Determinants of Adolescent Fertility among Rural Women of Ethiopia

Eyasu, Anteneh Mulugeta

doi:10.4236/oalib.1102422

Cited by 5 publications

(7 citation statements)

References 6 publications

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“…Adolescents who were using contraceptives had a greater chance of having given birth. This was in line with other African studies which found out that teenagers who were currently using contraceptives had higher fertility [ 7 , 23 ].…”

Section: Discussionsupporting

confidence: 92%

“…It is worth noting that despite marriage being the most important proximate determinant of fertility, being pregnant can also accelerate propensity to marry, hence a limitation of this study that needs to be examined. The finding was consistent with studies in Malawi, Ethiopia, Nigeria and Central Java which revealed that marital status had a positive effect on fertility [ 7 , 9 , 10 , 23 ].…”

Section: Discussionsupporting

confidence: 91%

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Adolescent fertility and its determinants in Kenya: Evidence from Kenya demographic and health survey 2014

2022

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Background Adolescent fertility in Kenya is vital in the development and execution of reproductive health policies and programs. One of the specific objectives of the Kenyan Adolescent Sexual Reproductive Health (ASRH) policy developed in 2015 is to decrease early and unintended pregnancies in an attempt to reduce adolescent fertility. We aimed to establish determinants of adolescent fertility in Kenya. Methods The Kenya Demographic and Health Survey (KDHS) 2014 data set was utilized. Adolescent’s number of children ever born was the dependent variable. The Chi-square test was utilized to determine the relationship between dependent and independent variables. A Proportional-odds model was performed to establish determinants of adolescent fertility at a 5% significance level. Results Over 40% of the adolescent girls who had sex below 17 years had given birth i.e, current age 15–17 years (40.9%) and <15 years (44.9%) had given birth. In addition, 70.7% of the married adolescents had given birth compared to 8.1% of the unmarried adolescents. Moreover, 65.1% of the adolescents who were using contraceptives had given birth compared to only 9% of the adolescents who were not using a contraceptive. Approximately 29.4% of the adolescents who had no education had given birth compared to 9.1% who had attained secondary education. Age at first sex (18–19 years: OR: 0.221, 95% CI: 0.124–0.392; 15–17 years: OR: 0.530, 95% CI: 0.379–0.742), current age (18–19 years: OR: 4.727, 95% CI: 3.318–6.733), current marital status (Not married: OR:0.212, 95% CI: 0.150–4.780), and current contraceptive use (Using: OR 3.138, 95% CI: 2.257–4.362) were associated with adolescent fertility. Conclusion The study established that age at first sex, current age, marital status, and contraceptive use are the main determinants of adolescent childbearing. The stated determinants should be targeted by the government to control the adolescent birth rate in Kenya. Consequently, delaying the age at first sex, discouraging adolescent marriage, and increasing secondary school enrollment among adolescent girls are recommended strategies to control adolescent fertility in Kenya.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 91%

Adolescent fertility and its determinants in Kenya: Evidence from Kenya demographic and health survey 2014

2022

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“…The majority of young women 20–24 years old who gave birth before the age of 18 lived in sub-Saharan Africa, 14 out of 15 countries that had high rates of pregnancies before the age of 18 [ 7 ]. Teenage pregnancy should be considered one of the major health concerns in every health-care system because it can lead to long-term complications of physical and psychological health, deteriorate economic and social status, and be a concern from both a human rights and a public health standpoint [ 8 , 9 ]. Pregnancy at an early age impacts future earning potential and leads to lifelong poverty [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of teenage pregnancy and its associated factors in high fertility sub-Saharan Africa countries: a multilevel analysis

