Time trends in and factors associated with repeat adolescent birth in Uganda: Analysis of six demographic and health surveys

被引：18

作者：

Amongin, Dinah ^{[1
,2
]}

Nakimuli, Annettee ^{[1
]}

Hanson, Claudia ^{[3
,4
]}

Nakafeero, Mary ^{[5
]}

Kaharuza, Frank ^{[6
]}

Atuyambe, Lynn ^{[6
]}

Benova, Lenka ^{[7
,8
]}

机构：

[1] Makerere Univ, Coll Hlth Sci, Sch Med, Dept Obstet & Gynaecol, Kampala, Uganda

[2] Makerere Univ, Sch Publ Hlth, Dept Hlth Policy Planning & Management, Kampala, Uganda

[3] London Sch Hyg & Trop Med, Dept Dis Control, London, England

[4] Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden

[5] Makerere Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Kampala, Uganda

[6] Makerere Univ, Sch Publ Hlth, Dept Community Hlth & Behav Sci, Kampala, Uganda

[7] London Sch Hyg & Trop Med, Fac Epidemiol & Populat Hlth, London, England

[8] Univ Antwerp, Inst Trop Med, Dept Publ Hlth, Antwerp, Belgium

来源：

PLOS ONE | 2020年 / 15卷 / 04期

基金：

英国惠康基金;

关键词：

YOUNG-WOMEN; PREGNANCY; COUNTRIES; CHILDBEARING; DISCOURSES; FERTILITY; ABORTION; VIOLENCE; AGE;

D O I：

10.1371/journal.pone.0231557

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Background Information on repeat adolescent birth remains scarce in sub-Sahara Africa. We investigated the prevalence and time trends in repeat adolescent birth in Uganda, and associated factors. Methods We analyzed Uganda Demographic and Health Survey data of women age 20-24 years collected on 6 surveys (1988/89-2016) to estimate repeat adolescent birth (first live birth < 18 years of age followed by another live birth(s) < 20 years). Further, we estimated the wantedness of the second order birth and the prevalence of short birth intervals birth (< 13 months) between the first and second such birth. On the 2016 survey, we examined factors associated with repeat adolescent birth using bivariate and multivariate modified Poisson regression. Results At the 1988/89 survey, 58.9% of women with first birth < 18 years reported a repeat adolescent birth. This percentage increased to 66.8% in 2006 (+7.9 percentage points [pp], p = 0.010) and thereafter declined to 55.6% by 2016 (-11.2 pp, p < 0.001), nevertheless, no change occurred between 1988/89 and 2016 (-3.3pp, p = 0.251). Among women with repeat adolescent births, the mean number of live births by exact age 20 years (2.2 births) and prevalence of short birth intervals (3.5% in 1988/89, 5.4% in 2016) (+1.9pp, p = 0.245) did not change. Increasingly more women with repeat adolescent births preferred to have had the second child later, 22.5% in 1995 and 43.1% in 2016 (+20.6pp, p = <0.001). On the 2016 survey, women from poorer households and those of younger age at first birth were significantly more likely to report repeat adolescent birth. Conclusion Following a first birth < 18 years, more than half of the women report a repeat adolescent birth (< 20 years), with no decline observed in 30 years. Increasingly more women wanted the second adolescent pregnancy later, highlighting the need to support adolescents with improved family planning services at each contact.

引用

页数：14

共 56 条

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