Survival patterns of neonates born to adolescent mothers and the effect of pregnancy intentions and marital status on newborn survival in Kenya, Uganda, and Tanzania, 2014–2016
Bibliographic Data
| ID | 19530940 |
|---|---|
| Authors | Malachi Ochieng Arunda (0000-0001-9236-7210, Lund University, corresponding author), Anette Agardh (0000-0002-1879-7244, Lund University), Markus Larsson (0000-0001-6336-3245, Lund University), Benedict Oppong Asamoah (0000-0001-7308-1698, Lund University) |
| Year | 2022 |
| Volume | 15 |
| Issue | 1 |
| Pages | 2101731-2101731 |
| Publication date | 2022-12-31 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Health Action (JOURNAL) |
| Journal identifiers | ISSN: 1654-9716 • E-ISSN: 1654-9880 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/16549716.2022.2101731 |
| PMID | 36018071 |
| OpenAlex | W4293116323 |
| Language | EN |
| Citations received | 3 |
| References cited | 51 |
BACKGROUND: Adolescent pregnancy and associated neonatal mortality are major global health challenges. In low-income settings where 90% of the 21 million global adolescent pregnancies occur, half are unintended and a fifth experience unsafe abortion. In Kenya, Uganda, and Tanzania, the survival patterns of neonates born to adolescents are unclear. OBJECTIVES: To assess survival patterns among neonates born to adolescents and the effect of pregnancy intentions and marital status on survival in Kenya, Uganda, and Tanzania. METHODS: Cross-sectional data from demographic and health surveys in Kenya, Uganda, and Tanzania 2014-2016 were used. Kaplan-Meier estimates investigated patterns of neonatal survival among adolescent mothers, aged 15-19 years, compared to mothers aged 20-29 years. Cox proportional hazards regression determined the hazard ratios (HR) for the predictors of neonatal survival. RESULTS: About 50% of adolescent pregnancies were unintended and neonatal death rate was twice as high than older mothers (26.6 versus 12.0 deaths/1000 live births). The median survival time was two days for adolescent-born babies and four days among older mothers. The hazard of death for all adolescent-born neonates was about twofold that of 20-29 years-old-mothers, HR 1.80 (95% CI 1.22-2.63). Among married adolescents with unintended newborn pregnancies, the HR was 4-folds higher than corresponding older mothers, HR 4.08 (95% CI 1.62-10.31). Among married, primiparous adolescents with unintended pregnancies, the HR was six times higher than corresponding older mothers. CONCLUSION: Our findings reveal how unintended pregnancies and deaths of neonates born to adolescents contribute substantially to preventable neonatal deaths in East Africa. Full implementation of existing adolescent health policies and utilization of contraceptives should be ensured. Partnership with youths and novel efforts that address sociocultural norms to reduce adolescent pregnancies or marriage should be supported. Regulations requiring adolescents' obstetric care conducted by only skilled personnel should be introduced and implemented
Abortion · Child mortality · Confidence interval · Environmental health · Family planning · Hazard ratio · Infant mortality · Marital status · Obstetrics · Population · Pregnancy · Proportional hazards model · Tanzania · Unintended pregnancy · Adolescent Sexual and Reproductive Health · Demography · Global Maternal and Child Health · Medicine · Reproductive Health and Contraception · Pediatrics
Understanding the socio-demographic and programmatic factors associated with adolescent motherhood and its association with child undernutrition in Bangladesh
Going beyond mere rhetoric of school readmission for adolescent mothers
Sexual violence and terminated pregnancy in Kenya, Tanzania, and Uganda
New Findings on Child Marriage in Sub-Saharan Africa
Demographic and health surveys
National, regional, and worldwide estimates of low birthweight in 2015, with trends from 2000
Adolescence and the next generation
The Mistreatment of Women during Childbirth in Health Facilities Globally
Prevalence and determinants of adolescent pregnancy in Africa
Cesarean delivery and associated socioeconomic factors and neonatal survival outcome in Kenya and Tanzania
Institutional and contextual obstacles to sexuality education policy implementation in Uganda
Maternal education and age
Determinants of trends in neonatal, post-neonatal, infant, child and under-five mortalities in Tanzania from 2004 to 2016
Determinants of neonatal mortality in Nigeria
The impact of maternal experience of violence and common mental disorders on neonatal outcomes
Socioeconomic factors and adolescent pregnancy outcomes
Desire to delay the first childbirth among young, married women in India
The Consequences of Unintended Pregnancy for Maternal and Child Health in Rural India
Trends in childhood mortality in Kenya
Drivers of repeat pregnancy among teenage mothers in Accra, Ghana
The consequences of unintended births for maternal and child health in India
| Citations per year | 1.5 |
|---|---|
| Citation span | 2024 - 2026 (3) |
| Highly cited | No |