Nyamhanga Tumaini, Luoga Pankras
Department of Development Studies, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Int J Public Health. 2025 May 29;70:1608146. doi: 10.3389/ijph.2025.1608146. eCollection 2025.
Few studies on teenage pregnancy in Tanzania have used a nationally representative sample. This study sought to determine the prevalence and factors associated with teenage pregnancy in Tanzania.
We conducted a secondary data analysis of 3,083 teenagers aged 15-19 years drawn from the 2022 Tanzania Demographic and Health Survey.
After controlling for other covariates, we found that teenagers aged 18-19 years (AOR = 4.5, 95% CI:3.3, 6.1), those who said that getting permission to access healthcare was not a big problem (AOR = 2.7, 95% CI:1.4, 5.3), and those from the Southern zone (AOR = 2.4, 95% CI: 1.5, 3.9), had higher odds of reporting ever having been pregnant. Those with secondary or higher education levels (AOR = 0.3, 95% CI: 0.19, 0.39) and those who married after age 15 (AOR = 0.4, 95% CI: 0.2, 0.8), had lower odds of reporting ever having been pregnant.
This study highlights the significant factors associated with teenage pregnancy among teenagers aged 15-19 years in Tanzania. The education system should facilitate the majority of girls obtaining at least a secondary level of education. Teenager-friendly sexual and reproductive health services need to prioritize older teenagers, with lower education levels and those from poor families.
坦桑尼亚关于青少年怀孕的研究很少使用具有全国代表性的样本。本研究旨在确定坦桑尼亚青少年怀孕的患病率及相关因素。
我们对从2022年坦桑尼亚人口与健康调查中抽取的3083名15 - 19岁青少年进行了二次数据分析。
在控制了其他协变量后,我们发现18 - 19岁的青少年(调整后比值比[AOR]=4.5,95%置信区间[CI]:3.3,6.1)、那些表示获得医疗保健许可不是大问题的人(AOR = 2.7,95% CI:1.4,5.3)以及来自南部地区的人(AOR = 2.4,95% CI:1.5,3.9),报告曾怀孕的几率更高。具有中等或更高教育水平的人(AOR = 0.3,95% CI:0.19,0.39)以及15岁以后结婚的人(AOR = 0.4,95% CI:0.2,0.8),报告曾怀孕的几率较低。
本研究强调了坦桑尼亚15 - 19岁青少年中与青少年怀孕相关的重要因素。教育系统应促使大多数女孩至少接受中等教育。青少年友好型性与生殖健康服务需要优先关注年龄较大、教育水平较低且来自贫困家庭的青少年。