Trends and factors related to adolescent pregnancies: an incidence trend and conditional inference trees analysis of northern Nicaragua demographic surveillance data
Abstract Background We aimed to identify the 2001–2013 incidence trend, and characteristics associated with adolescent pregnancies reported by 20–24-year-old women. Methods A retrospective analysis of the Cuatro Santos Northern Nicaragua Health and Demographic Surveillance 2004–2014 data on women ag...
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| Format: | Article |
| Language: | English |
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BMC
2021-11-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | https://doi.org/10.1186/s12884-021-04215-4 |
| _version_ | 1830428609983021056 |
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| author | Wilton Pérez Katarina Ekholm Selling Elmer Zelaya Blandón Rodolfo Peña Mariela Contreras Lars-Åke Persson Oleg Sysoev Carina Källestål |
| author_facet | Wilton Pérez Katarina Ekholm Selling Elmer Zelaya Blandón Rodolfo Peña Mariela Contreras Lars-Åke Persson Oleg Sysoev Carina Källestål |
| author_sort | Wilton Pérez |
| collection | DOAJ |
| description | Abstract Background We aimed to identify the 2001–2013 incidence trend, and characteristics associated with adolescent pregnancies reported by 20–24-year-old women. Methods A retrospective analysis of the Cuatro Santos Northern Nicaragua Health and Demographic Surveillance 2004–2014 data on women aged 15–19 and 20–24. To calculate adolescent birth and pregnancy rates, we used the first live birth at ages 10–14 and 15–19 years reported by women aged 15–19 and 20–24 years, respectively, along with estimates of annual incidence rates reported by women aged 20–24 years. We conducted conditional inference tree analyses using 52 variables to identify characteristics associated with adolescent pregnancies. Results The number of first live births reported by women aged 20–24 years was 361 during the study period. Adolescent pregnancies and live births decreased from 2004 to 2009 and thereafter increased up to 2014. The adolescent pregnancy incidence (persons-years) trend dropped from 2001 (75.1 per 1000) to 2007 (27.2 per 1000), followed by a steep upward trend from 2007 to 2008 (19.1 per 1000) that increased in 2013 (26.5 per 1000). Associated factors with adolescent pregnancy were living in low-education households, where most adults in the household were working, and high proportion of adolescent pregnancies in the local community. Wealth was not linked to teenage pregnancies. Conclusions Interventions to prevent adolescent pregnancy are imperative and must bear into account the context that influences the culture of early motherhood and lead to socioeconomic and health gains in resource-poor settings. |
| first_indexed | 2024-12-21T01:21:16Z |
| format | Article |
| id | doaj.art-2af3206590bd4348a6e15f80e0b1575f |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-21T01:21:16Z |
| publishDate | 2021-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-2af3206590bd4348a6e15f80e0b1575f2022-12-21T19:20:38ZengBMCBMC Pregnancy and Childbirth1471-23932021-11-0121111410.1186/s12884-021-04215-4Trends and factors related to adolescent pregnancies: an incidence trend and conditional inference trees analysis of northern Nicaragua demographic surveillance dataWilton Pérez0Katarina Ekholm Selling1Elmer Zelaya Blandón2Rodolfo Peña3Mariela Contreras4Lars-Åke Persson5Oleg Sysoev6Carina Källestål7Department of Women’s and Children’s Health, Uppsala UniversityDepartment of Women’s and Children’s Health, Uppsala UniversityAsociación para el Desarrollo Económico y Sostenible de El Espino (APRODESE)Department of Women’s and Children’s Health, Uppsala UniversityDepartment of Women’s and Children’s Health, Uppsala UniversityDepartment of Women’s and Children’s Health, Uppsala UniversityDepartment of Computer and Information Science, Linköping UniversityDepartment of Dental Research, Public Dental Service, Region Örebro County, Faculty of Medicine and Health, Örebro UniversityAbstract Background We aimed to identify the 2001–2013 incidence trend, and characteristics associated with adolescent pregnancies reported by 20–24-year-old women. Methods A retrospective analysis of the Cuatro Santos Northern Nicaragua Health and Demographic Surveillance 2004–2014 data on women aged 15–19 and 20–24. To calculate adolescent birth and pregnancy rates, we used the first live birth at ages 10–14 and 15–19 years reported by women aged 15–19 and 20–24 years, respectively, along with estimates of annual incidence rates reported by women aged 20–24 years. We conducted conditional inference tree analyses using 52 variables to identify characteristics associated with adolescent pregnancies. Results The number of first live births reported by women aged 20–24 years was 361 during the study period. Adolescent pregnancies and live births decreased from 2004 to 2009 and thereafter increased up to 2014. The adolescent pregnancy incidence (persons-years) trend dropped from 2001 (75.1 per 1000) to 2007 (27.2 per 1000), followed by a steep upward trend from 2007 to 2008 (19.1 per 1000) that increased in 2013 (26.5 per 1000). Associated factors with adolescent pregnancy were living in low-education households, where most adults in the household were working, and high proportion of adolescent pregnancies in the local community. Wealth was not linked to teenage pregnancies. Conclusions Interventions to prevent adolescent pregnancy are imperative and must bear into account the context that influences the culture of early motherhood and lead to socioeconomic and health gains in resource-poor settings.https://doi.org/10.1186/s12884-021-04215-4Adolescent pregnanciesIncidence trendAdolescent birth rateAdolescent pregnancy rateConditional inference treesData mining |
| spellingShingle | Wilton Pérez Katarina Ekholm Selling Elmer Zelaya Blandón Rodolfo Peña Mariela Contreras Lars-Åke Persson Oleg Sysoev Carina Källestål Trends and factors related to adolescent pregnancies: an incidence trend and conditional inference trees analysis of northern Nicaragua demographic surveillance data BMC Pregnancy and Childbirth Adolescent pregnancies Incidence trend Adolescent birth rate Adolescent pregnancy rate Conditional inference trees Data mining |
| title | Trends and factors related to adolescent pregnancies: an incidence trend and conditional inference trees analysis of northern Nicaragua demographic surveillance data |
| title_full | Trends and factors related to adolescent pregnancies: an incidence trend and conditional inference trees analysis of northern Nicaragua demographic surveillance data |
| title_fullStr | Trends and factors related to adolescent pregnancies: an incidence trend and conditional inference trees analysis of northern Nicaragua demographic surveillance data |
| title_full_unstemmed | Trends and factors related to adolescent pregnancies: an incidence trend and conditional inference trees analysis of northern Nicaragua demographic surveillance data |
| title_short | Trends and factors related to adolescent pregnancies: an incidence trend and conditional inference trees analysis of northern Nicaragua demographic surveillance data |
| title_sort | trends and factors related to adolescent pregnancies an incidence trend and conditional inference trees analysis of northern nicaragua demographic surveillance data |
| topic | Adolescent pregnancies Incidence trend Adolescent birth rate Adolescent pregnancy rate Conditional inference trees Data mining |
| url | https://doi.org/10.1186/s12884-021-04215-4 |
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