Predictors of teenage pregnancy among girls aged 13–19 years in Uganda: a community based case-control study

BMC Pregnancy and Childbirth

  ^{1    2    3} 

[1] 0000 0001 0155 5938, grid.33058.3d, KEMRI-Wellcome Trust Research Programme, P.O .Box 230-80108, Kilifi, Kenya;0000 0004 1937 0626, grid.4714.6, Department of Public Health Sciences, Karolinska Institutet, SE-171 77, Stockholm, Sweden;0000 0001 1088 4063, grid.425244.1, Peace Research Institute Oslo (PRIO), Oslo, Norway;0000 0004 0620 0548, grid.11194.3c, School of Public Health, Makerere University, P. O. Box, 7072, Kampala, Uganda;0000 0004 1937 0626, grid.4714.6, Department of Public Health Sciences, Karolinska Institutet, SE-171 77, Stockholm, Sweden;grid.449929.b, Faculty of Health Sciences, Victoria University, P. O. Box, 30886, Kampala, Uganda;

关键词: Teenage pregnancy;    Adolescent;    Behavioural factors;    Familial factors;    And social factors;   

DOI  :  10.1186/s12884-019-2347-y

来源: publisher

【 摘 要 】

BackgroundTeenage pregnancy is a serious public health and social problem, with 95% occurring in developing countries. The aim of the study was to investigate the behavioural, familial and social factors associated with teenage pregnancy among girls aged 13–19 years in Lira District, Uganda.MethodsPrimary data from a case-control study of teenage girls (aged 13–19 years) in Lira District, Uganda was analysed. A Structured questionnaire was administered using face-to-face interviews to collect data on 495 participants, identified through simple random sampling from 32 villages in two counties in Lira District. Data analyses were done using SPSS Statistics 23 for descriptive, bivariate (i.e. Chi-square tests) and multivariable analyses (i.e. logistics regression) used for determining independent associations.ResultsA total of 495 teenage girls participated in the study, however, final analyses were undertaken for 480 respondents. At bivariable analysis, all variables except alcohol consumption were significantly associated with teenage pregnancy. Among the behavioural factors assessed, multivariable analyses showed that having multiple sexual partners, frequent sex and irregular contraceptive use increased the likelihood of teenage pregnancy. Among familial factors, being married was found to increase the likelihood of teenage pregnancy. Peer pressure, sexual abuse and lack of control over sex was observed to increase the likelihood of teenage pregnancy.ConclusionsDemographic, behavioural, familial and social factors are important predictors of teenage pregnancy in Lira District. Interventions focussing on: retaining pregnant and married girls at school, information on sexual and reproductive health of teenage girls, improving access to and information about contraceptive use among teenage girls, improving socio-economic status of households, and law enforcement on sexual abuse among girls may come a long way to improving adolescent sexual and health services in the low-income settings.

【 授权许可】

CC BY