Unplanned Pregnancy in Adolescents: Association with Family Structure, Employed Mother, and Female Friends with Health-Risk Habits and Behaviors

Vázquez-Nava, Francisco; Vázquez-Rodríguez, Carlos F.; Saldívar-González, Atenógenes H.; Vázquez-Rodríguez, Eliza M.; Córdova-Fernández, José Arturo; Felizardo-Ávalos, Jorge; Sánchez-Márquez, W

doi:10.1007/s11524-013-9819-6

Cited by 21 publications

(18 citation statements)

References 20 publications

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“…In addition, women who reported three or more pregnancies had higher odds of experiencing unplanned pregnancy than did those who had one or two pregnancies (adjusted OR = 2.26, 95% CI: 1.66–3.08). These results were consistent with those from previous research [ 48 – 50 ]. For example, a study conducted in Ethiopia revealed that a higher number of pregnancies was associated with a greater chance of a woman experiencing an unplanned pregnancy (adjusted OR = 3.16, 95% CI: 1.37–7.30) [ 49 ].…”

Section: Discussionsupporting

confidence: 94%

Prevalence of and factors associated with unplanned pregnancy among women in Koshu, Japan: cross-sectional evidence from Project Koshu, 2011–2016

Huynh

Yokomichi

Akiyama

et al. 2020

BMC Pregnancy Childbirth

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Background: Unplanned pregnancy is a public health issue with adverse consequences for maternal and neonatal health. In Japan, the prevalence of unplanned pregnancy was 46.2% in 2002. However, few studies have investigated this topic, and there is little recent data from Japan. We described and examined the prevalence and determinants of unplanned pregnancy among rural women in Japan from 2011 to 2016. Methods: We used cross-sectional data from a community-based cohort study (Project Koshu). Data were collected from 2011 to 2016 via a self-report questionnaire included in the Maternal and Child Health Handbook of Japan. Pregnancy intention was measured as a binary variable (planned or unplanned). Univariate and multivariate logistic regression analyses were performed to examine factors associated with unplanned pregnancy, with results reported as odds ratios (ORs) and 95% confidence intervals (CIs). We conducted sensitivity analyses with different definitions of pregnancy intention to assess the robustness of the results. The significance level was set at 5%. Results: Of the 932 participants (mean ± standard deviation age at baseline: 31.3 ± 5.2 years), 382 (41%) pregnancies were reported as unplanned. The multivariate analyses showed that maternal age (+ 1 year: OR = 0.94, 95% CI: 0.92-0.97, p < 0.001), 'other' family structure (OR = 2.76, 95% CI: 1.12-6.76, p = 0.03), three or more pregnancies (OR = 2.26, 95% CI: 1.66-3.08, p < 0.001), current smoking (OR = 2.60, 95% CI: 1.26-5.35, p = 0.01), balanced diet (OR = 0.62, 95% CI: 0.47-0.83, p < 0.001) and current depression (OR = 1.63, 95% CI: 1.24-2.16, p < 0.001) were strongly associated with unplanned pregnancy. These associations were consistent across definitions of pregnancy intention, supporting the robustness of our results.

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Section: Discussionsupporting

confidence: 94%

Prevalence of and factors associated with unplanned pregnancy among women in Koshu, Japan: cross-sectional evidence from Project Koshu, 2011–2016

Huynh

Yokomichi

Akiyama

et al. 2020

BMC Pregnancy Childbirth

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“…Studies by Ameyaw [25] and Nyarko [26] also found a negative relationship between age and unintended pregnancy. The finding that young women are at higher risk of unintended pregnancies has been explained in previous studies by Vázquez-Nava et al [32], Christofides et al [33] and Grindlay et al [27]. They explained that inadequate access to and use of contraceptives, risky sexual behaviour (increasing number of sexual partners and younger age at sexual debut) are the possible pathways through which young women risk unintended pregnancies.…”

