ArticleWomen's health (London, England)
Repeat adolescent pregnancies in Southwestern Uganda: A cross-sectional study.
Article in Women's health (London, England). 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.
- Assessing the impact of the COVID-19 pandemic on adolescent pregnancy in Southwestern Uganda: a qualitative analysis using the socio-ecological model.Reproductive health · 2025Article
- Factors Associated with Repeat Teenage Pregnancy in Refugee Settlements in Uganda.Pediatric health, medicine and therapeutics · 2025Article
- Advancing sexual and reproductive health and rights in Africa.Women's health (London, England)Article
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7 authors.
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Abstract
backgroundPregnancy in adolescents continues to remain a significant public health challenge, with repeat pregnancies in this age group often receiving insufficient attention. In Uganda, repeat adolescent pregnancy varies between 26.1% and 55.6%. Evidence shows that repeat pregnancy in adolescence is more common in settings of high poverty, low educational attainment and low use of long-acting reversible contraceptives among others.
objectivesThe main aim of this study is to determine the underlying risk and protective factors of repeat adolescent pregnancy in Uganda.
designThis was a cross-sectional study among adolescent girls and young women aged between 13 and 22 years with single and repeat pregnancies in four districts in Southwestern Uganda.
methodsThe questionnaire was administered on a portable PC to collect information on socio-demographic characteristics, sexual behaviours, sexual and reproductive health (SRH) knowledge, pregnancy outcome, experience of violence and mental health. Descriptive statistics and logistic regression were performed.
resultsA total of 115 girls with single and 93 with repeat pregnancies participated in the survey. Of these, 42 (20.2%) were 18 years and younger. The majority (92%) had dropped out of school, having achieved primary-level education (67%). The mean age of sexual debut (15.6 versus 16.4 years) and the mean age at first pregnancy (16.4 versus 17.3 years) were lower among those in repeat-pregnancy group compared to those in single-pregnancy group. The odds of having repeat pregnancy were higher among participants who engaged in risky behaviour (AOR 3; 95% CI (1.28-7.37)) and experienced any form of violence (AOR 4.67; 95% CI (1.5-16.56)). Being single, having the first pregnancy in older age (16 and above) and having a positive first pregnancy outcome (live birth) served as protective factors for repeat pregnancy.
conclusionsAdolescents with repeat pregnancies have significantly more SRH risks compared to those with single pregnancies. These findings underscore the importance of multi-faceted and timely interventions for adolescent girls in this setting, with an emphasis on the mitigation of violence, and enhancing access to comprehensive sexuality education, and SRH services.
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