Evidence map›Paper›PMID 40103846›Full record

ReviewAJOG global reports2025

Prevalence, determinants, and complications of adolescent pregnancy: an umbrella review of systematic reviews and meta-analyses.

Biruk Beletew Abate, Ashenafi Kibret Sendekie, Addis Wondimagegn Alamaw, Kindie Mekuria Tegegne, Tegene Atamenta Kitaw, Molla Azmeraw Bizuayehu, Amare Kassaw, Gizachew Yilak, Alemu Birara Zemariam, Befkad Derese Tilahun

Erratum issuedAbstract readReview
In one paragraph

Review in AJOG global reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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  14. Lived Pregnancy and Motherhood Experience Among Early Adolescent Mothers.Inquiry : a journal of medical care organization, provision and financing
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Biruk Beletew AbateSchool of Population Health, Curtin University, Perth, Australia (Abate).
Ashenafi Kibret SendekieDepartment of Clinical Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia (Sendekie).
Addis Wondimagegn AlamawDepartment of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia (Alamaw, Tegegne, Kitaw, Bizuayehu, Yilak, Zemariam, and Tilahun).
Kindie Mekuria TegegneDepartment of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia (Alamaw, Tegegne, Kitaw, Bizuayehu, Yilak, Zemariam, and Tilahun).
Tegene Atamenta KitawDepartment of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia (Alamaw, Tegegne, Kitaw, Bizuayehu, Yilak, Zemariam, and Tilahun).
Molla Azmeraw BizuayehuDepartment of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia (Alamaw, Tegegne, Kitaw, Bizuayehu, Yilak, Zemariam, and Tilahun).
Amare KassawDepartment of Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia (Kassaw).
Gizachew YilakDepartment of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia (Alamaw, Tegegne, Kitaw, Bizuayehu, Yilak, Zemariam, and Tilahun).
Alemu Birara ZemariamDepartment of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia (Alamaw, Tegegne, Kitaw, Bizuayehu, Yilak, Zemariam, and Tilahun).
Befkad Derese TilahunDepartment of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia (Alamaw, Tegegne, Kitaw, Bizuayehu, Yilak, Zemariam, and Tilahun).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to assess the magnitude, determinants, and outcomes of adolescent pregnancy by combining data from previous systematic reviews and meta-analyses. DATA SOURCES: Online databases. STUDY ELIGIBILITY CRITERIA: Systematic Review and Meta-analysis.

methodsUsing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, PubMed, Embase, Scopus, Web of Sciences, Cochrane Database of Systematic Reviews, Scopus, and Google Scholar, which reported the magnitude, predictors, and/or outcomes of adolescent pregnancy, were searched. The quality of the included studies was assessed using the Assessment of Multiple Systematic Reviews. A weighted inverse variance random-effects model was used to determine the pooled estimates. In addition, subgroup heterogeneity, publication bias, and sensitivity were assessed.

resultsA total of 14 systematic reviews and meta-analyses involving 677,431 participants were included in the final analysis of this umbrella review. The pooled prevalence of adolescent pregnancy from global systematic reviews and meta-analyses was found to be 17.90 (95% confidence interval, 12.25-23.54). Level of education (adjusted odds ratio ranging from 1.40 to 9.07), socioeconomic status (lower: adjusted odds ratio ranging from 1.13 to 3.81), residency (rural: adjusted odds ratio ranging from 1.80 to 3.60), abuse (adjusted odds ratio ranging from 2.21 to 3.83), marital status (married: adjusted odds ratio ranging from 1.27 to 6.02), and contraceptive use (no: adjusted odds ratio ranging from 0.19 to 3.53) were identified as predictors of adolescent pregnancy. Anemia (adjusted odds ratio, 1.49; 95% confidence interval, 0.29-1.69;

conclusionThe prevalence of adolescent pregnancy varied significantly across previous systematic reviews and meta-analyses. The key determinants identified included low socioeconomic status, rural residency, a history of abuse, early marriage, and no contraceptive use. The complications associated with adolescent pregnancy included anemia, stillbirth, preeclampsia/eclampsia, preterm birth, and low birthweight. To reduce the burden of adolescent pregnancy, collaborative efforts are required from global, regional, and local stakeholders, such as policymakers and reproductive health program planners, through health education and training that focus on the most vulnerable populations.

Indexed as

adolescent pregnancydeterminantsglobaloutcomesprevalenceumbrella review

Identifiers

PMID40103846
PMCPMC11915151

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.