Predictors of pregnancy among young people in sub-Saharan Africa: a systematic review and narrative synthesis.
predictors
sub-saharan africa
systematic review
teenage pregnancy
Journal
BMJ global health
ISSN: 2059-7908
Titre abrégé: BMJ Glob Health
Pays: England
ID NLM: 101685275
Informations de publication
Date de publication:
2019
2019
Historique:
received:
12
02
2019
revised:
15
04
2019
accepted:
11
05
2019
entrez:
3
7
2019
pubmed:
3
7
2019
medline:
3
7
2019
Statut:
epublish
Résumé
Sub-Saharan Africa has among the highest prevalence of teenage pregnancy in the world. Teenage mothers and their children are at risk to a host of medical, social and economic challenges. Adolescent pregnancy is a significant cost to the mother and newborn child, and also to their family and the wider society. Despite measures taken by some sub-Saharan nations to tackle the issue of adolescent pregnancy, the phenomenon remains a public health concern that is widespread throughout the region. Currently, there are few studies that examine the predictors of teenage pregnancy in the sub-Saharan region. The objective of the present study was to systematically review predictors of pregnancy among young people in sub-Saharan Africa. A literature search was conducted using Medline, CINAHL and EMBASE electronic databases. Following duplicate removal, abstract and full-text screening, 15 studies were ultimately included in the final review. Narrative synthesis was used to synthesise the qualitative and quantitative findings. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses. Twenty-seven predictors of teenage pregnancy were identified and grouped into six themes (Partner and peer-related predictors; Sexual health knowledge, attitude and behaviour-related predictors; Parenting and family-related predictors; Economic, environmental and cultural predictors; Personal predictors; and Quality of healthcare services predictors). The most obvious predictors included sexual coercion and pressure from male partners, low or incorrect use of contraceptives, and poor parenting or low parental communication and support. This review emphasises that the large prevalence of adolescent pregnancy in sub-Saharan Africa is attributable to multiple predictors that our study was able to group into six themes. Policy changes and programmes must be implemented in sub-Saharan Africa to address these determinants in order to reduce adolescent pregnancy within the region.
Sections du résumé
BACKGROUND
BACKGROUND
Sub-Saharan Africa has among the highest prevalence of teenage pregnancy in the world. Teenage mothers and their children are at risk to a host of medical, social and economic challenges. Adolescent pregnancy is a significant cost to the mother and newborn child, and also to their family and the wider society. Despite measures taken by some sub-Saharan nations to tackle the issue of adolescent pregnancy, the phenomenon remains a public health concern that is widespread throughout the region. Currently, there are few studies that examine the predictors of teenage pregnancy in the sub-Saharan region. The objective of the present study was to systematically review predictors of pregnancy among young people in sub-Saharan Africa.
METHODS
METHODS
A literature search was conducted using Medline, CINAHL and EMBASE electronic databases. Following duplicate removal, abstract and full-text screening, 15 studies were ultimately included in the final review. Narrative synthesis was used to synthesise the qualitative and quantitative findings. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses.
RESULTS
RESULTS
Twenty-seven predictors of teenage pregnancy were identified and grouped into six themes (Partner and peer-related predictors; Sexual health knowledge, attitude and behaviour-related predictors; Parenting and family-related predictors; Economic, environmental and cultural predictors; Personal predictors; and Quality of healthcare services predictors). The most obvious predictors included sexual coercion and pressure from male partners, low or incorrect use of contraceptives, and poor parenting or low parental communication and support.
CONCLUSION
CONCLUSIONS
This review emphasises that the large prevalence of adolescent pregnancy in sub-Saharan Africa is attributable to multiple predictors that our study was able to group into six themes. Policy changes and programmes must be implemented in sub-Saharan Africa to address these determinants in order to reduce adolescent pregnancy within the region.
