Understanding the trend and patterns of teenage pregnancy in Ghana: evidence from the Ghana demographic and health survey from 1993-2014

This study estimated the trend and growth rate of teenage pregnancy (TP) among adolescent women aged 15–19 years and further assessed significant change over time as well as associated factors. Five rounds of the Ghana Demographic Health Survey (GDHS) were used involving 5598 (from 1993 to 2014) ado...

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Main Authors: John Tetteh, George Ekem-Ferguson, Phaedra Yamson, Elom Yarney, Henrique Quansah, Daniel deGraft-Amoah, Swithin Mustapha Swaray, Emelia Dodoo, Ofosua Acheampong, Emmanuel Kofi Aidoo, Alfred Edwin Yawson
Format: Article
Language:English
Published: Taylor & Francis Group 2022-12-01
Series:Cogent Public Health
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Online Access:https://www.tandfonline.com/doi/10.1080/27707571.2022.2111840
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author John Tetteh
George Ekem-Ferguson
Phaedra Yamson
Elom Yarney
Henrique Quansah
Daniel deGraft-Amoah
Swithin Mustapha Swaray
Emelia Dodoo
Ofosua Acheampong
Emmanuel Kofi Aidoo
Alfred Edwin Yawson
author_facet John Tetteh
George Ekem-Ferguson
Phaedra Yamson
Elom Yarney
Henrique Quansah
Daniel deGraft-Amoah
Swithin Mustapha Swaray
Emelia Dodoo
Ofosua Acheampong
Emmanuel Kofi Aidoo
Alfred Edwin Yawson
author_sort John Tetteh
collection DOAJ
description This study estimated the trend and growth rate of teenage pregnancy (TP) among adolescent women aged 15–19 years and further assessed significant change over time as well as associated factors. Five rounds of the Ghana Demographic Health Survey (GDHS) were used involving 5598 (from 1993 to 2014) adolescents. Relative percentage change was estimated, and Modified Poisson multivariate decomposition analysis was employed to assess the risk of TP between two GDHS study points. Decomposition and Poisson regression analysis were used to quantify change and associated significant factors. All analyses adjusted for GDHS design structure (clustering, weighting, and stratification) using Stata 16.1. The prevalence of TP ranged from 13.8% in 2008 to 21.5% in 1993, showing a downward linear trend. The overall growth rate of TP showed a reduction of 8%, however, the percentage change over the period envisage an increasing linear trend. The combined effect due to endowment significantly decreased the log rate of TP prevalence by approximately 219, and 64 over GDHS study points 1993–2014 and 2008–2014, respectively. Throughout GDHS study periods, increasing age of the household head (HH), and the number of women in HH significantly decreased the risk of TP whereas individual age, marital status, and current use of contraceptives significantly increased the risk. TP declined from 1993 to 2014, however, the percentage change depicts an increasing trend. To ensure universal access to sexual and reproductive health-care services, reducing the high rate of TP is key to achieving Sustainable Development Goals (SDGs) target 3.7.
