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坦桑尼亚青少年怀孕的相关因素:对2022年坦桑尼亚人口与健康调查及疟疾指标调查的分析

Factors Associated With Teenage Pregnancy in Tanzania: Analysis of the 2022 Tanzania Demographic and Health Survey and Malaria Indicator Survey.

作者信息

Nyamhanga Tumaini, Luoga Pankras

机构信息

Department of Development Studies, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.

出版信息

Int J Public Health. 2025 May 29;70:1608146. doi: 10.3389/ijph.2025.1608146. eCollection 2025.

Abstract

OBJECTIVE

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.

METHODS

We conducted a secondary data analysis of 3,083 teenagers aged 15-19 years drawn from the 2022 Tanzania Demographic and Health Survey.

RESULTS

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.

CONCLUSION

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.

摘要

目的

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。

方法

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。

结果

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。

结论

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。

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