An evolution of socioeconomic related inequality in teenage pregnancy and childbearing in Malawi

Autor: Dominic Nkhoma, Jesman Chintsanya, Levison Chiwaula, Gloria Likupe, Jacob Mazalale, Gowokani Chijere Chirwa
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Malawi
Economics
Maternal Health
Social Sciences
Concentration indices
Adolescents
Pediatrics
Geographical Locations
Families
0302 clinical medicine
Pregnancy
Medicine and Health Sciences
Public and Occupational Health
030212 general & internal medicine
Children
media_common
Teenage pregnancy
030219 obstetrics & reproductive medicine
Multidisciplinary
Child Health
Socioeconomic inequality
Obstetrics and Gynecology
Socioeconomic Aspects of Health
Contraception
Pregnancy in Adolescence
Medicine
Female
Demographic health survey
Research Article
Adolescent
Inequality
media_common.quotation_subject
Science
03 medical and health sciences
medicine
Humans
Female Contraception
Socioeconomic status
Disadvantage
business.industry
medicine.disease
Economic Analysis
Health Care
Socioeconomic Factors
Age Groups
People and Places
Africa
Women's Health
Population Groupings
business
Demography
Zdroj: PLoS ONE, Vol 14, Iss 11, p e0225374 (2019)
PLoS ONE
ISSN: 1932-6203
Popis: BackgroundTeenage pregnancies and childbearing are important health concerns in low-and middle-income countries (LMICs) including Malawi. Addressing these challenges requires, among other things, an understanding of the socioeconomic determinants of and contributors to the inequalities relating to these outcomes. This study investigated the trends of the inequalities and decomposed the underlying key socioeconomic factors which accounted for the inequalities in teenage pregnancy and childbearing in Malawi.MethodsThe study used the 2004, 2010 and 2015-16 series of nationally representative Malawi Demographic Health Survey covering 12,719 women. We used concentration curves to examine the existence of inequalities, and then quantified the extent of inequalities in teenage pregnancies and childbearing using the Erreygers concentration index. Finally, we decomposed concentration index to find out the contribution of the determinants to socioeconomic inequality in teenage pregnancy and childbearing.ResultsThe teenage pregnancy and childbearing rate averaged 29% (pConclusionThe findings suggest that there is a need for sustained investment in the education of young women concerning the disadvantages of early sexual debut and early marriages, and in addressing the wealth inequalities in order to reduce the incidences of teenage pregnancies and childbearing.
Databáze: OpenAIRE
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