Spatial distribution and factors associated with adolescent pregnancy in Nigeria: a multi-level analysis

Bolarinwa, Obasanjo Afolabi; Tessema, Zemenu Tadesse; Frimpong, James Boadu; Babalola, Taiwo Oladapo; Seidu, Abdul‐Aziz

doi:10.1186/s13690-022-00789-3

Cited by 22 publications

(34 citation statements)

References 33 publications

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“…This practice increases teenage girls' chances of becoming pregnant in their late teens, and is prevalent within some ethnic groups in Nigeria especially in the northern geopolitical zones [12,13,21]. A recent study on the spatial distribution of adolescent pregnancy in Nigeria using the 2018 NDHS showed that the northern part of Nigeria had a higher proportion of adolescent pregnancy, due to higher levels of poverty and early marriage as well as lower levels of education [33].…”

Section: Discussionmentioning

confidence: 99%

Regional Trends and Socioeconomic Predictors of Adolescent Pregnancy in Nigeria: A Nationwide Study

Akombi-Inyang

Woolley

Iheanacho

et al. 2022

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Adolescent pregnancy is a major health concern which has lifelong consequences. The aim of this study is to examine the regional trends and socioeconomic predictors of adolescent pregnancy in Nigeria. This study used pooled data from the 2008, 2013 and 2018 Nigeria Demographic and Health Survey (NDHS). A total of 22,761 women aged 15–19 years were selected across the three surveys. Multilevel logistic regression analysis that adjusted for cluster and survey weights was used to identify predictors of adolescent pregnancy in Nigeria, across the six geopolitical zones of Nigeria. Adolescent pregnancy remained constant between 2008 (22.9%; 95% CI = 22.14, 24.66), and 2013 (22.5%; 95% CI = 20.58, 24.50), but a significant decline was reported in 2018 (18.7%; 95% CI = 17.12, 20.46). Trends show a decrease in adolescent pregnancy across all six geopolitical zones, except for the South-East zone which reported a slight increase (0.6%). Multivariable analysis revealed that the main socioeconomic predictors across all six geopolitical zones were: poor households, increasing age, and low education. Exposure to media (watching television and reading newspapers) was reported as predictor in all regions except the North-East geopolitical zone, while all northern zones reported high levels of adolescent pregnancy in male-led households. To address adolescent pregnancy in Nigeria, there is need to promote girls’ education especially among poor households, and for the dissemination of reproductive health messages to adolescents through various forms of mass media campaign, as well as the adoption of social marketing interventions to improve sexual and reproductive health literacy.

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Section: Discussionmentioning

confidence: 99%

Regional Trends and Socioeconomic Predictors of Adolescent Pregnancy in Nigeria: A Nationwide Study

Akombi-Inyang

Woolley

Iheanacho

et al. 2022

IJERPH

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“…Approximately 21 million teenage girls aged 15–19 years become pregnant each year and the prevalence of teenage pregnancies is 95% higher in low- and middle-income countries (LMICs) compared with high-income countries [ 1 ]. Globally teenage pregnancy poses a profound public health concern [ 2 – 5 ]. For instance, pregnancy and childbirth complications are the major cause of death in teenage girls and 99% of all teenage maternal death occurs in LMICs [ 1 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…The high rate of teenage pregnancy rate (106 adolescent births per 1000 population) is a major concern for the government and other stakeholders [ 2 ]. To reduce the unintended pregnancies among schoolchildren, a curriculum for sex education was introduced in Nigerian schools in 2002 [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Socioeconomic inequalities in teenage pregnancy in Nigeria: evidence from Demographic Health Survey

