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Topic: prevalence and determinants of adolescent pregnancy among sexually active adolescent girls in Niger

  • Bright O. AhinkorahEmail author
Original Article
  • 5 Downloads

Abstract

Aim

All over the world, including in Niger, adolescent pregnancy remains a challenge requiring urgent solution. This study sought to examine the prevalence and determinants of adolescent pregnancy among sexually active adolescent girls in Niger.

Subjects and methods

The study used data from the 2012 Niger Demographic and Health Survey (DHS). The statistical software STATA version 13 was used to process the data. Both bivariate and multivariate analyses were employed in this study and results were tested at the 95% confidence interval (CI).

Results

The study found that adolescents aged 19 years [odds ratio (OR) = 55.29, 95% CI = 25.50–119.90] and those who had ever used contraceptives (OR = 22.65, 95% CI = 5.18–99.05) had higher odds of experiencing adolescent pregnancy. On the other hand, there was a low likelihood of adolescent pregnancy among those who were married/cohabiting (OR = 0.08, 95% CI = 0.01–0.80), widowed/divorced/separated (OR = 0.03, 95% CI = 0.01–0.31) and those whose age at first sex was 16–19 years (OR = 0.23, 95% CI = 0.16–0.34).

Conclusion

The socio-demographic factors that influence adolescent pregnancy in Niger are interesting and important for health, economic and social concerns. Understanding the factors associated with adolescent pregnancy will lead to improved social policies, ultimately reducing adolescent pregnancy in Niger and other parts of sub-Saharan Africa.

Keywords

Prevalence Determinants Adolescent pregnancy Niger 

Notes

Acknowledgements

The author is grateful to MEASURE DHS for granting access to use the data.

Author contributions

Conception and design of study: BOA; analysis and/or interpretation of data: BOA; drafting the manuscript: BOA; revising the manuscript critically for important intellectual content: BOA.

Compliance with ethical standards

Conflict of interest

The author declares no conflict of interest for this research.

The author was not directly involved in data collection. However, MEASURE DHS reports that ethical clearance was obtained from the Institutional Review Board of ICF International. The Demographic and Health Survey (DHS) also anonymised all data before making them accessible to the public. Permission to use the dataset was sought from MEASURE DHS. The adolescent girls gave oral and written consent. The dataset is available to the public at https://dhsprogram.com/what-we-do/survey/survey-display-437.cfm.

Consent for publication

This manuscript is an original work and has been prepared by the author, BOA, who is aware of its content and approves its submission. The manuscript has not been published elsewhere in part or in entirety and is not under consideration by another journal. The author gives his consent for publication ins the Journal of Public Health.

