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Int. J. Environ. Res. Public Health 2018, 15(2), 229; https://doi.org/10.3390/ijerph15020229

Factors Associated with Pregnancy among Married Adolescents in Nepal: Secondary Analysis of the National Demographic and Health Surveys from 2001 to 2011

Jean Hailes Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne 3800, Australia
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Received: 12 December 2017 / Revised: 16 January 2018 / Accepted: 23 January 2018 / Published: 30 January 2018
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Abstract

Pregnancy-related morbidity and mortality are much more prevalent among adolescents than adults, particularly in low-income settings. Little is known about risk factors for pregnancy among adolescents in Nepal, but setting-specific evidence is needed to inform interventions. This study aimed to describe the prevalence, and identify factors associated with pregnancy among adolescents in Nepal between 2001 and 2011. Secondary analyses of Nepal Demographic Health Surveys (NDHS) data from 2001, 2006, and 2011 were completed. The outcome was any pregnancy or birth among married adolescents; prevalence was calculated for each survey year. Although the rate of marriage among adolescent women in Nepal decreased significantly from 2001 to 2011, prevalence of pregnancy and birth among married adolescent women in Nepal remains high (average 56%) in Nepal, and increased significantly between 2001 and 2011. Regression analyses of this outcome indicate higher risk was associated with living in the least resourced region, early sexual debut, and older husband. Despite national efforts to reduce pregnancies among married adolescent women in Nepal, prevalence remains high. Integrated, cross-sectoral prevention efforts are required. Poverty reduction and infrastructure improvements may lead to lower rates of adolescent pregnancy. View Full-Text
Keywords: adolescent pregnancy; risk factors; protective factors; low- and lower-middle income countries adolescent pregnancy; risk factors; protective factors; low- and lower-middle income countries
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Pradhan, R.; Wynter, K.; Fisher, J. Factors Associated with Pregnancy among Married Adolescents in Nepal: Secondary Analysis of the National Demographic and Health Surveys from 2001 to 2011. Int. J. Environ. Res. Public Health 2018, 15, 229.

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