et al. 2022

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Background Despite the high rate of teenage pregnancy in Nigeria and host of negative medical, social and economic consequences that are associated with the problem, relatively few studies have examined socioeconomic inequality in teenage pregnancy. Understanding the key factors associated with socioeconomic inequality in teenage pregnancy is essential in designing effective policies for teenage pregnancy reduction. This study focuses on measuring inequality and identifying factors explaining socioeconomic inequality in teenage pregnancy in Nigeria. Methods This is a cross sectional study using individual recode (data) file from the 2018 Nigeria Demographic Health Survey. The dataset comprises a representative sample of 8,423 women of reproductive age 15 – 19 years in Nigeria. The normalized Concentration index (Cn) was used to determine the magnitude of inequalities in teenage pregnancy. The Cn was decomposed to determine the contribution of explanatory factors to socioeconomic inequalities in teenage pregnancy in Nigeria. Results The negative value of the Cn (-0.354; 95% confidence interval [CI] = -0.400 to -0.308) suggests that pregnancy is more concentrated among the poor teenagers. The decomposition analysis identified marital status, wealth index of households, exposure to information and communication technology, and religion as the most important predictors contributing to observed concentration of teenage pregnancy in Nigeria. Conclusion There is a need for targeted intervention to reduce teenage pregnancy among low socioeconomic status women in Nigeria. The intervention should break the intergenerational cycle of low socioeconomic status that make teenagers’ susceptible to unintended pregnancy. Economic empowerment is recommended, as empowered girls are better prepared to handle reproductive health issues. Moreover, religious bodies, parents and schools should provide counselling, and guidance that will promote positive reproductive and sexual health behaviours to teenagers.

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“…IPV could have devastating effects on the physical and mental health of victims. For instance, IPV affects the reproductive health of women, which may lead to an increase in their likelihood of having miscarriages, pregnancy termination, stillbirths, induced abortions, unplanned pregnancies, and pregnancy-related complications [ 6 , 8 – 11 ]. Aside from the instant or short-term traumatic consequences, IPV can result in chronic health problems such as physical disability, drug and alcohol abuse and addiction, depression, suicidal ideation, and even death [ 4 , 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Spatial distribution and predictors of intimate partner violence among women in Nigeria

et al. 2022

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Background Globally, intimate partner violence is one of the major health problems women face every day. Its consequences are enormous. However, our search of the available literature revealed that no study had examined the spatial distribution of intimate partner violence and the predictors of intimate partner violence among women in Nigeria using current nationally representative data. This study, therefore, sought to examine the spatial distribution of intimate partner violence and its predictors among women in Nigeria. Method We sourced data from the 2018 Nigeria Demographic and Health Survey for this study. A sample size of 8,968 women was considered for this study. We employed both multilevel and spatial analyses to ascertain the factors associated with intimate partner violence and its spatial clustering. Results The hot spot areas for intimate partner violence in Nigeria were Gombe, Bauchi, Adamawa, Plateau, Kogi, Edo, Ebonyi, and Rivers. The likelihood of experiencing intimate partner violence among women in Nigeria was high among women with primary education, those that were previously married, women currently working, women who were Yoruba, women with parity of four and above and women who were exposed to mass media while low odds of intimate partner violence was reported among women who were Muslims. Women who resided in the North East region and those who lived in communities with medium socioeconomic status were more likely to experience intimate partner violence, while women who were within the richest wealth index and those residing in the South West region were less likely to experience intimate partner violence. Conclusion The study found regional variations in the prevalence of intimate partner violence among women in Nigeria. Therefore, policymakers should focus their attention on the hotspots for intimate partner violence in the country. There is also the need to consider the factors identified in this study to reduce intimate partner violence among women in Nigeria. Empowering women would yield a significant improvement in the fight against gender-based violence.

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Spatial distribution and factors associated with adolescent pregnancy in Nigeria: a multi-level analysis

Cited by 22 publications

References 33 publications

Regional Trends and Socioeconomic Predictors of Adolescent Pregnancy in Nigeria: A Nationwide Study

Regional Trends and Socioeconomic Predictors of Adolescent Pregnancy in Nigeria: A Nationwide Study

Socioeconomic inequalities in teenage pregnancy in Nigeria: evidence from Demographic Health Survey

Spatial distribution and predictors of intimate partner violence among women in Nigeria

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