Repeat adolescent pregnancies in Southwestern Uganda: A cross-sectional study.

Autor:	Ramachandran R; Deggendorf Institute of Technology, European Campus Rottal-Inn, Deggendorf, Germany., Namatovu S; Mbarara University of Science and Technology, Mbarara, Uganda., Atwine D; Soar Research Foundation, Mbarara, Uganda., Tumuhairwe J; Mbarara University of Science and Technology, Mbarara, Uganda., Nyakato VN; Mbarara University of Science and Technology, Mbarara, Uganda., Kemigisha E; Mbarara University of Science and Technology, Mbarara, Uganda.; African Population and Health Research Center, Nairobi, Kenya., Ivanova O; Institute of Infectious Diseases and Tropical Medicine, LMU University Hospital, LMU Munich, Munich, Germany.; German Center for Infection Research (DZIF), Partner Site Munich, Munich, Germany.
Jazyk:	angličtina
Zdroj:	Women's health (London, England) [Womens Health (Lond)] 2024 Jan-Dec; Vol. 20, pp. 17455057241302449.
DOI:	10.1177/17455057241302449
Abstrakt:	Background: Pregnancy in adolescents continues to remain a significant public health challenge, with repeat pregnancies in this age group often receiving insufficient attention. In Uganda, repeat adolescent pregnancy varies between 26.1% and 55.6%. Evidence shows that repeat pregnancy in adolescence is more common in settings of high poverty, low educational attainment and low use of long-acting reversible contraceptives among others. Objectives: The main aim of this study is to determine the underlying risk and protective factors of repeat adolescent pregnancy in Uganda. Design: This was a cross-sectional study among adolescent girls and young women aged between 13 and 22 years with single and repeat pregnancies in four districts in Southwestern Uganda. Methods: The questionnaire was administered on a portable PC to collect information on socio-demographic characteristics, sexual behaviours, sexual and reproductive health (SRH) knowledge, pregnancy outcome, experience of violence and mental health. Descriptive statistics and logistic regression were performed. Results: A total of 115 girls with single and 93 with repeat pregnancies participated in the survey. Of these, 42 (20.2%) were 18 years and younger. The majority (92%) had dropped out of school, having achieved primary-level education (67%). The mean age of sexual debut (15.6 versus 16.4 years) and the mean age at first pregnancy (16.4 versus 17.3 years) were lower among those in repeat-pregnancy group compared to those in single-pregnancy group. The odds of having repeat pregnancy were higher among participants who engaged in risky behaviour (AOR 3; 95% CI (1.28-7.37)) and experienced any form of violence (AOR 4.67; 95% CI (1.5-16.56)). Being single, having the first pregnancy in older age (16 and above) and having a positive first pregnancy outcome (live birth) served as protective factors for repeat pregnancy. Conclusions: Adolescents with repeat pregnancies have significantly more SRH risks compared to those with single pregnancies. These findings underscore the importance of multi-faceted and timely interventions for adolescent girls in this setting, with an emphasis on the mitigation of violence, and enhancing access to comprehensive sexuality education, and SRH services.
Databáze:	MEDLINE
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