Socio‐demographic predictors of unintended pregnancy and late antenatal booking in Honiara, Solomon Islands

Kluckow, Hannah; Panisi, Leeanne; Larui, Jessie; Jatobatu, Anna; Kim, Dukyeon; Hodges, Laura; Black, Kirsten

doi:10.1111/ajo.12782

Cited by 11 publications

(13 citation statements)

References 19 publications

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“…Consistent with previous pieces of literature [ 16 , 18 , 20 ] married women had lower odds of unintended pregnancy as compared to single ones. This may reflect that a more stable relationship between the couples might have encouraged them to have better decision-making and utilization of family planning methods and timing of conception [ 44 ].…”

Section: Discussionsupporting

confidence: 90%

“…Similarly, the odds of unintended pregnancy among adolescent girls and young women from female-headed households was lower as compared to those of male-headed households. This might be due to shared family planning decisions in those female-headed households [ 20 ] since the women’s capacity of making reproductive health decisions has a significant effect on unintended pregnancy in the previous study [ 14 ]. Besides, the evidence shows that husband-only or wife-only decision-making is associated with a higher risk for women in having both unmet needs for contraception and unintended pregnancy [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

“…In previous studies education [ 13 – 17 ], parity [ 13 , 15 , 16 ], place of residence [ 13 , 18 ], wealth [ 13 , 18 ], age [ 14 , 15 , 18 ], healthcare decision-making [ 14 ], sexual violence [ 19 ], knowledge of contraceptive methods [ 15 – 17 ], marital status [ 16 – 18 , 20 , 21 ], occupation [ 20 ], sex of household head [ 20 ], birth interval [ 20 ], region and family planning message [ 22 ] have a significant association with unintended pregnancy.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and factors associated with unintended pregnancy among adolescent girls and young women in sub-Saharan Africa, a multilevel analysis

et al. 2022

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Background Unintended pregnancy predisposes women to unsafe abortion, malnutrition, mental illness, and even death. Though adolescent girls and young women are at higher risk of unintended pregnancy, there is a paucity of evidence in its burden and associated factors in sub-Saharan Africa. Therefore, this study aimed to assess the prevalence and factors associated with unintended pregnancy among adolescent girls and young women in sub-Saharan Africa. Method This study was a secondary data analysis of 36 sub-Saharan African countries with a total weighted sample of 17,797 adolescent girls and young women. A multilevel logistic regression model was fitted and, the Adjusted Odds Ratio (AOR) with a 95% Confidence Interval (CI) was reported to assess the association between the independent variables and unintended pregnancy in Sub-Saharan Africa. Result The pooled prevalence of unintended pregnancy in sub-Saharan Africa was 30.01 with 95% CI (29.38–30.74). In multivariable multilevel logistic regression analysis, adolescent girls, and young women with higher education (AOR = 0.71 95%CI 0.52–0.97), those who know modern contraceptive methods (AOR = 0.86 95%CI 0.75–0.98), and traditional contraceptive methods (AOR = 0.90, 95%CI 0.59–0.95), married (AOR = 0.80, 95%CI 0.73–0.88), those from female-headed households (AOR = 0.86,95%CI 0.78–0.94), had lower odds of unintended pregnancy. Whereas adolescent girls and young women from Central Africa (AOR = 2.09,95%CI 1.23–3.55), southern Africa (AOR = 5.23, 95%CI 2.71–10.09), and Eastern Africa (AOR = 1.07,95%CI 1.07–2.66) had higher odds of unintended pregnancy. Conclusion Prevalence of unintended pregnancy in Sub-Saharan Africa is high. Therefore, educating adolescent girls and young women, and improving their knowledge about family planning services is vital. It is also better for the government of countries in sub-Saharan Africa and other global and local stakeholders to work hard to ensure universal access to sexual and reproductive healthcare services, including family planning, education, and the integration of reproductive health into national strategies and programs to reduce unintended pregnancy.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence and factors associated with unintended pregnancy among adolescent girls and young women in sub-Saharan Africa, a multilevel analysis

et al. 2022

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“…A substantial proportion reporting that their tests were done as late as the third trimester, increasing risk of vertical transmission. Other studies indicate that ANC attendance during the first trimester varies across the region, with an estimate of 50% in Asia, 17.4% in PNG, and as low as 4.3% in Vanuatu and larger proportions of women and girls have their first ANC visit after their first trimester [29,[31][32][33]. These findings are also crucial since PNG national and provincial data does not disaggregate data of FSW and CSE girls from women and girls in the general population.…”

Section: Discussionmentioning

confidence: 99%

Sexual and reproductive health needs and practices of female sex workers in Papua New Guinea: findings from a biobehavioral survey Kauntim mi tu (‘Count me too’)

