Teenage pregnancy and experience of physical violence among women aged 15-19 years in five African countries: Analysis of complex survey data.

Tytuł:: Teenage pregnancy and experience of physical violence among women aged 15-19 years in five African countries: Analysis of complex survey data.
Autorzy:: Tetteh J; Department of Community Health, University of Ghana Medical School, College of Health Sciences, University of Ghana, Accra, Ghana.
Nuertey BD; Department of Community Health, University of Ghana Medical School, College of Health Sciences, University of Ghana, Accra, Ghana.
Dwomoh D; Department of Biostatistics, School of Public Health, College of Health Sciences, University of Ghana, Accra, Ghana.
Udofia EA; Department of Community Health, University of Ghana Medical School, College of Health Sciences, University of Ghana, Accra, Ghana.
Mohammed S; National Cardiothoracic Centre, Korle-Bu Teaching Hospital, Accra, Ghana.
Adjei-Mensah E; Department of Community Health, University of Ghana Medical School, College of Health Sciences, University of Ghana, Accra, Ghana.
Yawson AE; Department of Community Health, University of Ghana Medical School, College of Health Sciences, University of Ghana, Accra, Ghana.; Department of Biostatistics, School of Public Health, College of Health Sciences, University of Ghana, Accra, Ghana.
Źródło:: PloS one [PLoS One] 2020 Oct 27; Vol. 15 (10), pp. e0241348. Date of Electronic Publication: 2020 Oct 27 (Print Publication: 2020).
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: San Francisco, CA : Public Library of Science
MeSH Terms:: Data Analysis*
Surveys and Questionnaires*
Physical Abuse/*psychology
Pregnancy in Adolescence/*psychology
Adolescent ; Africa/epidemiology ; Developing Countries ; Family Characteristics ; Female ; Humans ; Poisson Distribution ; Pregnancy ; Prevalence ; Residence Characteristics ; Young Adult
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Entry Date(s):: Date Created: 20201027 Date Completed: 20201215 Latest Revision: 20240330
Update Code:: 20240330
PubMed Central ID:: PMC7591093
DOI:: 10.1371/journal.pone.0241348
PMID:: 33108400
: Czasopismo naukowe

Pełny tekst

Background: Pregnant teenage women are prime targets of violence against women perpetrated by intimate partners, family members, and miscreants in their neighborhoods. This study estimated the prevalence of Teenage pregnancy (TP) and Physical Violence (PV) and further assessed the relationship between TP and PV in five Low-and-Middle-Income Countries (LMICs).
Methods: The study was conducted among five LIMCs (Burkina Faso, Kenya, Malawi, Nigeria, and Tanzania) using data from the most recent Demographic and Health Surveys conducted in these countries. Modified Poisson with the robust standard error was used to quantify the association between TP and PV. All analyses adjusted for the complex survey design structure (clustering, weighting, and stratification).
Results: The analysis involved a total of 26055 adolescent women aged 15-19 years across the five countries. The overall prevalence of TP was 25.4% (95%CI = 24.4-26.4) with the highest prevalence occurring among Malawians [29.0% (95%CI = 27.4-30.7)]. Meanwhile, the prevalence of TP among older adolescents (18-19 years) was approximately two-thirds significantly higher compared with young adolescents [aPR(95%CI) = 1.60[1.49-1.71)]. The prevalence of PV among teenagers across the five countries was 24.2% (95%CI = 22.3-26.2). The highest prevalence of PV was recorded among Nigerian adolescent women [31.8% (95%CI = 28.5-35.3)]. The prevalence of PV among adolescent women who were pregnant was approximately 5-folds significant compared to those who were not pregnant (adjusted prevalence ratio; aPR = 4.70; 95% CI: 3.86-5.73; p<0.0001).
Conclusion: There was a high prevalence of pregnancy among older teenagers aged 18-19 years. Close to a quarter of teenage women ever experienced physical violence. Pregnant teenage women ever experience of physical violence was very high compared to non-pregnant peers. Intervention should target PV and TP by adopting a gender-sensitive approach to eliminate physical violence, particularly among teenagers to prevent TP.
Competing Interests: The authors have declared that no competing interests exist.

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