Prevalence of first adolescent pregnancy and its associated factors in sub-Saharan Africa: A multi-country analysis.
Prevalence of first adolescent pregnancy and its associated factors in sub-Saharan Africa: A multi-country analysis.
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撒哈拉以南非洲第一次青少年怀孕及其相关因素的患病率：多国分析。
DOI：
10.1371/journal.pone.0246308
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Hayen A
中科院分区：
文献类型：
--
作者：
Ahinkorah BO;Kang M;Perry L;Brooks F;Hayen A
在低收入和中等收入国家，与怀孕有关的并发症是年轻妇女死亡的主要原因。这项研究旨在确定撒哈拉以南非洲地区青少年首次怀孕的流行率及其相关因素。我们对2010年至2018年在32个撒哈拉以南非洲国家进行的人口与健康调查的横断面数据进行了二次分析。我们计算了每个国家青少年（15至19岁）首次怀孕的患病率，并检查了个人和背景水平因素与首次怀孕之间的关联。在所有青少年中，刚果的青少年首次怀孕率最高（44.3%），卢旺达最低（7.2%）。然而，在有过性行为的青少年中，患病率从卢旺达的36.5%到乍得的75.6%不等。随着年龄的增长、工作、已婚/同居、只受过小学教育、性行为开始早、避孕知识、避孕需求没有未得到满足和最贫穷的五分之一人口，青少年首次怀孕的几率更高。相比之下，生活在农村地区和西非次区域的青少年首次怀孕的几率较低。撒哈拉以南非洲国家的少女怀孕率很高。了解少女首次怀孕的预测因素有助于制定有效的社会政策，如撒哈拉以南非洲的计划生育和全面的性教育和关系教育，并有助于确保健康的生活，促进青少年及其家庭和社区的福祉。
In low-and middle-income countries, pregnancy-related complications are major causes of death for young women. This study aimed to determine the prevalence of first adolescent pregnancy and its associated factors in sub-Saharan Africa. We undertook a secondary analysis of cross-sectional data from Demographic and Health Surveys conducted in 32 sub-Saharan African countries between 2010 and 2018. We calculated the prevalence of first adolescent (aged 15 to 19 years) pregnancy in each country and examined associations between individual and contextual level factors and first adolescent pregnancy. Among all adolescents, Congo experienced the highest prevalence of first adolescent pregnancy (44.3%) and Rwanda the lowest (7.2%). However, among adolescents who had ever had sex, the prevalence ranged from 36.5% in Rwanda to 75.6% in Chad. The odds of first adolescent pregnancy was higher with increasing age, working, being married/cohabiting, having primary education only, early sexual initiation, knowledge of contraceptives, no unmet need for contraception and poorest wealth quintile. By contrast, adolescents who lived in rural areas and in the West African sub-region had lower odds of first adolescent pregnancy. The prevalence of adolescent pregnancy in sub-Saharan African countries is high. Understanding the predictors of first adolescent pregnancy can facilitate the development of effective social policies such as family planning and comprehensive sex and relationship education in sub-Saharan Africa and can help ensure healthy lives and promotion of well-being for adolescents and their families and communities.
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影响因子：
4.5
作者：
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通讯作者：
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