Trends and determinants of adolescent pregnancy: Results from Kenya demographic health surveys 2003-2014.
Adolescent
Demographic
Determinants
Health Survey
Pregnancy
Reproductive health
Trends
Journal
BMC women's health
ISSN: 1472-6874
Titre abrégé: BMC Womens Health
Pays: England
ID NLM: 101088690
Informations de publication
Date de publication:
10 10 2022
10 10 2022
Historique:
received:
19
07
2021
accepted:
20
09
2022
entrez:
10
10
2022
pubmed:
11
10
2022
medline:
13
10
2022
Statut:
epublish
Résumé
Adolescent pregnancy increases the risk of disability and death due to unsafe abortion, prolonged labour and delivery, and complications after birth. Availability of accurate data is important to guide decision-making related to adolescent sexual reproductive health (ASRH). This study analyses the trends in prevalence and factors associated with adolescent pregnancy in Kenya using data from three national Demographic Health Surveys (2003, 2008/2009, 2014). Our analysis focused on a subsample of data collected from women aged 20 to 24 years. A trend analysis was performed to establish a change in the rate of adolescent pregnancy in 2003, 2008/2009, and 2014 survey data points. Binary Logistic regression and pooled regression analysis were used to explore factors associated with adolescent pregnancy. The percentage of women aged 20 to 24 years who reported their first pregnancy between ages 15 and 19 years was 42% in 2003 and 42.2% in 2009 but declined to 38.9% in 2014. Using regression analyses, we established that education status, marital status, religion and wealth quintile were associated with adolescent pregnancy. Trend analysis shows that there was an overall decreasing trend in adolescent pregnancy between 2003 and 2014. Although Kenya has made strides in reducing the prevalence of adolescent pregnancy in the last decade, much more needs to be done to further reduce the burden, which remains high. Adolescents: Although WHO defines the adolescence period as being 10-19 years, this paper focuses on the late adolescent period, 15-19 years, here in referred to as adolescents.
Sections du résumé
BACKGROUND
Adolescent pregnancy increases the risk of disability and death due to unsafe abortion, prolonged labour and delivery, and complications after birth. Availability of accurate data is important to guide decision-making related to adolescent sexual reproductive health (ASRH). This study analyses the trends in prevalence and factors associated with adolescent pregnancy in Kenya using data from three national Demographic Health Surveys (2003, 2008/2009, 2014).
METHODS
Our analysis focused on a subsample of data collected from women aged 20 to 24 years. A trend analysis was performed to establish a change in the rate of adolescent pregnancy in 2003, 2008/2009, and 2014 survey data points. Binary Logistic regression and pooled regression analysis were used to explore factors associated with adolescent pregnancy.
RESULTS
The percentage of women aged 20 to 24 years who reported their first pregnancy between ages 15 and 19 years was 42% in 2003 and 42.2% in 2009 but declined to 38.9% in 2014. Using regression analyses, we established that education status, marital status, religion and wealth quintile were associated with adolescent pregnancy. Trend analysis shows that there was an overall decreasing trend in adolescent pregnancy between 2003 and 2014.
CONCLUSION
Although Kenya has made strides in reducing the prevalence of adolescent pregnancy in the last decade, much more needs to be done to further reduce the burden, which remains high.
DEFINITION
Adolescents: Although WHO defines the adolescence period as being 10-19 years, this paper focuses on the late adolescent period, 15-19 years, here in referred to as adolescents.
Identifiants
pubmed: 36217181
doi: 10.1186/s12905-022-01986-6
pii: 10.1186/s12905-022-01986-6
pmc: PMC9552415
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
416Informations de copyright
© 2022. The Author(s).
Références
Reprod Health. 2018 Jan 27;15(1):15
pubmed: 29374479
J Adolesc Health. 2019 Dec;65(6S):S3-S15
pubmed: 31761002
Ann Glob Health. 2017 Sep - Dec;83(5-6):781-790
pubmed: 29248095
Public Health Rep. 2016 Jan-Feb;131(1):86-99
pubmed: 26843674
PLoS One. 2018 Sep 26;13(9):e0204327
pubmed: 30256821
Eur J Obstet Gynecol Reprod Biol. 2009 Dec;147(2):151-6
pubmed: 19733429
BMC Public Health. 2019 Aug 20;19(1):1142
pubmed: 31429733
BMC Pregnancy Childbirth. 2017 Feb 16;17(1):65
pubmed: 28209120
J Adolesc Health. 2015 Feb;56(2):223-30
pubmed: 25620306
Reprod Health. 2014 Jan 02;11(1):1
pubmed: 24383405
Reprod Health. 2020 May 26;17(1):74
pubmed: 32456705
Stud Fam Plann. 2008 Dec;39(4):337-50
pubmed: 19248719
PLoS One. 2021 Feb 4;16(2):e0246308
pubmed: 33539394
BJOG. 2014 Mar;121 Suppl 1:40-8
pubmed: 24641534
Int Fam Plan Perspect. 2004 Sep;30(3):110-7
pubmed: 15381465
J Adolesc Health. 2015 Jan;56(1 Suppl):S7-14
pubmed: 25528980
Reprod Health. 2015 Feb 19;12:13
pubmed: 25971731
BMC Pregnancy Childbirth. 2019 Feb 6;19(1):59
pubmed: 30727995