use Contraceptives Among Married Women in Shenen Dhugo District, Eastern Ethiopia.BioMed research international · 2026Article
- Magnitude of Modern Contraceptive Use and Its Determinants Among Sexually Active Adolescent Girls and Young Women in Selected High HIV Prevalence Southern African Countries: A Multilevel Mixed-Effect Analysis.Open access journal of contraception · 2026Article
- Why are so many pregnancies still unintended in Ghana? A closer look at factors influencing reproductive autonomy.PLOS global public health · 2026Article
- Factors associated with unplanned pregnancy among pregnant women in Uganda.Scientific reports · 2025Article
- "Some rumors can make you fear to use the methods": a qualitative analysis of barriers to the utilization of modern birth control services among adolescent girls and young women in rural Northern Uganda.BMC women's health · 2025Article
- Effect of pregnancy intention on postpartum contraceptive use in Ethiopia: a national longitudinal study using propensity score methods.Reproductive health · 2025Article
- Modern Contraceptive Use Among Young Women in Kampala Slums: Research Findings from the TOPOWA Study.International journal of environmental research and public health · 2025Article
- Prevalence and factors associated with unintended pregnancy among women in Ghana.BMC pregnancy and childbirth · 2025Article
- Digital health technologies for accessing contraceptive services among young people in Sub-Saharan Africa: A scoping review protocol.PLOS digital health · 2025Article
- Factors Associated with Utilization of Modern Contraceptives among Female Undergraduates of Addis Ababa University Ethiopia.Ethiopian journal of health sciences · 2025Article
- The state of youth sexual and reproductive health problems and service utilisation in major towns of Ethiopia: a cross-sectional study.BMJ open · 2025Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUnintended pregnancy predisposes women to unsafe abortion, malnutrition, mental illness, and even death. Though adolescent girls and young women are at higher risk of unintended pregnancy, there is a paucity of evidence in its burden and associated factors in sub-Saharan Africa. Therefore, this study aimed to assess the prevalence and factors associated with unintended pregnancy among adolescent girls and young women in sub-Saharan Africa.
methodThis study was a secondary data analysis of 36 sub-Saharan African countries with a total weighted sample of 17,797 adolescent girls and young women. A multilevel logistic regression model was fitted and, the Adjusted Odds Ratio (AOR) with a 95% Confidence Interval (CI) was reported to assess the association between the independent variables and unintended pregnancy in Sub-Saharan Africa.
resultThe pooled prevalence of unintended pregnancy in sub-Saharan Africa was 30.01 with 95% CI (29.38-30.74). In multivariable multilevel logistic regression analysis, adolescent girls, and young women with higher education (AOR = 0.71 95%CI 0.52-0.97), those who know modern contraceptive methods (AOR = 0.86 95%CI 0.75-0.98), and traditional contraceptive methods (AOR = 0.90, 95%CI 0.59-0.95), married (AOR = 0.80, 95%CI 0.73-0.88), those from female-headed households (AOR = 0.86,95%CI 0.78-0.94), had lower odds of unintended pregnancy. Whereas adolescent girls and young women from Central Africa (AOR = 2.09,95%CI 1.23-3.55), southern Africa (AOR = 5.23, 95%CI 2.71-10.09), and Eastern Africa (AOR = 1.07,95%CI 1.07-2.66) had higher odds of unintended pregnancy.
conclusionPrevalence of unintended pregnancy in Sub-Saharan Africa is high. Therefore, educating adolescent girls and young women, and improving their knowledge about family planning services is vital. It is also better for the government of countries in sub-Saharan Africa and other global and local stakeholders to work hard to ensure universal access to sexual and reproductive healthcare services, including family planning, education, and the integration of reproductive health into national strategies and programs to reduce unintended pregnancy.
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