ArticleContraception and reproductive medicine2024
Pooled prevalence and associated factors of teenage pregnancy among women aged 15 to 19 years in sub-Saharan Africa: evidence from 2019 to 2022 demographic and health survey data.
Article in Contraception and reproductive medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Determinants of adolescent pregnancy in East Africa: a systematic review and meta-analysis.The Pan African medical journal · 2025Pooled it
- Exploring the lived experiences of adolescent mothers in Burera and Nyarugenge districts, Rwanda: a phenomenological study.BMC pregnancy and childbirth · 2026Article
- High-risk fertility behavior among reproductive age women in extremely high and very high maternal mortality sub-Saharan African countries.Reproduction & fertility · 2026Article
- Machine learning-based prediction and identification of determinants of teenage pregnancy in ten East African countries.Scientific reports · 2026Article
- Perceived drivers of teenage pregnancies and barriers to utilization of contraceptive methods among adolescents in Rwanda: perspectives of adolescents and healthcare providers.Contraception and reproductive medicine · 2026Article
- Adolescent pregnancy estimates, spatial distribution, and policy implications in the Volta Region, Ghana, 2019-2023.Scientific reports · 2026Article
- Factors associated with married adolescent girls' and young women's participation in decision-making regarding sexual and reproductive health in Tanzania: a nationwide cross-sectional survey.Reproductive health · 2026Article
- Global trends and geographic variations of hypertension in childhood and adolescence 1990-2021: a systematic analysis of the Global Burden of Disease Study 2021.Clinical hypertension · 2026Article
- Adolescent effective access to sexual and reproductive health and rights in sub-Saharan Africa: a systematic review of legal, institutional and sociocultural barriers.BMJ public health · 2026Article
- Bridging HIV prevention and sexual reproductive health services in the context of multi-method PrEP: a qualitative study exploring provider perceptions in South Africa.Frontiers in reproductive health · 2026Article
- Time to first sexual experience and its predictors among young women (15-24 years) in Zambia: Evidence from 2024 Demographic and Health Survey.PLOS global public health · 2026Article
- Modern Contraceptive Use Among Young Women in Kampala Slums: Research Findings from the TOPOWA Study.International journal of environmental research and public health · 2025Article
- Factors associated with adolescent pregnancy in Nyarugenge and Burera districts, Rwanda.Reproductive health · 2025Article
- Prevalence and Determinants of Early Adolescent Childbearing in High Maternal Mortality Sub-Saharan Africa: A Multilevel Analysis of DHS Data.Journal of epidemiology and global health · 2025Article
- Factors associated with adolescent pregnancy among girls aged between 15 and 19 years in Muhanga district, Rwanda.BMC public health · 2025Article
- Determinants of cervical cancer screening among women of childbearing age in four sub-Saharan African countries: insights from large population surveys.BMC cancer · 2024Article
- Determinants of micronutrient supplementation during pregnancy among women in three sub-Saharan African countries: a multilevel logistic regression model.Frontiers in global women's health · 2024Article
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Abstract
backgroundTeenage pregnancy is becoming one of the most common social and public health problems worldwide, with the highest prevalence in sub-Saharan Africa. Health risks and adverse outcomes of pregnancy and childbirth among adolescent girls are the commonest cause of the global burden of maternal morbidity and mortality. This study is intended to determine the pooled prevalence and determinants of teenage pregnancy in sub-Saharan Africa using the most recent demographic and health survey data (2019-2022).
methodsA cross-sectional study was conducted using data from the most recent demographic and health surveys of four countries (Kenya, Tanzania, Gabon, and Cameroon) in sub-Saharan Africa conducted between 2019 and 2022. A total weighted sample of 12,829 teenagers aged 15 to 19 years was included in the study. Data extracted from demographic and health survey data sets were cleaned, recorded, and analyzed using STATA/SE version 14.0 statistical software. Multilevel mixed-effects logistic regression was used to determine the factors associated with the dependent variable. Finally, variables with a p-value ≤ 0.05 and an adjusted odds ratio with a 95% confidence interval were declared statistically significant.
resultsThe pooled prevalence of teenage pregnancy among women aged 15 to 19 years was 18.15% (95% CI: 17.49, 18.83). Teenage pregnancy was positively associated with the respondent's age [AOR = 2.97; 95% CI (2.55, 3.46)], educational status [AOR = 2.21; 95% CI (1.62, 3.03)] and [AOR = 1.80; 95% CI (1.54, 2.12)], wealth status [AOR = 2.61; 95% CI (2.12, 3.22)] and [AOR = 1.65; 95% CI (1.33, 2.05)], relation to the household head [AOR = 2.09; 95% CI (1.60, 2.72)], and unmet need for contraception [AOR = 14.3; 95% CI (11.5, 17.8)]. On the other hand, it was negatively associated with marital status [AOR = 0.08; 95% (0.07, 0.10)], working status [AOR = 0.75; 95% CI (0.64, 0.88)], age at first sex [AOR = 0.68; 95% CI (0.58, 0.80)], contraceptive use [AOR = 0.25; 95% CI (0.20, 0.30)], contraceptive knowledge [AOR = 0.27; 95% CI (0.19, 0.40)], and community contraceptive utilization [AOR = 0.85; 95% CI (0.73, 0.99)].
conclusionIn the current study, one out of six young women aged 15 to 19 experienced teenage pregnancy. Therefore, addressing unmet needs for family planning, improving women's educational status, and giving special attention to teenagers with low educational and economic status are recommended.
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