Prevalence and factors associated with unintended pregnancy among adolescent girls and young women in sub-Saharan Africa, a multilevel analysis.

Background: Unintended pregnancy predisposes women to unsafe abortion, malnutrition, mental illness, and even death. Though adolescent girls and young women are at higher risk of unintended pregnancy, there is a paucity of evidence in its burden and associated factors in sub-Saharan Africa. Therefor...

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Publicado en:BMC Women's Health Vol. 22; no. 1; pp. 1 - 10
Autores principales: Ayalew, Hiwotie Getaneh, Liyew, Alemneh Mekuriaw, Tessema, Zemenu Tadesse, Worku, Misganaw Gebrie, Tesema, Getayeneh Antehunegn, Alamneh, Tesfa Sewunet, Teshale, Achamyeleh Birhanu, Yeshaw, Yigizie, Alem, Adugnaw Zeleke
Formato: Journal Article
Publicado: BioMed Central 11/21/2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 11/21/2022
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      pub: BioMed Central
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        10.1186/s12905-022-02048-7
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        atl: Prevalence and factors associated with unintended pregnancy among adolescent girls and young women in sub-Saharan Africa, a multilevel analysis.
      aug:
        au:
          Ayalew, Hiwotie Getaneh
          Liyew, Alemneh Mekuriaw
          Tessema, Zemenu Tadesse
          Worku, Misganaw Gebrie
          Tesema, Getayeneh Antehunegn
          Alamneh, Tesfa Sewunet
          Teshale, Achamyeleh Birhanu
          Yeshaw, Yigizie
          Alem, Adugnaw Zeleke
        affil: Department of Midwifery, School of Nursing and Midwifery, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
      sug:
        subj:
          Contraception
          Pregnancy, Unplanned
          Africa South of the Sahara
          Adolescence
          Statistics
          Female
          Pregnancy
          Prevalence
          Scales
          Adolescent: 13-18 years
          Female
      ab: Background: Unintended pregnancy predisposes women to unsafe abortion, malnutrition, mental illness, and even death. Though adolescent girls and young women are at higher risk of unintended pregnancy, there is a paucity of evidence in its burden and associated factors in sub-Saharan Africa. Therefore, this study aimed to assess the prevalence and factors associated with unintended pregnancy among adolescent girls and young women in sub-Saharan Africa.Method: This study was a secondary data analysis of 36 sub-Saharan African countries with a total weighted sample of 17,797 adolescent girls and young women. A multilevel logistic regression model was fitted and, the Adjusted Odds Ratio (AOR) with a 95% Confidence Interval (CI) was reported to assess the association between the independent variables and unintended pregnancy in Sub-Saharan Africa.Result: The pooled prevalence of unintended pregnancy in sub-Saharan Africa was 30.01 with 95% CI (29.38-30.74). In multivariable multilevel logistic regression analysis, adolescent girls, and young women with higher education (AOR = 0.71 95%CI 0.52-0.97), those who know modern contraceptive methods (AOR = 0.86 95%CI 0.75-0.98), and traditional contraceptive methods (AOR = 0.90, 95%CI 0.59-0.95), married (AOR = 0.80, 95%CI 0.73-0.88), those from female-headed households (AOR = 0.86,95%CI 0.78-0.94), had lower odds of unintended pregnancy. Whereas adolescent girls and young women from Central Africa (AOR = 2.09,95%CI 1.23-3.55), southern Africa (AOR = 5.23, 95%CI 2.71-10.09), and Eastern Africa (AOR = 1.07,95%CI 1.07-2.66) had higher odds of unintended pregnancy.Conclusion: Prevalence of unintended pregnancy in Sub-Saharan Africa is high. Therefore, educating adolescent girls and young women, and improving their knowledge about family planning services is vital. It is also better for the government of countries in sub-Saharan Africa and other global and local stakeholders to work hard to ensure universal access to sexual and reproductive healthcare services, including family planning, education, and the integration of reproductive health into national strategies and programs to reduce unintended pregnancy.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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