2023

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Background Teenage pregnancies are persistently high among adolescent women in high fertility countries in sub-Saharan Africa. It has been attributed to the high unmet need for family planning in this population. The aim of this study was to determine the prevalence and factors associated with teenage pregnancy in high fertility countries in sub-Saharan Africa. Methods Data for this study was obtained from the most recent Demographic and Health Surveys. A total weighted sample of 33,391 adolescent girls who had ever had sexual contact were included. A multilevel mixed-effect binary logistic regression model was fitted to identify the significant associated factors for teenage pregnancy. Finally, the Adjusted Odds Ratio (AOR) with a 95% confidence interval was used to declare as statistically significant. Results The overall teenage pregnancy in sub-Saharan Africa high frtility countries was 24.88% (95% CI, 24.42, 25.35). Educational status; no formal education (AOR = 1.39, 95% CI, 1.23, 1.56) and primary education (AOR = 1.45, 95% CI, 1.30, 1.62), not working (AOR = 1.32, 95% CI, 1.21, 1.45), being married (AOR = 67.88, 95% CI, 61.33, 75.12), poor (AOR = 1.47, 95% CI, 1.32, 1.65) and middle wealth quantile (AOR = 1.21, 95% CI, 1.07, 1.35), knowledge about contracptives (AOR = 2.45, 95% CI, 2.19, 2.74), unmet need for family planning (AOR = 2.42, 95% CI, 2.14, 2.74), Angola (AOR = 9.59, 95% CI, 7.82, 11.77), Chad (AOR = 3.05, 95% CI, 2.49, 3.74), DR.Congo (AOR = 3.77, 95% CI, 3.06, 4.65), and Mali (AOR = 1.84, 95% CI, 1.47, 2.28) were factors significantly associated with teenage pregnancy. Conclusions This study found that teenage pregnancy remains a common public health problem in the study areas. Level of education, marital status, occupation, wealth index, unmet need for family planning, knowledge about contraceptives, and country were significantly associated with teenage pregnancy. Hence, for sustainable development goal 3 to be realized by 2030, there must be investment in policy implementation and evaluation, as well as engagement with stakeholders in adolescents’ sexual and reproductive health.

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“…7 Teenage pregnancy should be one of the main issues in every healthcare system since early pregnancy can have harmful long-lasting implications on girls' physical, psychological, economic and social status 8 and it is a concern from both human rights and public health perspectives. 9 It is also a media-focal-point and a major issue irrespective of the teenager's marital status. 10 The global maternal mortality ratio (MMR) in 2017 is estimated at 211 deaths per 100,000 live births, showing a reduction of 38% since 2000.…”

Section: Introductionmentioning

confidence: 99%

Teenage Pregnancy and Its Associated Factors in Eastern Ethiopia: A Community-Based Study

Mezmur

Assefa

Alemayehu

2021

IJWH

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Background Teenage pregnancy is a global issue raising concerns for all who are interested in the health and well-being of young women and their children. It carries major health and social issues with unique medical and psychosocial consequences for both adolescents and society in general. This study aimed at assessing the prevalence and factors associated with teenage pregnancy in eastern Ethiopia. Methods A community-based cross-sectional study was conducted. Multi-stage simple random sampling procedure was used to select 2258 female teenagers. Interviewer-administered questionnaire was used for data collection. Data were entered into EpiData and analyzed using stata software. The Poisson regression model with robust variance estimation was used to examine the association of the independent variable with teenage pregnancy. An adjusted prevalence ratio (APR) with 95% confidence intervals (CI) was reported. Results The prevalence of teenage pregnancy was 30.2% (95% CI: 28.3, 32.1). Age 16–17 years old (APR=7.05; 95% CI: 4.15,11.96), 17–18 years old (APR=9.85; 95% CI: 5.72,16.98), not being in school (APR=2.83; 95% CI: 1.93,4.16), lack of formal education (APR=1.11; 95% CI: 1.03,1.19), being married (APR=3.59; 95% CI: 2.83,4.56), parental divorce (APR=1.24; 95% CI: 1.08,1.42), having elder sister who had a history of teenage pregnancy (APR=1.11; 95% CI: 1.02,1.21), and not knowing fertile period in menstrual cycle (APR=1.31; 95% CI: 1.16,1.47) were independently associated with teenage pregnancy. Conclusion One in three teenagers had been pregnant. Age, not being in school, lack of formal education, being married, parental divorce, having an elder sister who had a history of teenage pregnancy, and not knowing fertile period during the menstrual cycles were the factors associated with teenage pregnancy. In Ethiopia, further efforts are required in the prevention of teenage pregnancy, keeping girls in school and strengthening the policy of delaying child marriage, particularly in rural areas.

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Determinants of Adolescent Fertility among Rural Women of Ethiopia

Cited by 5 publications

References 6 publications

Adolescent fertility and its determinants in Kenya: Evidence from Kenya demographic and health survey 2014

Adolescent fertility and its determinants in Kenya: Evidence from Kenya demographic and health survey 2014

Prevalence of teenage pregnancy and its associated factors in high fertility sub-Saharan Africa countries: a multilevel analysis

Teenage Pregnancy and Its Associated Factors in Eastern Ethiopia: A Community-Based Study

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