IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i12p6099-d1168144.html
   My bibliography  Save this article

Adolescent Pregnancy in South Asia: A Pooled Analysis of Demographic and Health Surveys

Author

Listed:
  • Samikshya Poudel

    (School of Population Health, University of New South Wales, Sydney, NSW 2052, Australia)

  • Timothy Dobbins

    (School of Population Health, University of New South Wales, Sydney, NSW 2052, Australia)

  • Husna Razee

    (School of Population Health, University of New South Wales, Sydney, NSW 2052, Australia)

  • Blessing Akombi-Inyang

    (School of Population Health, University of New South Wales, Sydney, NSW 2052, Australia)

Abstract

Adolescent pregnancy has important health and social implications. Despite the availability of nationally representative household survey data, there are limited studies that analyze factors associated with adolescent pregnancy across countries of South Asia. This study aimed to identify factors associated with adolescent pregnancy across South Asia. This study used the most recent Demographic and Health Survey (DHS) data from six countries in South Asia: Afghanistan, Bangladesh, India, the Maldives, Nepal, and Pakistan. Pooled individual record data from 20,828 ever-married women aged 15–19 years were used for the analysis. Multivariable logistic regression analysis, informed by the World Health Organization framework on social determinants of health, was performed to examine factors associated with adolescent pregnancy. Adolescent pregnancy was highest in Afghanistan compared to Bangladesh, Nepal, Pakistan, India, and the Maldives. Multivariable analyses confirmed that being from a poor household or male-headed household, increasing maternal age, having no access to newspapers, and having no knowledge of family planning were significantly associated with adolescent pregnancy. The use or intention to use contraceptives was protective against adolescent pregnancy. To reduce adolescent pregnancy in South Asia, interventions targeting adolescents from poor households with limited access to mass media should be considered, especially those from households with an existing patriarchal structure.