References

  1. Ahinkorah BO, Hagan JE Jr et al (2019) Examining pregnancy related socio-cultural factors among adolescent girls in the Komenda-Edina-Eguafo-Abrem municipality in the central region of Ghana: a case–control study. Front Public Health 7:93CrossRefGoogle Scholar
  2. Ajayi AI, Nwokocha EE, Akpan W, Adeniyi OV (2016) Use of non-emergency contraceptive pills and concoctions as emergency contraception among Nigerian University students: results of a qualitative study. BMC Public Health 16(1):1046CrossRefGoogle Scholar
  3. Ayanaw Habitu Y, Yalew A, Azale Bisetegn T (2018) Prevalence and factors associated with teenage pregnancy, Northeast Ethiopia, 2017: a cross-sectional study. J Pregnancy 2018:1714527CrossRefGoogle Scholar
  4. Ayele BG, Gebregzabher TG, Hailu TT, Assefa BA (2018) Determinants of teenage pregnancy in Degua Tembien District, Tigray, Northern Ethiopia: a community-based case–control study. PLoS One 13(7):e0200898CrossRefGoogle Scholar
  5. Coles MS, Makino KK, Stanwood NL (2011) Contraceptive experiences among adolescents who experience unintended birth. Contraception 84(6):578–584CrossRefGoogle Scholar
  6. Creatsas G, Elsheikh A (2002) Adolescent pregnancy and its consequences. Eur J Contracept Reprod Health Care 7(3):167–172CrossRefGoogle Scholar
  7. Dimbuene ZT, Defo BK (2011) Risky sexual behaviour among unmarried young people in Cameroon: another look at family environment. J Biosoc Sci 43(2):129–153CrossRefGoogle Scholar
  8. Durowade KA, Babatunde OA, Omokanye LO et al (2017) Early sexual debut: prevalence and risk factors among secondary school students in Ido-Ekiti, Ekiti state, South-West Nigeria. Afr Health Sci 17(3):614–622CrossRefGoogle Scholar
  9. Gideon R (2013) Factors associated with adolescent pregnancy and fertility in Uganda: analysis of the 2011 demographic and health survey data. Am J Sociol Res 3(2):30–45Google Scholar
  10. Jonas K, Crutzen R, van den Borne B, Sewpaul R, Reddy P (2016) Teenage pregnancy rates and associations with other health risk behaviours: a three-wave cross-sectional study among South African school-going adolescents. Reprod Health 13(1):50CrossRefGoogle Scholar
  11. Kassa GM, Arowojolu AO, Odukogbe AA, Yalew AW (2018) Prevalence and determinants of adolescent pregnancy in Africa: a systematic review and meta-analysis. Reprod Health 15(1):195CrossRefGoogle Scholar
  12. MacQuarrie K, Mallick L, Allen C (2017) Sexual and reproductive health in early and later adolescence: DHS data on youth age 10–19. DHS Comparative Reports no. 45. ICF, Rockville, MDGoogle Scholar
  13. McMicking J, Lloyd J (2017) Contraception in adolescents. Women’s Health 19(3):1–8Google Scholar
  14. Moraes AN, Likwa RN, Nzala SH (2018) A retrospective analysis of adverse obstetric and perinatal outcomes in adolescent pregnancy: the case of Luapula Province, Zambia. Matern Health Neonatol Perinatol 4(1):20CrossRefGoogle Scholar
  15. Neal S, Matthews Z, Frost M, Fogstad H, Camacho AV, Laski L (2012) Childbearing in adolescents aged 12–15 years in low resource countries: a neglected issue. New estimates from demographic and household surveys in 42 countries. Acta Obstet Gynecol Scand 91(9):1114–1118CrossRefGoogle Scholar
  16. Odu BK, Ayodele CJ, Isola AO (2015) Unplanned parenthood: the socio-economic consequences of adolescent child-bearing in Nigeria. J Educ Pract 6(31):15–19Google Scholar
  17. Oringanje C, Meremikwu MM, Eko H, Esu E, Meremikwu A, Ehiri JE (2016) Interventions for preventing unintended pregnancies among adolescents. Cochrane Database Syst Rev 2:CD005215PubMedGoogle Scholar
  18. Perera UAP, Abeysena C (2018) Prevalence and associated factors of risky sexual behaviors among undergraduate students in state universities of Western Province in Sri Lanka: a descriptive cross sectional study. Reprod Health 15(1):105CrossRefGoogle Scholar
  19. Pradhan R, Wynter K, Fisher J (2015) Factors associated with pregnancy among adolescents in low-income and lower middle-income countries: a systematic review. J Epidemiol Community Health 69(9):918–924CrossRefGoogle Scholar
  20. Ritchwood TD, Ford H, DeCoster J, Sutton M, Lochman JE (2015) Risky sexual behavior and substance use among adolescents: a meta-analysis. Child Youth Serv Rev 52:74–88CrossRefGoogle Scholar
  21. Sychareun V, Vongxay V, Houaboun S et al (2018) Determinants of adolescent pregnancy and access to reproductive and sexual health services for married and unmarried adolescents in rural Lao PDR: a qualitative study. BMC Pregnancy Childbirth 18(1):219CrossRefGoogle Scholar
  22. United Nations, Department of Economic and Social Affairs, Population Division (2017) World contraceptive use 2016 (POP/DB/CP/Rev2016)Google Scholar
  23. United Nations Fund for Population Activities (UNFPA) (2013) Motherhood in childhood: facing the challenge of adolescent pregnancy. UNFPA, New YorkGoogle Scholar
  24. World Health Organization (WHO) (2018) Adolescent birth rate. https://www.who.int/gho/maternal_health/reproductive_health/adolescent_fertility/en
  25. World Population Review (2019) Age of consent by country 2019. http://worldpopulationreview.com/countries/countries-by-age-of-consent
  26. Yakubu I, Salisu WJ (2018) Determinants of adolescent pregnancy in sub-Saharan Africa: a systematic review. Reprod Health 15(1):15CrossRefGoogle Scholar
  27. Yasmin G, Kumar A, Parihar B (2014) Teenage pregnancy—its impact on maternal and fetal outcome. Int J Sci Stud 1(6):9–13Google Scholar
  28. Yazdkhasti M, Pourreza A, Pirak A, Abdi F (2015) Unintended pregnancy and its adverse social and economic consequences on health system: a narrative review article. Iran J Public Health 44(1):12–21PubMedPubMedCentralGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.The Australian Centre for Public and Population Health Research (ACPPHR), Faculty of HealthUniversity of Technology SydneySydneyAustralia

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