Spatial distribution and factors associated with adolescent pregnancy in Nigeria: a multi-level analysis

Abstract Background Adolescent pregnancy is a global public health and social phenomenon. However, the prevalence of adolescent pregnancy varies between and within countries. This study, therefore, sought to investigate the spatial distribution and factors associated with adolescent pregnancy in Nig...

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Main Authors: Obasanjo Afolabi Bolarinwa, Zemenu Tadesse Tessema, James Boadu Frimpong, Taiwo Oladapo Babalola, Bright Opoku Ahinkorah, Abdul-Aziz Seidu
Format: Article
Language:English
Published: BMC 2022-01-01
Series:Archives of Public Health
Subjects:
Online Access:https://doi.org/10.1186/s13690-022-00789-3
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author Obasanjo Afolabi Bolarinwa
Zemenu Tadesse Tessema
James Boadu Frimpong
Taiwo Oladapo Babalola
Bright Opoku Ahinkorah
Abdul-Aziz Seidu
author_facet Obasanjo Afolabi Bolarinwa
Zemenu Tadesse Tessema
James Boadu Frimpong
Taiwo Oladapo Babalola
Bright Opoku Ahinkorah
Abdul-Aziz Seidu
author_sort Obasanjo Afolabi Bolarinwa
collection DOAJ
description Abstract Background Adolescent pregnancy is a global public health and social phenomenon. However, the prevalence of adolescent pregnancy varies between and within countries. This study, therefore, sought to investigate the spatial distribution and factors associated with adolescent pregnancy in Nigeria. Methods Using data from the women’s recode file, a sample of 9448 adolescents aged 15-19 were considered as the sample size for this study. We employed a multilevel and spatial analyses to ascertain the factors associated with adolescent pregnancy and its spatial clustering. Results The spatial distribution of adolescent pregnancy in Nigeria ranges from 0 to 66.67%. A high proportion of adolescent pregnancy was located in the Northern parts of Nigeria. The likelihood of adolescent pregnancy in Nigeria was high among those who had sexual debut between 15 to 19 years [aOR = 1.49; 95%(CI = 1.16-1.92)], those who were currently married [aOR = 67.00; 95%(CI = 41.27-108.76)], and adolescents whose ethnicity were Igbo [aOR = 3.73; 95%(CI = 1.04-13.30)], while adolescents who were currently working [aOR = 0.69; 95%(CI = 0.55-0.88)] were less likely to have adolescent pregnancy. Conclusion A high proportion of adolescent pregnancy was located in the Northern parts of Nigeria. In addition, age at sexual debut, educational level, marital status, ethnicity, and working status were associated with adolescent pregnancy. Therefore, it is vital to take cognizant of these factors in designing adolescent pregnancy prevention programs or strengthening existing efforts in Nigeria.
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spelling doaj.art-8bc0247fcec844d499dfd20cc06cc2262022-12-21T17:23:36ZengBMCArchives of Public Health2049-32582022-01-0180111310.1186/s13690-022-00789-3Spatial distribution and factors associated with adolescent pregnancy in Nigeria: a multi-level analysisObasanjo Afolabi Bolarinwa0Zemenu Tadesse Tessema1James Boadu Frimpong2Taiwo Oladapo Babalola3Bright Opoku Ahinkorah4Abdul-Aziz Seidu5Department of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-NatalDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Health, Physical Education, and Recreation, University of Cape CoastInstitute of Governance, Humanities, and Social Sciences, Pan African UniversitySchool of Public Health, University of Technology SydneyCollege of Public Health, Medical and Veterinary Sciences, James Cook UniversityAbstract Background Adolescent pregnancy is a global public health and social phenomenon. However, the prevalence of adolescent pregnancy varies between and within countries. This study, therefore, sought to investigate the spatial distribution and factors associated with adolescent pregnancy in Nigeria. Methods Using data from the women’s recode file, a sample of 9448 adolescents aged 15-19 were considered as the sample size for this study. We employed a multilevel and spatial analyses to ascertain the factors associated with adolescent pregnancy and its spatial clustering. Results The spatial distribution of adolescent pregnancy in Nigeria ranges from 0 to 66.67%. A high proportion of adolescent pregnancy was located in the Northern parts of Nigeria. The likelihood of adolescent pregnancy in Nigeria was high among those who had sexual debut between 15 to 19 years [aOR = 1.49; 95%(CI = 1.16-1.92)], those who were currently married [aOR = 67.00; 95%(CI = 41.27-108.76)], and adolescents whose ethnicity were Igbo [aOR = 3.73; 95%(CI = 1.04-13.30)], while adolescents who were currently working [aOR = 0.69; 95%(CI = 0.55-0.88)] were less likely to have adolescent pregnancy. Conclusion A high proportion of adolescent pregnancy was located in the Northern parts of Nigeria. In addition, age at sexual debut, educational level, marital status, ethnicity, and working status were associated with adolescent pregnancy. Therefore, it is vital to take cognizant of these factors in designing adolescent pregnancy prevention programs or strengthening existing efforts in Nigeria.https://doi.org/10.1186/s13690-022-00789-3Adolescent pregnancyNigeriaDHSPublic health
spellingShingle Obasanjo Afolabi Bolarinwa
Zemenu Tadesse Tessema
James Boadu Frimpong
Taiwo Oladapo Babalola
Bright Opoku Ahinkorah
Abdul-Aziz Seidu
Spatial distribution and factors associated with adolescent pregnancy in Nigeria: a multi-level analysis
Archives of Public Health
Adolescent pregnancy
Nigeria
DHS
Public health
title Spatial distribution and factors associated with adolescent pregnancy in Nigeria: a multi-level analysis
title_full Spatial distribution and factors associated with adolescent pregnancy in Nigeria: a multi-level analysis
title_fullStr Spatial distribution and factors associated with adolescent pregnancy in Nigeria: a multi-level analysis
title_full_unstemmed Spatial distribution and factors associated with adolescent pregnancy in Nigeria: a multi-level analysis
title_short Spatial distribution and factors associated with adolescent pregnancy in Nigeria: a multi-level analysis
title_sort spatial distribution and factors associated with adolescent pregnancy in nigeria a multi level analysis
topic Adolescent pregnancy
Nigeria
DHS
Public health
url https://doi.org/10.1186/s13690-022-00789-3
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