Section: Discussionmentioning

confidence: 83%

What has reproductive health decision-making capacity got to do with unintended pregnancy? Evidence from the 2014 Ghana Demographic and Health Survey

et al. 2019

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IntroductionWomen’s reproductive health decision-making is indispensable for improving their reproductive health and achieving Sustainable Development Goal three. This study explored the association between reproductive health decision-making capacity and unintended pregnancy among women in Ghana.Materials and methodsWe used data from the 2014 version of the Ghana Demographic and Health Survey. The unit of analysis for this study was pregnant women at the time of the survey (679). Bivariate and multivariable analyses were conducted using Pearson chi-square tests and binary logistic regression respectively.ResultsWe found that women who had the capacity to make reproductive health decision [AOR = 0.61; CI = 0.51–0.89] were less likely to experience unintended pregnancies, compared to those who did not have the capacity. Age was found to have a statistically significant influence on unintended pregnancy, with women aged 25–29 years [AOR = 0.29; CI = 0.13–0.63], 30–34 years [AOR = 0.18; CI = 0.08–0.45], and 35–39 years [AOR = 0.26; CI = 0.10–0.68] being less likely to experience unintended pregnancy compared to those aged 15–19 years. Women with primary level of education were more likely to have unintended pregnancies, compared to those with no education [AOR = 2.07; CI = 1.12–3.84].ConclusionThis study has filled the gap in the already existing literature on the association between reproductive health decision making capacity and unintended pregnancy in Ghana and has created a room for specific interventions geared towards reducing unintended pregnancies, especially among women who are not capable of making reproductive health decisions, women aged 15–19 years, those with primary education, Traditionalists and unmarried women.

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“…6,7 Efforts to give lessons reproductive health or sex education to elementary school age children today is still considered taboo, so we must anticipate as soon as possible. To decrease maternal mortality rate and unmet need needs innovation to educate students.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and attitudes of elementary students about reproductive health (preliminary study on elementary school in Brebes district, Central Java, Indonesia)

Nugraheni

Wahyuningsih

Prihatini

et al. 2018

Int J Community Med Public Health

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Background: Knowledge of elementary students about reproductive health in Indonesia still lack. There are so many students who did not know how to maintain good reproductive health. Efforts to give lessons reproductive health or sex education to elementary school age children today is still considering taboo, but this problem should be anticipated as soon as possible. To decrease maternal mortality rate and unmet-need needs innovation to educate students. Education about reproductive health is one of strategic ways to increase elementary students’ knowledge and attitudes about reproductive health. This study conducted to evaluate effect of reproductive health education and provision of media on elementary students in Brebes.Methods: This study utilized quasi experimental pre and post-test one group design. Population of these study 70 elementary students (3 Government ES) in Brebes.Results: Based on the results of different test with Wilcoxon Match paired Test obtained were significant differences between the respondents' knowledge and attitudes before and after reproductive health education and provision of media (p=0.001).Conclusions: That means there were significant interventions in the form of education and provision of media to increase knowledge and attitudes of respondent about reproductive health. The results demonstrate that interventions can significantly improve knowledge and attitudes of respondents (p<0.005; Delta: 19.82). Recommendation to improve risk of maternal mortality rate is a reproductive health education with early intervention in young elementary school age children as one of strategic actions to improving knowledge and minimize incidence of teenage pregnancy.

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Unplanned Pregnancy in Adolescents: Association with Family Structure, Employed Mother, and Female Friends with Health-Risk Habits and Behaviors

Cited by 21 publications

References 20 publications

Prevalence of and factors associated with unplanned pregnancy among women in Koshu, Japan: cross-sectional evidence from Project Koshu, 2011–2016

Prevalence of and factors associated with unplanned pregnancy among women in Koshu, Japan: cross-sectional evidence from Project Koshu, 2011–2016

What has reproductive health decision-making capacity got to do with unintended pregnancy? Evidence from the 2014 Ghana Demographic and Health Survey

Knowledge and attitudes of elementary students about reproductive health (preliminary study on elementary school in Brebes district, Central Java, Indonesia)

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