Correlates of Rapid Repeat Pregnancy Among Adolescents and Young Women in Uganda

Burke, Holly M.; Santo, Leila Dal; Bernholc, Alissa; Akol, Angela; Chen, Mario

doi:10.1363/44e5518

Cited by 11 publications

(6 citation statements)

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“…Urban residents had only the two factors; no or incomplete primary education and younger age at first sex. These results reinforce the role education, poverty and early age of sexual debut in increasing the risk of adolescent childbirth/pregnancy [2,25,[52][53][54][55]. Girls from poorer communities and households are more vulnerable to adolescent pregnancy and early marriage/union.…”

Section: Determinants Of Adolescent Childbirthsupporting

confidence: 66%

Trends and determinants of adolescent childbirth in Uganda- analysis of rural and urban women using six demographic and health surveys, 1988–2016

et al. 2020

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Introduction: Uganda has high adolescent pregnancy. The details of adolescent childbirth and urban/rural patterns are scarce. We investigated the levels, time trends and determinants of adolescent childbirth in Uganda separately for urban and rural women. Methods: We estimated the percentage of women 20-24 years at each of the six Uganda Demographic and Health Surveys (1988/ 89, 1995, 2000/01, 2006, 2011 and 2016) who reported a live childbirth before age 20 years ("adolescent childbirth"), and examined change over time using t-test. A modified multivariable Poisson regression was used to examine determinants of having adolescent childbirth on the 2016 survey.

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Section: Determinants Of Adolescent Childbirthsupporting

confidence: 66%

Trends and determinants of adolescent childbirth in Uganda- analysis of rural and urban women using six demographic and health surveys, 1988–2016

et al. 2020

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“…Além disso, as que engravidaram novamente apresentaram maior chance de nunca terem utilizado anticoncepcional (OR=1,69; IC95%=1,25-2,29) em comparação às demais adolescentes 6 Em países da África, as gravidezes repetidas ainda na adolescência estão associadas ao início sexual e ao casamento precoce de meninas [25][26][27] . Os fatores associados à rápida repetição da gravidez entre mulheres atualmente casadas ou em coabitação geralmente são residência rural em regiões mais pobres e idade prematura da união 28 , podendo ser explicados pelo acesso desigual ao planejamento familiar entre as adolescentes casadas e mais pobres 29 .…”

Section: Discussionunclassified

Reincidência de gravidez na adolescência: fatores associados e desfechos maternos e neonatais

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Martinelli

Silva

et al. 2022

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Resumo O objetivo é analisar os fatores socioeconômicos e demográficos associados à reincidência de gravidez na adolescência, assim como verificar a associação com desfechos maternos e neonatais desfavoráveis. É um estudo transversal, a partir dos dados do “Nascer no Brasil”, composto por puérperas adolescentes e seus recém-nascidos. Utilizou-se regressão logística univariada e múltipla para indicar os fatores associados à essa reincidência. A reincidência da gravidez na adolescência esteve associada à idade materna de 17-19 anos (OR=3,35; IC95%=2,45-4,59), à escolaridade inadequada para a idade (OR=4,34; IC95%=3,50-5,39), à intenção de engravidar, à residência na capital do estado e ao fato do companheiro ser chefe da família. No entanto, as adolescentes primíparas apresentaram maior chance de doença hipertensiva e crescimento intrauterino restrito. Conclui-se que há um elevado percentual de reincidência de gravidez na adolescência no Brasil. Adolescentes com companheiro, pouca escolaridade e sem planejamento reprodutivo são as mais expostas a ter duas ou mais gestações antes dos 20 anos, demostrando dificuldades em postergar a primeira gestação. Todavia as adolescentes primíparas apresentam maior chance de intercorrências do que as multíparas.

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“…In African nations, recurring teenage pregnancies are associated with the onset of sexual activity and with early marriages among teenage girl [25][26][27] . The factors associated with a quick repetition of pregnancy among women are those who are currently married or living together with their partners, who generally live in poorer rural regions, and who are in the early years of their marriage 28 , which can be explained by the unequal access to family planning among married and poorer teenagers 29 .…”

Section: Discussionmentioning

confidence: 99%

Recurrence of teenage pregnancy: associated maternal and neonatal factor outcomes

Assis

Martinelli

Silva

et al. 2022

Ciênc. saúde coletiva

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The present study aims to analyze the socioeconomic and demographic factors associated with the recurrence of teenage pregnancy, as well as to verify the association with unfavorable maternal and neonatal outcomes. It is a cross-sectional study, based on data from “Nascer no Brasil”, comprised of adolescent mothers and their newborns. Univariate and multiple logistic regression were used to indicate the factors associated with this recurrence. Recurrence of teenage pregnancy was associated with a maternal age of 17-19 years (OR=3.35; 95%CI=2.45-4.59); an inadequate education for their age (OR=4.34; 95%CI=3.50-5.39), with no intention of becoming pregnant; residency in the state capital; and the fact that the partner is the head of the family. However, as independent primiparous teenagers, there is a greater chance of hypertension and restricted intrauterine growth. It can therefore be concluded that there is a high percentage of teenage pregnancies in Brazil. Teenagers with a partner, inadequate education, and no reproductive planning are more likely to have two or more pregnancies before the age of 20, demonstrating difficulties in postponing the first pregnancy. However, as primiparous teenagers, they are more likely to have complications than multiparous teenagers.

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Correlates of Rapid Repeat Pregnancy Among Adolescents and Young Women in Uganda

Abstract: Efforts to reduce rapid repeat pregnancy among young women in Uganda should focus on rural areas. Strategies to reach women during antenatal care and the postpartum period after their first birth should be prioritized.

Cited by 11 publications

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Trends and determinants of adolescent childbirth in Uganda- analysis of rural and urban women using six demographic and health surveys, 1988–2016

Trends and determinants of adolescent childbirth in Uganda- analysis of rural and urban women using six demographic and health surveys, 1988–2016

Reincidência de gravidez na adolescência: fatores associados e desfechos maternos e neonatais

Recurrence of teenage pregnancy: associated maternal and neonatal factor outcomes

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