ArticleInternational journal for equity in health2023
Social determinants of health and adolescent childbearing in WHO Eastern Mediterranean countries.
Article in International journal for equity in health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed.
- Pathways to empowerment of adolescent mothers: a policy-oriented approach for improving postpartum self-efficacy and health service access within Iran's health system.BMC public health · 2026Article
- The Impact of Social, Cultural, and Identity-Related Factors on Delayed Childbearing: A Multi-Center Study.Risk management and healthcare policy · 2025Article
- Adverse obstetric and perinatal outcomes among Palestinian adolescent mothers in the West Bank: a retrospective cohort study.Frontiers in global women's health · 2025Article
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Abstract
objectivesTeenage pregnancy and motherhood is a crucial problem in countries of the World Health Organisation Eastern Mediterranean Region (WHO-EMR). The aim of this paper is to describe and analyse the phenomenon of adolescent childbearing in ten countries according to social determinants like milieu (rural-urban), education level, wealth quintiles, territoriality (countries, regions) and nationality.
methodsInequity in terms of adolescent childbearing was analysed using disaggregated data given by Demographic Health Surveys (DHS), UNICEF Multiple Indicator Cluster Surveys (MICS) and the Pan Arab Project for Family Health (PAPFAM) surveys. Beside the absolute differences (gaps) and relative differences (ratios), the index of dissimilarity (ID) was used to compare the distributions of adolescent pregnancy and motherhood by social determinants in each country.
resultsData analysis indicates that the average percentage of adolescent women aged 15-19 years who have begun childbearing shows a large difference between countries, varying from 0.4% in Tunisia to 15.1% in Sudan, combined with huge gaps within each country as indicated by the values of the index of dissimilarity. Poor, rural and non-educated adolescent girls are more exposed to teenage childbearing than their counterparts-rich, urban and educated girls.
conclusionAccording to different social determinants, sensible variations are seen in terms of adolescent pregnancy and motherhood within the ten countries considered in this study. This is a clear appeal to decision makers to reduce child marriage and pregnancy by acting on social determinants of health, targeting disadvantaged girls coming mainly from marginalised groups and poor families living in remote rural zones.
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