Factors Associated with Teenage Pregnancy: A Hospital-Based Case-Control Study
Background: Teenage pregnancy is a major public health problem and is considered to be high risk for maternal health, pregnancy outcomes, and long-term effects. This study aims to determine the factors associated with teenage pregnancy among pregnant teenagers and non-teenagers in a tertiary hospit...
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Karnali Academy of Health Sciences
2024-12-01
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| Series: | Journal of Karnali Academy of Health Sciences |
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| Online Access: | https://jkahs.org.np/jkahs/index.php/jkahs/article/view/903 |
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| author | Chet Kant Bhusal |
| author_facet | Chet Kant Bhusal |
| author_sort | Chet Kant Bhusal |
| collection | DOAJ |
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Background: Teenage pregnancy is a major public health problem and is considered to be high risk for maternal health, pregnancy outcomes, and long-term effects. This study aims to determine the factors associated with teenage pregnancy among pregnant teenagers and non-teenagers in a tertiary hospital of Nepal.
Methods: A hospital-based case-control study was conducted using 1:2 case-control ratio among 109 pregnant teenagers and 218 non-teenage pregnant women attending antenatal service at a tertiary hospital of Rupandehi, Nepal, from October 2020 to February 2021. Two controls were selected on the same day when a case was identified. Variables found significance (p<0.05) in bivariate analysis were entered into multivariable logistic regression to identify final associated factors.
Results: The mean age of cases was 17.81± 1.01 years, while controls were 25.35 ± 2.46 years. Women from Dalit caste (AOR=3.04, CI=1.02-9.07), engaged in business work (AOR= 0.23, CI= 0.10-0.57), food sufficiency for more than 12 months per year (AOR =2.83, CI= 1.09-7.31), family planning (AOR=2.38, CI=1.33-4.25) and anemia (AOR= 2.58, CI: 1.56-4.27) were positively associated with teenage pregnancy. Conversely, primary (AOR= 0.18, CI= 0.06-0.57), secondary (AOR= 0.13, CI= 0.06-0.26) and SLC and above education (AOR= 0.36, CI= 0.15-0.85) were found to be negatively associated.
Conclusions: Ethnicity, education, occupation, food sufficiency, family planning use and hemoglobin were found to be independently associated factors of teenage pregnancy. Thus, policy makers and administrators should focus on informal educational intervention, intervention for utilization skills of family planning, and nutrition promotion during pregnancy especially for disadvantages people.
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| format | Article |
| id | doaj-art-822e571f998b4c77902f0e73c98e4bf8 |
| institution | Kabale University |
| issn | 2616-0064 2676-1327 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Karnali Academy of Health Sciences |
| record_format | Article |
| series | Journal of Karnali Academy of Health Sciences |
| spelling | doaj-art-822e571f998b4c77902f0e73c98e4bf82024-12-23T03:25:02ZengKarnali Academy of Health SciencesJournal of Karnali Academy of Health Sciences2616-00642676-13272024-12-017310.61814/jkahs.v7i3.903Factors Associated with Teenage Pregnancy: A Hospital-Based Case-Control StudyChet Kant Bhusal0Universal College of Medical Science and Teaching Hospital affiliated to Tribhuvan University, Bhairahawa, Rupandehi Nepal Background: Teenage pregnancy is a major public health problem and is considered to be high risk for maternal health, pregnancy outcomes, and long-term effects. This study aims to determine the factors associated with teenage pregnancy among pregnant teenagers and non-teenagers in a tertiary hospital of Nepal. Methods: A hospital-based case-control study was conducted using 1:2 case-control ratio among 109 pregnant teenagers and 218 non-teenage pregnant women attending antenatal service at a tertiary hospital of Rupandehi, Nepal, from October 2020 to February 2021. Two controls were selected on the same day when a case was identified. Variables found significance (p<0.05) in bivariate analysis were entered into multivariable logistic regression to identify final associated factors. Results: The mean age of cases was 17.81± 1.01 years, while controls were 25.35 ± 2.46 years. Women from Dalit caste (AOR=3.04, CI=1.02-9.07), engaged in business work (AOR= 0.23, CI= 0.10-0.57), food sufficiency for more than 12 months per year (AOR =2.83, CI= 1.09-7.31), family planning (AOR=2.38, CI=1.33-4.25) and anemia (AOR= 2.58, CI: 1.56-4.27) were positively associated with teenage pregnancy. Conversely, primary (AOR= 0.18, CI= 0.06-0.57), secondary (AOR= 0.13, CI= 0.06-0.26) and SLC and above education (AOR= 0.36, CI= 0.15-0.85) were found to be negatively associated. Conclusions: Ethnicity, education, occupation, food sufficiency, family planning use and hemoglobin were found to be independently associated factors of teenage pregnancy. Thus, policy makers and administrators should focus on informal educational intervention, intervention for utilization skills of family planning, and nutrition promotion during pregnancy especially for disadvantages people. https://jkahs.org.np/jkahs/index.php/jkahs/article/view/903 Teenage pregnancyAdolescentCase controlKeywords: Teenage pregnancy, Adolescent, Case control, Antenatal services |
| spellingShingle | Chet Kant Bhusal Factors Associated with Teenage Pregnancy: A Hospital-Based Case-Control Study Journal of Karnali Academy of Health Sciences Teenage pregnancy Adolescent Case control Keywords: Teenage pregnancy, Adolescent, Case control, Antenatal services |
| title | Factors Associated with Teenage Pregnancy: A Hospital-Based Case-Control Study |
| title_full | Factors Associated with Teenage Pregnancy: A Hospital-Based Case-Control Study |
| title_fullStr | Factors Associated with Teenage Pregnancy: A Hospital-Based Case-Control Study |
| title_full_unstemmed | Factors Associated with Teenage Pregnancy: A Hospital-Based Case-Control Study |
| title_short | Factors Associated with Teenage Pregnancy: A Hospital-Based Case-Control Study |
| title_sort | factors associated with teenage pregnancy a hospital based case control study |
| topic | Teenage pregnancy Adolescent Case control Keywords: Teenage pregnancy, Adolescent, Case control, Antenatal services |
| url | https://jkahs.org.np/jkahs/index.php/jkahs/article/view/903 |
| work_keys_str_mv | AT chetkantbhusal factorsassociatedwithteenagepregnancyahospitalbasedcasecontrolstudy |