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Teenage pregnancy and its predictors in Africa: A systematic review and meta-analysis
OBJECTIVE: Although teenage pregnancy has declined in the last decade, it remains a major public health issue in Africa. Maternal mortality is common among teenagers due to their increased risk of obstetric and medical complications. In Africa, there is a lack of robust and comprehensive data on the...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Qassim Uninversity
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9682880/ https://www.ncbi.nlm.nih.gov/pubmed/36475034 |
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author | Eyeberu, Addis Getachew, Tamirat Sertsu, Addisu Sisay, Mekonnen Baye, Yohannes Debella, Adera Alemu, Addisu |
author_facet | Eyeberu, Addis Getachew, Tamirat Sertsu, Addisu Sisay, Mekonnen Baye, Yohannes Debella, Adera Alemu, Addisu |
author_sort | Eyeberu, Addis |
collection | PubMed |
description | OBJECTIVE: Although teenage pregnancy has declined in the last decade, it remains a major public health issue in Africa. Maternal mortality is common among teenagers due to their increased risk of obstetric and medical complications. In Africa, there is a lack of robust and comprehensive data on the prevalence and predictors of teenage pregnancy. As a result, this systematic review and meta-analysis were carried out to summarize evidence that will assist concerned entities in identifying existing gaps and proposing strategies to reduce teenage pregnancy in Africa. METHODS: The review is registered by the international prospective register of systematic reviews (CRD42021275013). This search included all published and unpublished observational studies written in English between August 23, 2016, and August 23, 2021. The articles were searched using databases (PubMed, CINHAL [EBSCO], EMBASE, POPLINE, Google Scholar, DOAJ, Web of Sciences, MEDLINE, Cochrane Library, and SCOPUS). Data synthesis and statistical analysis were conducted using STATA version 14 software. Forest plots were used to present the pooled prevalence and odds ratio (OR) with a 95% confidence interval (CI) of meta-analysis using the random effect model. RESULTS: A total of 43,758 teenagers (aged 13–19) were included in 23 studies. In Africa, the overall pooled prevalence of teenage pregnancy was 30% (95% CI: 17–43). Western Africa had the highest prevalence of teenage pregnancy 33% (95% CI: 10–55). Age (18–19) (OR = 2.99 [95% CI = 1.124–7.927]), wealth index (OR = 1.84 [95% CI = 1.384–2.433]), and marital status (OR = 6.02 [95% CI = 2.348–15.43]) were predictors of teenage pregnancy in Africa. CONCLUSION: In Africa, nearly one-third of teenagers become pregnant. Teenage pregnancy was predicted by age (18–19), wealth index, and marital status. Strengthening interventions aimed at increasing teenagers’ economic independence, reducing child marriage, and increasing contraceptive use among married teenagers can help to prevent teenage pregnancy. |
format | Online Article Text |
id | pubmed-9682880 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Qassim Uninversity |
record_format | MEDLINE/PubMed |
spelling | pubmed-96828802022-12-05 Teenage pregnancy and its predictors in Africa: A systematic review and meta-analysis Eyeberu, Addis Getachew, Tamirat Sertsu, Addisu Sisay, Mekonnen Baye, Yohannes Debella, Adera Alemu, Addisu Int J Health Sci (Qassim) Review Article OBJECTIVE: Although teenage pregnancy has declined in the last decade, it remains a major public health issue in Africa. Maternal mortality is common among teenagers due to their increased risk of obstetric and medical complications. In Africa, there is a lack of robust and comprehensive data on the prevalence and predictors of teenage pregnancy. As a result, this systematic review and meta-analysis were carried out to summarize evidence that will assist concerned entities in identifying existing gaps and proposing strategies to reduce teenage pregnancy in Africa. METHODS: The review is registered by the international prospective register of systematic reviews (CRD42021275013). This search included all published and unpublished observational studies written in English between August 23, 2016, and August 23, 2021. The articles were searched using databases (PubMed, CINHAL [EBSCO], EMBASE, POPLINE, Google Scholar, DOAJ, Web of Sciences, MEDLINE, Cochrane Library, and SCOPUS). Data synthesis and statistical analysis were conducted using STATA version 14 software. Forest plots were used to present the pooled prevalence and odds ratio (OR) with a 95% confidence interval (CI) of meta-analysis using the random effect model. RESULTS: A total of 43,758 teenagers (aged 13–19) were included in 23 studies. In Africa, the overall pooled prevalence of teenage pregnancy was 30% (95% CI: 17–43). Western Africa had the highest prevalence of teenage pregnancy 33% (95% CI: 10–55). Age (18–19) (OR = 2.99 [95% CI = 1.124–7.927]), wealth index (OR = 1.84 [95% CI = 1.384–2.433]), and marital status (OR = 6.02 [95% CI = 2.348–15.43]) were predictors of teenage pregnancy in Africa. CONCLUSION: In Africa, nearly one-third of teenagers become pregnant. Teenage pregnancy was predicted by age (18–19), wealth index, and marital status. Strengthening interventions aimed at increasing teenagers’ economic independence, reducing child marriage, and increasing contraceptive use among married teenagers can help to prevent teenage pregnancy. Qassim Uninversity 2022 /pmc/articles/PMC9682880/ /pubmed/36475034 Text en Copyright: © International Journal of Health Sciences https://creativecommons.org/licenses/by-nc-sa/3.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Eyeberu, Addis Getachew, Tamirat Sertsu, Addisu Sisay, Mekonnen Baye, Yohannes Debella, Adera Alemu, Addisu Teenage pregnancy and its predictors in Africa: A systematic review and meta-analysis |
title | Teenage pregnancy and its predictors in Africa: A systematic review and meta-analysis |
title_full | Teenage pregnancy and its predictors in Africa: A systematic review and meta-analysis |
title_fullStr | Teenage pregnancy and its predictors in Africa: A systematic review and meta-analysis |
title_full_unstemmed | Teenage pregnancy and its predictors in Africa: A systematic review and meta-analysis |
title_short | Teenage pregnancy and its predictors in Africa: A systematic review and meta-analysis |
title_sort | teenage pregnancy and its predictors in africa: a systematic review and meta-analysis |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9682880/ https://www.ncbi.nlm.nih.gov/pubmed/36475034 |
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