Identifiants
pubmed: 31263589
doi: 10.1136/bmjgh-2019-001499
pii: bmjgh-2019-001499
pmc: PMC6570986
doi:
Types de publication
Systematic Review
Langues
eng
Pagination
e001499Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
S Afr Med J. 2001 Jan;91(1):73-80
pubmed: 11236303
Public Health Nurs. 2001 Jan-Feb;18(1):24-32
pubmed: 11251870
Soc Sci Med. 2001 Jun;52(12):1815-26
pubmed: 11352408
J R Soc Med. 2004 Mar;97(3):121-3
pubmed: 14996958
Int Fam Plan Perspect. 2004 Dec;30(4):156-63
pubmed: 15590381
Int Fam Plan Perspect. 2004 Dec;30(4):182-9
pubmed: 15590384
Stud Fam Plann. 2004 Dec;35(4):275-90
pubmed: 15628785
BMC Public Health. 2006 Dec 23;6:310
pubmed: 17187685
AIDS Behav. 2009 Apr;13(2):225-33
pubmed: 18064556
Popul Stud (Camb). 2008 Mar;62(1):1-13
pubmed: 18278669
Afr J Reprod Health. 2007 Dec;11(3):62-82
pubmed: 18458747
Glob Public Health. 2009;4(4):350-66
pubmed: 19462269
BMC Med Res Methodol. 2009 Aug 11;9:59
pubmed: 19671152
Rev Panam Salud Publica. 2009 Sep;26(3):221-8
pubmed: 20058832
J Marriage Fam. 2009 May 1;71(2):396-416
pubmed: 20161389
Cult Health Sex. 2010 May;12(4):347-58
pubmed: 20162476
Int J Gynaecol Obstet. 2010 Dec;111(3):220-3
pubmed: 20800837
J Adolesc Health. 2010 Oct;47(4):374-80
pubmed: 20864007
J Community Health. 2011 Jun;36(3):375-80
pubmed: 20924781
Curationis. 2010 Sep;33(3):33-42
pubmed: 21428237
Afr J Reprod Health. 2010 Sep;14(3):183-8
pubmed: 21495611
AIDS Care. 2012;24(5):562-76
pubmed: 22149322
Int J Gynaecol Obstet. 2012 Aug;118(2):137-40
pubmed: 22652480
Curationis. 2012 Jul 11;35(1):19
pubmed: 23327768
Afr J Reprod Health. 2012 Sep;16(3):140-54
pubmed: 23437508
Afr Health Sci. 2012 Dec;12(4):426-34
pubmed: 23515418
J Adolesc Health. 2013 May;52(5):517-22
pubmed: 23608717
Reprod Health Matters. 2013 May;21(41):97-105
pubmed: 23684192
Stud Fam Plann. 2013 Jun;44(2):147-67
pubmed: 23720000
Indian J Psychiatry. 2013 Jul;55(3):211-3
pubmed: 24082238
Pediatrics. 2014 Jan;133(1):114-22
pubmed: 24298010
BJOG. 2014 Mar;121 Suppl 1:40-8
pubmed: 24641534
Sex Reprod Healthc. 2015 Mar;6(1):9-13
pubmed: 25637418
BMC Public Health. 2015 Feb 10;15:118
pubmed: 25884675
Stud Fam Plann. 2015 Jun;46(2):143-60
pubmed: 26059987
Stud Fam Plann. 2015 Sep;46(3):263-79
pubmed: 26347090
Curationis. 2015 Nov 05;38(2):1540
pubmed: 26842080
Int Perspect Sex Reprod Health. 2015 Dec;41(4):191-9
pubmed: 26871727
Reprod Health. 2016 Apr 14;13:39
pubmed: 27080996
J Biosoc Sci. 2017 May;49(3):334-347
pubmed: 27644124
Glob Public Health. 2017 Jun;12(6):694-710
pubmed: 27687242
Reprod Health. 2017 Jun 26;14(1):77
pubmed: 28651643
Int J Adolesc Med Health. 2017 Sep 15;:null
pubmed: 28915113
PLoS One. 2018 Jul 25;13(7):e0200898
pubmed: 30044850
J Biosoc Sci. 1987 Jul;19(3):313-21
pubmed: 3624293
JAMA. 1997 Sep 10;278(10):823-32
pubmed: 9293990