4.0 Article

Prevalence and Risk Factors of Repeat Pregnancy among South African Adolescent Females

Journal

AFRICAN JOURNAL OF REPRODUCTIVE HEALTH
Volume 23, Issue 1, Pages 73-87

Publisher

WOMENS HEALTH & ACTION RESEARCH CENTRE
DOI: 10.29063/ajrh2019/v23i1.8

Keywords

Adolescents; repeat pregnancy; HIV; contraception; spontaneous abortion

Funding

  1. Fogarty International Centre (FIC) of the National Institutes of Health [D43TW010131]
  2. NIH Common Fund, Office of Strategic Coordination, Office of the Director (OD/OSC/CF/NIH) Office of Strategic Coordination of the National Institutes of Health [D43TW010131]
  3. Office of AIDS Research, Office of the Director (OAR/NIH) of the National Institutes of Health [D43TW010131]
  4. National Institute of Mental Health (NIMH/NIH) of the National Institutes of Health [D43TW010131]

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In the era of HIV/AIDS, repeat pregnancies among adolescents indicate the growing problem of high-risk sexual behavior and the status of reproductive health services. A cross sectional survey was conducted to establish the prevalence and risk factors of repeat pregnancies among South African adolescents. A total of 326 adolescents participated in this study at a district hospital in, KwaZulu-Natal, South Africa from June 2017 to November 2017. Data was analysed using R Software. Out of the 326 adolescents, 19.9% had experienced a repeat pregnancy. The risk factors associated with adolescent repeat pregnancy included a history of spontaneous abortion ( p<0.001) and previous contraceptive use ( p<0.001). A higher level of education ( p<0.001) and emotional support from family ( p=0.007) were found to be significant protective factors against adolescent repeat pregnancy. These findings have implications for future interventions aimed at reducing repeat pregnancy among adolescents.

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