2019
DOI: 10.1371/journal.pone.0225374
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An evolution of socioeconomic related inequality in teenage pregnancy and childbearing in Malawi

Abstract: BackgroundTeenage pregnancies and childbearing are important health concerns in low-and middle-income countries (LMICs) including Malawi. Addressing these challenges requires, among other things, an understanding of the socioeconomic determinants of and contributors to the inequalities relating to these outcomes. This study investigated the trends of the inequalities and decomposed the underlying key socioeconomic factors which accounted for the inequalities in teenage pregnancy and childbearing in Malawi.Meth… Show more

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Cited by 49 publications
(60 citation statements)
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“…This study proves the continued inequality influencing adolescent fertility rate to the advantage of adolescent girls in better socioeconomic classes and who are located in urban settings, with rising up of disparity over the time period of the study. This study’s findings support available evidence suggesting that socioeconomic positions play key roles in disparities observed in AFR [ 11 , 38 , 41 ]. Policy makers need to stop worsening disparities by targeting subgroups which are highly disadvantaged.…”
Section: Resultssupporting
confidence: 89%
See 1 more Smart Citation
“…This study proves the continued inequality influencing adolescent fertility rate to the advantage of adolescent girls in better socioeconomic classes and who are located in urban settings, with rising up of disparity over the time period of the study. This study’s findings support available evidence suggesting that socioeconomic positions play key roles in disparities observed in AFR [ 11 , 38 , 41 ]. Policy makers need to stop worsening disparities by targeting subgroups which are highly disadvantaged.…”
Section: Resultssupporting
confidence: 89%
“…In this country, adolescent pregnancy is more likely to occur in vulnerable communities, mainly driven by poverty, sexual violence, lack of education and poor access to modern contraceptives [6,9]. At the community level, adolescents in rich households are more likely to delay childbirth and achieve powerful levels of employment [38].…”
Section: Discussionmentioning
confidence: 99%
“…54 Therefore, adolescents might have lower education levels, especially if they dropped out of education due to pregnancy and childrearing, and they might be more likely to supplement or wean earlier if they are returning back to school after childbirth. The effect of lower wealth among adolescent mothers compared with older mothers, [55][56][57][58] particularly availability of disposable income to purchase formula and other items necessary to formula feed, might contribute to higher rates and duration of breast feeding among adolescents. Examination of the effect of marital status on lactational amenorrhoea in general, and understanding of lactational amenorrhoea among unmarried adolescents in particular, is completely absent from the identified literature.…”
Section: Discussionmentioning
confidence: 99%
“…Essentially, vulnerable communities where there is increased poverty, lack of education, little access to modern contraceptives as well as sexual violence tend to experience higher rates of adolescent pregnancy [ 19 ]. Adolescents from wealthy households tend to have employment and therefore, they can access modern contraceptives and increase likelihood of delayed childbearing [ 34 ]. Similar reports have been found in Latin American and the Caribbean [ 35 ] as well as across LMICs [ 36 ].…”
Section: Discussionmentioning
confidence: 99%