Adolescent Pregnancy and Parenthood in South Africa

Kaufman, Carol E.; Wet, Thea de; Stadler, Jonathan

doi:10.1111/j.1728-4465.2001.00147.x

Cited by 144 publications

(68 citation statements)

References 14 publications

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“…Adolescent females are an important target group given that substance use disorders usually first occur in late adolescence and early adulthood (Kessler et al, 2007), and young females who are at high risk of having unplanned pregnancies are generally not inclined to access family planning services (Kaufman, de Wet, & Stadler, 2003).…”

Section: Discussionmentioning

confidence: 99%

Predictors of risk of alcohol-exposed pregnancies among women in an urban and a rural area of South Africa

Morojele

London

Olorunju

et al. 2010

Social Science & Medicine

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a b s t r a c tThe study sought to determine the prevalence and predictors of being at risk of an alcohol-exposed pregnancy (AEP) among women of child-bearing age in an urban and rural location in South Africa. We conducted a cross-sectional household survey of 1018 women aged 18-44 years in one urban (n ¼ 606) and one rural (n ¼ 412) site. The women were interviewed using a structured questionnaire. We defined the primary dependent variable, being at risk of having an AEP, as current alcohol use, not being pregnant, being fertile, and no effective use of contraceptives. The independent variables included demographic, substance use, health perceptions, psycho-social, and partner characteristics. The rural women (21.84%) were more likely than their urban counterparts (11.22%) to be at risk of an AEP. In multiple logistic regression analyses, significant predictors of being in the ''at risk'' group for the urban women were (a) being 'white' as opposed to 'black/African', and being 'coloured' as opposed to 'black/African'; and (b) current smoking. For the rural women, significant risk factors were (a) current smoking and (b) early onset of alcohol use. The significant protective factors were (a) education; (b) knowledge about Fetal Alcohol Syndrome; (c) parity. Use of stricter alcohol use criteria (i.e., three or more drinks and five or more drinks per sitting) in the definition of risk of an AEP yielded slightly different patterns of significant predictors. The results revealed high levels of risk of an alcohol-exposed pregnancy, especially amongst the rural women, and a need for location-specific prevention programmes. The high burden of AEP in South Africa calls for the establishment of national AEP prevention strategies and programmes as a matter of urgency.

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Section: Discussionmentioning

confidence: 99%

Predictors of risk of alcohol-exposed pregnancies among women in an urban and a rural area of South Africa

Morojele

London

Olorunju

et al. 2010

Social Science & Medicine

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“…In South Africa (SA), >30% of 19-year-olds report having given birth at least once and many of these young women have not yet completed their secondary education when they become pregnant. [2] …”

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confidence: 99%

Improving adolescent maternal health

Baxter

Moodley

2015

S Afr Med J

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Each year thousands of adolescent girls and young women in South Africa (SA) become pregnant and many die from complications related to pregnancy and childbirth. Although women of all ages are susceptible, girls <15 years of age are five times as likely, and those aged 15 -19 years twice as likely, to die from complications related to childbirth than women in their 20s. In SA, non-pregnancy-related infections (e.g. HIV), obstetric haemorrhage and hypertension contributed to almost 70% of avoidable maternal deaths. In addition to the implementation of standardised preventive interventions to reduce obstetric haemorrhage and hypertension, better reproductive health services for adolescents, access to HIV care and treatment for women infected with HIV, and improved access to and uptake of long-acting reversible contraception are important ingredients for reducing maternal mortality among adolescents.S Afr Med J 2105;105(11):948-952.

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“…[3][4][5][6] Compared with other regions of the world, Sub-Saharan Africa continues to have the greatest proportion of teenagers who are mothers. 3,[7][8][9] At the same time, perhaps because of the cultural view of premarital teenage sexuality and pregnancy and the weakness of health care systems in general, reproductive health services in most cases do not adequately meet the needs of adolescents, including teenage mothers. [10][11][12] A number of studies in the developed and developing world have documented worse maternal and child health outcomes among teenage mothers than among older mothers, including increased risks of preterm delivery, low birth weight, neonatal mortality and late spontaneous or induced abortions.…”

mentioning

confidence: 99%