Weikum

Kelly‐Hanku²,

Neo-Boli³

et al. 2022

Arch Public Health

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Background Little research has explored the sexual and reproductive health (SRH) experience of female sex workers (FSW), including girls aged < 18 years who are commercially sexually exploited (CSE), in Papua New Guinea (PNG). This paper describes the SRH history of FSW and CSE girls and factors associated with their use of moderately or highly effective contraceptive methods in three settings in PNG. Methods From 2016 to 2017, respondent-driven sampling (RDS) surveys were conducted among FSW and CSE girls in Port Moresby, Lae, and Mt. Hagen. FSW and CSE girls who were born female, aged ≥12 years, sold or exchanged vaginal sex in the past 6 months, spoke English or Tok Pisin, and had a valid RDS study coupon were eligible to participate. Interviews were conducted face-to-face and participants were offered rapid routine HIV and syphilis testing. Survey logistic regression procedures were used to identify factors associated with the use of moderately or highly effective contraceptive methods. Weighted data analysis was conducted. Results A total of 2901 FSW and CSE girls (Port Moresby, 673; Lae, 709; and Mt. Hagen, 709) were enrolled. The proportion using moderately or highly effective contraceptive methods was 37.7% in Port Moresby, 30.9% in Lae, and 26.5% in Mt. Hagen. After adjusting for covariates, factors significantly associated with the use of moderately or highly effective contraceptive methods in Port Moresby were being age 20–24, being married, being divorced or separated, having one or more dependent children, being away from home for more than 1 month in the last 6 months, and having tested HIV negative. No factors were significantly associated in Lae or Mt. Hagen. ANC attendance amongst FSW and CSE girls who gave birth in last 3 years was highest in Port Moresby at 91.2%. HIV testing was inconsistently and inadequately offered at ANC across the three cities. Conclusions Kauntim mi tu provides much-needed insight into the SRH experiences of FSW and CSE girls in PNG, where their use of moderately or highly effective contraceptive methods is low. We hope to shed light on the complicated reality they face due to illegality of sex work and multitude of complex healthcare experiences.

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“…Given that unwanted pregnancy has many complications for the mother and the baby (3,4), and imposes a lot of costs on society (32), it should be managed with regard to health planning and family planning (33,34). Even running educational programs around health literacy in preventing unwanted pregnancy are of considerable importance (30,35).…”

Section: Discussionmentioning

confidence: 99%

Unintended Pregnancy in Iran: Prevalence and Risk Factors

Almasi‐Hashiani

Omani-Samani

Sepidarkish

et al. 2018

International Journal of Women’s Health and Reproduction Scienc

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Objectives: Unintended pregnancy, as one of the main issues in reproductive health, is defined as a mistimed or unwanted pregnancy all over the worlds. This study aimed to determine the prevalence and risk factors of unintended pregnancy among Iranian women. Materials and Methods: As part of a survey on twin or multiple pregnancies in Tehran, Iran, this cross-sectional study considered a total of 5152 deliveries in 103 hospitals during 2015. The required data were gathered at the time of delivery or within the next 2-3 days from physically unstable women. The sampling was carried out within two weeks. All women, regardless of method of delivery, being primiparous or multiparous, and pregnancy outcome were included in the study. Results: According to the results, the prevalence of unintended pregnancy in Iran was estimated 19.81%. Based on univariate analysis, the mean age of mothers, the mean age of fathers, number of pregnancies, and number of deliveries in unintended pregnancies were significantly higher than those in intended pregnancies. In addition, the prevalence of unintended pregnancy among housewives, as well as women with low levels of education and income was high. According to multiple logistic regression analysis, economic status and number of deliveries were the main predicting factors of unintended pregnancy. Conclusions: In general, the prevalence of unintended pregnancy in Iran is lower than that in other countries. However, preventive actions and health education programs still should be undertaken for mothers in order to minimize the prevalence of unintended pregnancies, thereby reducing the consequences for mother and baby.

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Socio‐demographic predictors of unintended pregnancy and late antenatal booking in Honiara, Solomon Islands

Cited by 11 publications

References 19 publications

Prevalence and factors associated with unintended pregnancy among adolescent girls and young women in sub-Saharan Africa, a multilevel analysis

Prevalence and factors associated with unintended pregnancy among adolescent girls and young women in sub-Saharan Africa, a multilevel analysis

Sexual and reproductive health needs and practices of female sex workers in Papua New Guinea: findings from a biobehavioral survey Kauntim mi tu (‘Count me too’)

Unintended Pregnancy in Iran: Prevalence and Risk Factors

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