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spelling doaj-art-f78d72c7122e4241ae643f7bb8f680d92024-11-19T05:34:03ZengTaylor & Francis GroupCogent Public Health2770-75712022-12-019110.1080/27707571.2022.2111840Understanding the trend and patterns of teenage pregnancy in Ghana: evidence from the Ghana demographic and health survey from 1993-2014John Tetteh0George Ekem-Ferguson1Phaedra Yamson2Elom Yarney3Henrique Quansah4Daniel deGraft-Amoah5Swithin Mustapha Swaray6Emelia Dodoo7Ofosua Acheampong8Emmanuel Kofi Aidoo9Alfred Edwin Yawson10Department of Community Health, College of Health Sciences, University of Ghana Medical School, University of Ghana, Accra, GhanaDepartment of Psychiatry, Korle-Bu Teaching Hospital, Accra, GhanaDepartment of Community Health, College of Health Sciences, University of Ghana Medical School, University of Ghana, Accra, GhanaDepartment of Community Health, College of Health Sciences, University of Ghana Medical School, University of Ghana, Accra, GhanaDepartment of Community Health, College of Health Sciences, University of Ghana Medical School, University of Ghana, Accra, GhanaDepartment of Community Health, College of Health Sciences, University of Ghana Medical School, University of Ghana, Accra, GhanaNational Cardiothoracic Centre, Korle-Bu Teaching Hospital, Accra, GhanaDepartment of Community Health, College of Health Sciences, University of Ghana Medical School, University of Ghana, Accra, GhanaDepartment of Community Health, College of Health Sciences, University of Ghana Medical School, University of Ghana, Accra, GhanaDepartment of Community Health, College of Health Sciences, University of Ghana Medical School, University of Ghana, Accra, GhanaDepartment of Community Health, College of Health Sciences, University of Ghana Medical School, University of Ghana, Accra, GhanaThis study estimated the trend and growth rate of teenage pregnancy (TP) among adolescent women aged 15–19 years and further assessed significant change over time as well as associated factors. Five rounds of the Ghana Demographic Health Survey (GDHS) were used involving 5598 (from 1993 to 2014) adolescents. Relative percentage change was estimated, and Modified Poisson multivariate decomposition analysis was employed to assess the risk of TP between two GDHS study points. Decomposition and Poisson regression analysis were used to quantify change and associated significant factors. All analyses adjusted for GDHS design structure (clustering, weighting, and stratification) using Stata 16.1. The prevalence of TP ranged from 13.8% in 2008 to 21.5% in 1993, showing a downward linear trend. The overall growth rate of TP showed a reduction of 8%, however, the percentage change over the period envisage an increasing linear trend. The combined effect due to endowment significantly decreased the log rate of TP prevalence by approximately 219, and 64 over GDHS study points 1993–2014 and 2008–2014, respectively. Throughout GDHS study periods, increasing age of the household head (HH), and the number of women in HH significantly decreased the risk of TP whereas individual age, marital status, and current use of contraceptives significantly increased the risk. TP declined from 1993 to 2014, however, the percentage change depicts an increasing trend. To ensure universal access to sexual and reproductive health-care services, reducing the high rate of TP is key to achieving Sustainable Development Goals (SDGs) target 3.7.https://www.tandfonline.com/doi/10.1080/27707571.2022.2111840Teenage pregnancyadolescenttrendpatterndecomposition
spellingShingle John Tetteh
George Ekem-Ferguson
Phaedra Yamson
Elom Yarney
Henrique Quansah
Daniel deGraft-Amoah
Swithin Mustapha Swaray
Emelia Dodoo
Ofosua Acheampong
Emmanuel Kofi Aidoo
Alfred Edwin Yawson
Understanding the trend and patterns of teenage pregnancy in Ghana: evidence from the Ghana demographic and health survey from 1993-2014
Cogent Public Health
Teenage pregnancy
adolescent
trend
pattern
decomposition
title Understanding the trend and patterns of teenage pregnancy in Ghana: evidence from the Ghana demographic and health survey from 1993-2014
title_full Understanding the trend and patterns of teenage pregnancy in Ghana: evidence from the Ghana demographic and health survey from 1993-2014
title_fullStr Understanding the trend and patterns of teenage pregnancy in Ghana: evidence from the Ghana demographic and health survey from 1993-2014
title_full_unstemmed Understanding the trend and patterns of teenage pregnancy in Ghana: evidence from the Ghana demographic and health survey from 1993-2014
title_short Understanding the trend and patterns of teenage pregnancy in Ghana: evidence from the Ghana demographic and health survey from 1993-2014
title_sort understanding the trend and patterns of teenage pregnancy in ghana evidence from the ghana demographic and health survey from 1993 2014
topic Teenage pregnancy
adolescent
trend
pattern
decomposition
url https://www.tandfonline.com/doi/10.1080/27707571.2022.2111840
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