Suggested Citation

  • Samikshya Poudel & Timothy Dobbins & Husna Razee & Blessing Akombi-Inyang, 2023. "Adolescent Pregnancy in South Asia: A Pooled Analysis of Demographic and Health Surveys," IJERPH, MDPI, vol. 20(12), pages 1-14, June.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:12:p:6099-:d:1168144
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/12/6099/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/20/12/6099/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Blessing Jaka Akombi-Inyang & Emma Woolley & Chinonyerem Ogadi Iheanacho & Khulan Bayaraa & Pramesh Raj Ghimire, 2022. "Regional Trends and Socioeconomic Predictors of Adolescent Pregnancy in Nigeria: A Nationwide Study," IJERPH, MDPI, vol. 19(13), pages 1-14, July.
    2. Shonazarova, Shirin & Eshchanov, Bahtiyor, 2020. "The determinants of early marriage and under-five child mortality in Afghanistan," MPRA Paper 107684, University Library of Munich, Germany.
    3. Fatema, Kaniz, 2020. "Mass Media Exposure and Maternal Healthcare Utilization in South Asia," SocArXiv 5dhyr, Center for Open Science.
    4. Jacqueline Corcoran, 2016. "Teenage Pregnancy and Mental Health," Societies, MDPI, vol. 6(3), pages 1-9, July.
    5. Samikshya Poudel & Husna Razee & Timothy Dobbins & Blessing Akombi-Inyang, 2022. "Adolescent Pregnancy in South Asia: A Systematic Review of Observational Studies," IJERPH, MDPI, vol. 19(22), pages 1-10, November.
    6. Deon Filmer & Lant Pritchett, 2001. "Estimating Wealth Effects Without Expenditure Data—Or Tears: An Application To Educational Enrollments In States Of India," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 115-132, February.
    7. Phipps, M.G. & Sowers, M., 2002. "Defining early adolescent childbearing," American Journal of Public Health, American Public Health Association, vol. 92(1), pages 125-128.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Blessing Jaka Akombi-Inyang & Emma Woolley & Chinonyerem Ogadi Iheanacho & Khulan Bayaraa & Pramesh Raj Ghimire, 2022. "Regional Trends and Socioeconomic Predictors of Adolescent Pregnancy in Nigeria: A Nationwide Study," IJERPH, MDPI, vol. 19(13), pages 1-14, July.
    2. Diane Coffey & Ashwini Deshpande & Jeffrey Hammer & Dean Spears, 2019. "Local Social Inequality, Economic Inequality, and Disparities in Child Height in India," Demography, Springer;Population Association of America (PAA), vol. 56(4), pages 1427-1452, August.
    3. Angus Deaton & Jean Dreze, 2008. "Nutrition in India: Facts and Interpretations," Working Papers 1071, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    4. Cornelie Nienaber-Rousseau & Olusola F. Sotunde & Patricia O. Ukegbu & P. Hermanus Myburgh & Hattie H. Wright & Lize Havemann-Nel & Sarah J. Moss & Iolanthé M. Kruger & H. Salomé Kruger, 2017. "Socio-Demographic and Lifestyle Factors Predict 5-Year Changes in Adiposity among a Group of Black South African Adults," IJERPH, MDPI, vol. 14(9), pages 1-16, September.
    5. Kumar, Kaushalendra & Shukla, Ankita & Singh, Abhishek & Ram, Faujdar & Kowal, Paul, 2016. "Association between wealth and health among older adults in rural China and India," The Journal of the Economics of Ageing, Elsevier, vol. 7(C), pages 43-52.
    6. Winters, P. & Kafle, K. & Benfica, R., 2018. "IFAD RESEARCH SERIES 21 - Does relative deprivation induce migration? Evidence from sub-Saharan Africa," IFAD Research Series 280070, International Fund for Agricultural Development (IFAD).
    7. Langyintuo, Augustine S. & Mungoma, Catherine, 2008. "The effect of household wealth on the adoption of improved maize varieties in Zambia," Food Policy, Elsevier, vol. 33(6), pages 550-559, December.
    8. Ravi Prakash & Abhishek Singh, 2014. "Who Marries Whom? Changing Mate Selection Preferences in Urban India and Emerging Implications on Social Institutions," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 33(2), pages 205-227, April.
    9. Tuccio, Michele & Wahba, Jackline & Hamdouch, Bachir, 2016. "International Migration: Driver of Political and Social Change?," IZA Discussion Papers 9794, Institute of Labor Economics (IZA).
    10. Pritchett, Lant & Sumarto, Sudarno & Suryahadi, Asep, 2001. "Targeted Programs in an Economic Crisis: Empirical Findings from Indonesia’s Experience," MPRA Paper 58727, University Library of Munich, Germany.
    11. Derek Headey & David Stifel & Liangzhi You & Zhe Guo, 2018. "Remoteness, urbanization, and child nutrition in sub‐Saharan Africa," Agricultural Economics, International Association of Agricultural Economists, vol. 49(6), pages 765-775, November.
    12. Barik, Debasis & Desai, Sonalde & Vanneman, Reeve, 2018. "Economic Status and Adult Mortality in India: Is the Relationship Sensitive to Choice of Indicators?," World Development, Elsevier, vol. 103(C), pages 176-187.
    13. Laetitia Duval & François-Charles Wolff, 2016. "Emigration intentions of Roma: evidence from Central and South-East Europe," Post-Communist Economies, Taylor & Francis Journals, vol. 28(1), pages 87-107, January.
    14. Antonia Grohmann & Lukas Menkhoff & Helke Seitz, 2022. "The Effect of Personalized Feedback on Small Enterprises’ Finances in Uganda," Economic Development and Cultural Change, University of Chicago Press, vol. 70(3), pages 1197-1227.
    15. Paschalis Arvanitidis & Athina Economou & Christos Kollias, 2016. "Terrorism’s effects on social capital in European countries," Public Choice, Springer, vol. 169(3), pages 231-250, December.
    16. Christopher H. Herbst & Monique Vledder & Karen Campbell & Mirja Sjöblom & Agnes Soucat, 2011. "The Human Resources for Health Crisis in Zambia : An Outcome of Health Worker Entry, Exit, and Performance within the National Health Labor Market," World Bank Publications - Books, The World Bank Group, number 5938.
    17. Janina Isabel Steinert & Lucie Dale Cluver & G. J. Melendez-Torres & Sebastian Vollmer, 2018. "One Size Fits All? The Validity of a Composite Poverty Index Across Urban and Rural Households in South Africa," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 136(1), pages 51-72, February.
    18. Pulkit Sharma & Achut Manandhar & Patrick Thomson & Jacob Katuva & Robert Hope & David A. Clifton, 2019. "Combining Multi-Modal Statistics for Welfare Prediction Using Deep Learning," Sustainability, MDPI, vol. 11(22), pages 1-15, November.
    19. Janz, Teresa & Augsburg, Britta & Gassmann, Franziska & Nimeh, Zina, 2023. "Leaving no one behind: Urban poverty traps in Sub-Saharan Africa," World Development, Elsevier, vol. 172(C).
    20. Wang, Fa, 2017. "Maximum likelihood estimation and inference for high dimensional nonlinear factor models with application to factor-augmented regressions," MPRA Paper 93484, University Library of Munich, Germany, revised 19 May 2019.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2023:i:12:p:6099-:d:1168144. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.