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Risk factors for teenage pregnancy in Zimbabwe: Results from the 2015 Zimbabwe Demographic and Health Survey (ZDHS)
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
2017 (English)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Introduction: Teenage pregnancy remains a global problem, more so in sub-Saharan Africa where the rates are the highest. It has huge social implications to societies and is also associated with elevated levels of morbidity and mortality. The purpose of this study was to investigate the risk factors for teenage pregnancy in Zimbabwe focusing on selected background characteristics, issues to do with sexual and reproductive health and characteristics of potential partners to teenage girls. No studies have been done recently to that effect in Zimbabwe.

Methods: Data from the 2015 Zimbabwe Demographic and Health Survey (ZDHS) was used for the present study. The sample included 2156 (weighted 2199) teenage girls between the ages of 15 and 19 years which were identified using a two-stage stratified clustered design. Crosstabulations for frequencies and Chi-square tests were used in descriptive statistics while multiple logistic regression models were used to examine risk factors for teenage pregnancy.

Results: The prevalence of teenage pregnancy in the sample was 23% and the mean increased successively with age from 15 to 19 years. Older teenagers aged 18 and 19 years (AOR=4.11) and having ever used contraceptives (AOR=10.67) were significant risk factors for teenage pregnancy. In addition, teenagers with an early sexual debut (AOR=8.70), those currently and formerly in union (AOR= 5.68 and 65.83 respectively) and those with a non-teenage older partner (AOR=5.24) had higher odds for teenage pregnancy. Compared to the richest wealth quantile, so did those belonging to the poorest (AOR=3.21) and somewhat surprisingly the richer quantile (AOR=2.48). Attaining higher education (AOR=0.09) emerged as a significant protective factor.

Conclusion: This study shows that risk factors for teenage pregnancy in Zimbabwe are multifactorial and should remain be a policy target for responsible authorities. Multilevel interventions involving all levels of communities, national and international organisations should be considered in a bid to lower the rates of teenage pregnancy.  These include but are not limited to ensuring education, respecting rights of women and poverty reduction strategies.

Place, publisher, year, edition, pages
2017. , p. 24
Series
Centre for Public Health Report Series, ISSN 1651-341X ; 2017:2
Keywords [en]
Teenage pregnancy, Zimbabwe, ZDHS, DHS, risk factors
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-140754OAI: oai:DiVA.org:umu-140754DiVA, id: diva2:1150350
External cooperation
ZDHS - Zimbabwe Demographic and Health Survey
Educational program
Master's Programme in Public Health (one-year)
Presentation
2017-05-22, Natural Sciences building N230, Umeå University, Umeå, 09:00 (English)
Supervisors
Examiners
Available from: 2017-12-19 Created: 2017-10-18 Last updated: 2017-12-19Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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