Later life outcomes of women by adolescent birth history: analysis of the 2016 Uganda Demographic and Health Survey.
obstetrics
public health
reproductive medicine
sexual medicine
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
10 02 2021
10 02 2021
Historique:
entrez:
11
2
2021
pubmed:
12
2
2021
medline:
15
5
2021
Statut:
epublish
Résumé
To describe the long-term socioeconomic and reproductive health outcomes of women in Uganda by adolescent birth history. Cross-sectional study. Uganda. Women aged 40-49 years at the 2016 Uganda Demographic and Health Survey. We compared socioeconomic and reproductive outcomes among those with first birth <18 years versus not. Among those with a first birth <18 years, we compared those with and without repeat adolescent births (another birth <20 years). We used two-sample test for proportions, linear regression and Poisson regression. Among the 2814 women aged 40-49 years analysed, 36.2% reported a first birth <18 years and 85.9% of these had a repeat adolescent birth. Compared with women with no birth <18 years, those with first birth <18 years were less likely to have completed primary education (16.3% vs 32.2%, p<0.001), more likely to be illiterate (55.0% vs 44.0%, p<0.001), to report challenges seeking healthcare (67.6% vs 61.8%, p=0.002) and had higher mean number of births by age 40 years (6.6 vs 5.3, p<0.001). Among women married at time of survey, those with birth <18 years had older husbands (p<0.001) who also had lower educational attainment (p<0.001). Educational attainment, household wealth score, total number of births and under-5 mortality among women with one adolescent birth were similar, and sometimes better, than among those with no birth <18 years. Results suggest lifelong adverse socioeconomic and reproductive outcomes among women with adolescent birth, primarily in the category with repeat adolescent birth. While our results might be birth-cohort specific, they underscore the need to support adolescent mothers to have the same possibilities to develop their potentials, by supporting school continuation and prevention of further unwanted pregnancies.
Identifiants
pubmed: 33568369
pii: bmjopen-2020-041545
doi: 10.1136/bmjopen-2020-041545
pmc: PMC7878126
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e041545Subventions
Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : World Health Organization
ID : 001
Pays : International
Informations de copyright
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Reprod Health. 2018 Jan 27;15(1):15
pubmed: 29374479
Lancet Glob Health. 2015 Jul;3(7):e366-77
pubmed: 25999096
Pediatr Clin North Am. 2017 Apr;64(2):381-388
pubmed: 28292453
Reprod Health. 2015 Apr 22;12:35
pubmed: 25896066
Reprod Health. 2016 Aug 23;13(1):98
pubmed: 27553956
J Adolesc. 2019 Dec;77:98-107
pubmed: 31698314
Int J Gynaecol Obstet. 2019 Apr;145(1):54-61
pubmed: 30706467
Rev Bras Ginecol Obstet. 2017 Feb;39(2):41-43
pubmed: 28293915
Lancet Child Adolesc Health. 2017 Nov;1(3):164-166
pubmed: 30169161
Afr Health Sci. 2005 Dec;5(4):304-9
pubmed: 16615840
PLoS One. 2013 Apr 16;8(4):e59864
pubmed: 23613716
Int J Epidemiol. 2007 Apr;36(2):368-73
pubmed: 17213208
Lancet Glob Health. 2014 Mar;2(3):e155-64
pubmed: 25102848
Int Perspect Sex Reprod Health. 2015 Dec;41(4):210-7
pubmed: 26871729
Matern Child Nutr. 2017 Jul;13(3):
pubmed: 27650794
J Fam Issues. 2009;30(4):484-510
pubmed: 20216917
Child Dev Perspect. 2017 Mar;11(1):63-69
pubmed: 28533814
Int J Environ Res Public Health. 2018 Jan 24;15(2):
pubmed: 29364192
Ann Glob Health. 2017 Sep - Dec;83(5-6):781-790
pubmed: 29248095
Reprod Health. 2018 Nov 6;15(1):184
pubmed: 30400964
BMC Public Health. 2010 Sep 03;10:530
pubmed: 20813069
Demography. 2016 Feb;53(1):85-116
pubmed: 26753548
Stud Fam Plann. 2015 Jun;46(2):143-60
pubmed: 26059987
J Pediatr Adolesc Gynecol. 2016 Dec;29(6):612-616
pubmed: 27222491
Rev Med Inst Mex Seguro Soc. 2017 Mar-Apr;55(2):223-229
pubmed: 28296372
Acta Obstet Gynecol Scand. 2012 Sep;91(9):1114-8
pubmed: 22620274
Reprod Health. 2015 Feb 19;12:13
pubmed: 25971731
BMC Pregnancy Childbirth. 2019 Feb 6;19(1):59
pubmed: 30727995
PLoS One. 2020 Apr 14;15(4):e0231557
pubmed: 32287303
Afr J Reprod Health. 2012 Jun;16(2):231-40
pubmed: 22916555
Nature. 2018 Feb 21;554(7693):458-466
pubmed: 29469095
Demography. 2001 Feb;38(1):115-32
pubmed: 11227840
Contraception. 2018 Dec;98(6):510-516
pubmed: 30217474
Soc Sci Med. 2016 May;157:9-17
pubmed: 27058633
Fam Plann Perspect. 1978 Jul-Aug;10(4):199-205
pubmed: 567590
BMC Public Health. 2013 Sep 08;13:816
pubmed: 24011141
BMC Public Health. 2008 Mar 04;8:83
pubmed: 18318894
J Adolesc Health. 2019 Jul;65(1S):S16-S24
pubmed: 31228985
J Adolesc Health. 2016 Sep;59(3 Suppl):S16-21
pubmed: 27562449