Individual and Contextual Factors Associated with Teenage Pregnancy in Colombia: A Multilevel Analysis

Autor:	Juan Nicolás Rodríguez-Niño, Andrés Daniel Gallego-Ardila, Karen Aguía-Rojas, Maryi Viviana Estrada Bonilla
Rok vydání:	2020
Předmět:	medicine.medical_specialty Adolescent Epidemiology Geographic Mapping Colombia 03 medical and health sciences Young Adult 0302 clinical medicine Pregnancy medicine Prevalence Humans 030212 general & internal medicine Child Socioeconomic status Qualitative Research Teenage pregnancy 030219 obstetrics & reproductive medicine Poverty business.industry Public health Prevalence of teenage pregnancy Multilevel model Public Health Environmental and Occupational Health Obstetrics and Gynecology Logistic Models Socioeconomic Factors Pediatrics Perinatology and Child Health Pregnancy in Adolescence Housing Multilevel Analysis Marital status Female Basic needs business Demography
Zdroj:	Maternal and child health journal. 24(11)
ISSN:	1573-6628
Popis:	To analyze municipal- and individual-level factors related to the prevalence of teenage pregnancy in Colombia during 2015. We analyzed 660,767 births registers, of which 21.5% recorded adolescent women. At an individual level, marital status, educational level, area of residence, and access to health services were included in the analysis. At the contextual level, Colombian municipal socioeconomic characteristics and proxies of violence and poverty were analyzed. A multilevel logistic regression model was generated with a Markov Chain Monte Carlo estimation method using 100,000 simulations in MLwiN 2.32 software. Multilevel modeling revealed an increased risk of teenage pregnancy in municipalities with the highest numbers of people expelled by forced displacement (OR 1.21; CI 95%, 1.13–1.29) and with unsatisfied basic needs (OR 1.09; CI 95%, 1.02–1.17). At an individual level, the majority of the teenage women were unmarried and/or had an unstable partnership, a low level of educational, a subsidized health regimen, and resided in the municipal seat. Municipal contextual variables related to poverty, violence, and social inequity contribute to an increase in teenage pregnancy in Colombia. At the individual level, marital status, educational level, and area of residence is associated with teenage pregnancy. It is therefore imperative to include municipal contextual characteristics in the design of the national political agenda.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d90a89646c65c7eea9a97d1420b28995 https://pubmed.ncbi.nlm.nih.gov/32815078 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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