Department of Nursing Management and Education, School of Nursing and Public Health, The University of Dodoma, P.O. Box 259, Dodoma, Tanzania.
Department of Clinical Nursing, School of Nursing and Public Health, The University of Dodoma, P.O. Box 259, Dodoma, Tanzania.
Reprod Health. 2023 Feb 3;20(1):28. doi: 10.1186/s12978-022-01554-z.
Teenage pregnancies cause serious health, social and economic consequences including death among adolescent girls worldwide. It is estimated that in 2019 about 55% of unintended pregnancies among adolescent girls aged 15-19 years ended up in abortions, which are often unsafe in developing countries. Little was known about the magnitude of teenage pregnancy and its associated factors in Dodoma Tanzania. Therefore, the study aimed at establishing the magnitude and factors associated with teenage pregnancies among adolescents in Dodoma Region Tanzania.
It was a community-based analytical cross-sectional study that included 539 adolescent girls aged 15 to 19 years old. A multistage sampling technique was used to recruit study participants. An interviewer-administered structured questionnaire was used to collect data. Data were analyzed by using SPSS v23. Descriptive statistics were used to describe the distribution of the entire study variable while the inferential statistics helped to establish factors associated with teenage pregnancy among adolescent girls and the level of significance was set at two sides of less than 0.05.
The magnitude of teenage pregnancy in Dodoma was 29%. After controlling for possible confounders, factors associated with teenage pregnancy were; urban residence [AOR: 3.02, 95%CI: (1.60-5.68), p = 0.001], low mothers' education status [AOR: 3.46, 95%CI: (1.47-8.11), p = 0.004]; Poor knowledge on sexual and reproductive health [AOR: 2.09, 95%CI: (1.2-3.63), p = 0.009]; Low family economic status [AOR: 3.83, 95%CI: (1.77-8.30), p = 0.001]; Peer group [AOR: 2.92, 95%CI: (1.33-6.40), p = 0.007]; Early marriage [AOR: 2.58, 95%CI: (1.57-4.26), p < 0.0001]; and Sexual abuse [AOR: 13.56, 95%CI: (7.98-23.06), p < 0.0001].
This study found a high magnitude of teenage pregnancy among youth in Dodoma. Teenagers who were more likely to teenage pregnancy were those with limited knowledge about sexual and reproductive health living in urban, from families with low economic status, their mothers had a low level of education, from a culture that encourage early marriages, with the influence of peer and who experienced sexual abuse. An innovative intervention study to come up with a cost-effective strategy to address the challenge of teenage pregnancy in Dodoma is highly recommended.
青少年怀孕在全球范围内给少女的健康、社会和经济带来了严重后果，包括死亡。据估计，2019 年，15-19 岁少女中约有 55%的意外怀孕以流产告终，而在发展中国家，这些流产往往是不安全的。坦桑尼亚多多马地区青少年怀孕的规模及其相关因素知之甚少。因此，本研究旨在确定坦桑尼亚多多马地区青少年怀孕的规模及其相关因素。
这是一项基于社区的分析性横断面研究，包括 539 名年龄在 15 至 19 岁的少女。采用多阶段抽样技术招募研究参与者。使用访谈者管理的结构化问卷收集数据。使用 SPSS v23 进行数据分析。描述性统计用于描述整个研究变量的分布，而推理统计则有助于确定与少女怀孕相关的因素，显著性水平设定为双侧小于 0.05。
多多马的青少年怀孕率为 29%。在控制了可能的混杂因素后，与青少年怀孕相关的因素包括：城市居住[比值比 (OR)：3.02，95%置信区间 (CI)：(1.60-5.68)，p=0.001]、母亲教育程度低[OR：3.46，95%CI：(1.47-8.11)，p=0.004]、性与生殖健康知识贫乏[OR：2.09，95%CI：(1.2-3.63)，p=0.009]、家庭经济状况差[OR：3.83，95%CI：(1.77-8.30)，p=0.001]、同龄人群体[OR：2.92，95%CI：(1.33-6.40)，p=0.007]、早婚[OR：2.58，95%CI：(1.57-4.26)，p<0.0001]和性虐待[OR：13.56，95%CI：(7.98-23.06)，p<0.0001]。
本研究发现，多多马青少年怀孕率较高。青少年怀孕的可能性更大的是那些对性与生殖健康知识有限、居住在城市、来自经济地位较低家庭、母亲教育程度较低、来自鼓励早婚的文化、受到同龄人和性虐待影响的青少年。强烈建议开展一项创新性的干预研究，制定一项具有成本效益的策略，以解决多多马青少年怀孕问题。
