A Multilevel Analysis of Factors Associated with Teenage Pregnancy in Ethiopia
Bereket Kefale,1 Melaku Yalew,1 Yitayish Damtie,1 Bezawit Adane2 1Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia; 2Department of Biostatistics and Epidemiology, School of Public Health, College of Med...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2020-10-01
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| Series: | International Journal of Women's Health |
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| Online Access: | https://www.dovepress.com/a-multilevel-analysis-of-factors-associated-with-teenage-pregnancy-in--peer-reviewed-article-IJWH |
| _version_ | 1818243868607381504 |
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| author | Kefale B Yalew M Damtie Y Adane B |
| author_facet | Kefale B Yalew M Damtie Y Adane B |
| author_sort | Kefale B |
| collection | DOAJ |
| description | Bereket Kefale,1 Melaku Yalew,1 Yitayish Damtie,1 Bezawit Adane2 1Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia; 2Department of Biostatistics and Epidemiology, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, EthiopiaCorrespondence: Bereket KefaleDepartment of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, PO Box: 1145, Dessie, EthiopiaTel +251933807117Fax + 251331190586Email bereketkefale398@gmail.comBackground: A significant number of girls in Ethiopia begin childbearing at an early age. Teenage pregnancy is the main contributor to maternal and child morbidity and mortality, and the vicious cycle of ill-health and poverty. However limited evidence exists about individual- and community-level factors affecting teenage pregnancy in Ethiopia.Methods: This study used data from the 2016 Ethiopian Demographic and Health Survey (EDHS). A total of 3381 (weighted) teenagers aged 15– 19 years were included in the study. A two-stage stratified cluster was used. Data were analyzed using Stata version 14. Multilevel mixed effect logistic regression was used to identify factors affecting teenage pregnancy.Results: Being 17 (AOR=9.26, 95% CI=2.67– 32.04), 18 (AOR=9.53, 95% CI=2.97– 30.04) and 19 years old (AOR=20.01, 95% CI=5.94– 67.39), uneducated (AOR=3.83, 95% CI=1.05– 14.00), primary educated (AOR=3.34, 95% CI=1.01– 11.08), being married (AOR=70.12, 95% CI=27.55– 178.4), and communities with a higher proportion of poor (AOR=3.86, 95% CI=1.80– 8.26) were predictors of teenage pregnancy.Conclusion: Age, educational status, and marital status from individual-level factors, and community wealth status from community-level factors were predictors of teenage pregnancy. The government should strive to improve female education, and fight against early marriage and sexual initiation.Keywords: teenage pregnancy, pregnancy in adolescence, multi-level analysis, Ethiopia |
| first_indexed | 2024-12-12T14:07:58Z |
| format | Article |
| id | doaj.art-1e03744bea604d14b46b333c2121a20a |
| institution | Directory Open Access Journal |
| issn | 1179-1411 |
| language | English |
| last_indexed | 2024-12-12T14:07:58Z |
| publishDate | 2020-10-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of Women's Health |
| spelling | doaj.art-1e03744bea604d14b46b333c2121a20a2022-12-22T00:22:10ZengDove Medical PressInternational Journal of Women's Health1179-14112020-10-01Volume 1278579357740A Multilevel Analysis of Factors Associated with Teenage Pregnancy in EthiopiaKefale BYalew MDamtie YAdane BBereket Kefale,1 Melaku Yalew,1 Yitayish Damtie,1 Bezawit Adane2 1Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia; 2Department of Biostatistics and Epidemiology, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, EthiopiaCorrespondence: Bereket KefaleDepartment of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, PO Box: 1145, Dessie, EthiopiaTel +251933807117Fax + 251331190586Email bereketkefale398@gmail.comBackground: A significant number of girls in Ethiopia begin childbearing at an early age. Teenage pregnancy is the main contributor to maternal and child morbidity and mortality, and the vicious cycle of ill-health and poverty. However limited evidence exists about individual- and community-level factors affecting teenage pregnancy in Ethiopia.Methods: This study used data from the 2016 Ethiopian Demographic and Health Survey (EDHS). A total of 3381 (weighted) teenagers aged 15– 19 years were included in the study. A two-stage stratified cluster was used. Data were analyzed using Stata version 14. Multilevel mixed effect logistic regression was used to identify factors affecting teenage pregnancy.Results: Being 17 (AOR=9.26, 95% CI=2.67– 32.04), 18 (AOR=9.53, 95% CI=2.97– 30.04) and 19 years old (AOR=20.01, 95% CI=5.94– 67.39), uneducated (AOR=3.83, 95% CI=1.05– 14.00), primary educated (AOR=3.34, 95% CI=1.01– 11.08), being married (AOR=70.12, 95% CI=27.55– 178.4), and communities with a higher proportion of poor (AOR=3.86, 95% CI=1.80– 8.26) were predictors of teenage pregnancy.Conclusion: Age, educational status, and marital status from individual-level factors, and community wealth status from community-level factors were predictors of teenage pregnancy. The government should strive to improve female education, and fight against early marriage and sexual initiation.Keywords: teenage pregnancy, pregnancy in adolescence, multi-level analysis, Ethiopiahttps://www.dovepress.com/a-multilevel-analysis-of-factors-associated-with-teenage-pregnancy-in--peer-reviewed-article-IJWHteenage pregnancypregnancy in adolescencemulti-level analysisethiopia |
| spellingShingle | Kefale B Yalew M Damtie Y Adane B A Multilevel Analysis of Factors Associated with Teenage Pregnancy in Ethiopia International Journal of Women's Health teenage pregnancy pregnancy in adolescence multi-level analysis ethiopia |
| title | A Multilevel Analysis of Factors Associated with Teenage Pregnancy in Ethiopia |
| title_full | A Multilevel Analysis of Factors Associated with Teenage Pregnancy in Ethiopia |
| title_fullStr | A Multilevel Analysis of Factors Associated with Teenage Pregnancy in Ethiopia |
| title_full_unstemmed | A Multilevel Analysis of Factors Associated with Teenage Pregnancy in Ethiopia |
| title_short | A Multilevel Analysis of Factors Associated with Teenage Pregnancy in Ethiopia |
| title_sort | multilevel analysis of factors associated with teenage pregnancy in ethiopia |
| topic | teenage pregnancy pregnancy in adolescence multi-level analysis ethiopia |
| url | https://www.dovepress.com/a-multilevel-analysis-of-factors-associated-with-teenage-pregnancy-in--peer-reviewed-article-IJWH |
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