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INTRODUCTION: Adolescent pregnancy is a major public health and social concern which pose enormous pregnancy and delivery-related risks for both the mother and their neonate. This study aims to estimate adolescent pregnancy and determine the factors associated with adolescent pregnancy in Mongolia. METHODS: This study pooled data from 2013 and 2018 Mongolia, Social Indicator Sample Surveys (MSISS). A total of 2808 adolescent girls aged 15-19 years with socio-demographic information were included in this study. Adolescent pregnancy is defined as pregnancy in a female 19 years of age or younger. Multivariable logistic regression analysis was performed to determine factors associated with adolescent pregnancy in Mongolia. RESULTS: Adolescent pregnancy was estimated at 57.62 [95% Confidence Interval (CI): 44.41, 70.84] per 1000 adolescent girls aged 15-19 years. Multivariable analyses reported higher adolescent pregnancy in the countryside [Adjusted Odds Ratios (AOR) = 2.07 (95%CI: 1.08, 3.96)], with increasing age [AOR = 11.50 (95%CI: 6.64, 19.92)], among adolescent girls who used contraception methods [AOR = 10.80 (95%CI: 6.34, 18.40)], among adolescent girls from the poorest households [AOR = 3.32 (95%CI: 1.39, 7.93)], and among adolescent girls who drank alcohol [AOR = 2.10 (95%CI: 1.22, 3.62)]. DISCUSSION: Identifying the factors associated with adolescent pregnancy is crucial in reducing adolescent pregnancy and improving the sexual and reproductive health as well as the social and economic well-being of adolescents thus setting Mongolia on the path to achieving the Sustainable Development Goals (SDGs) 3 by 2030.
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Adolescent pregnancy is a major health concern which has lifelong consequences. The aim of this study is to examine the regional trends and socioeconomic predictors of adolescent pregnancy in Nigeria. This study used pooled data from the 2008, 2013 and 2018 Nigeria Demographic and Health Survey (NDHS). A total of 22,761 women aged 15-19 years were selected across the three surveys. Multilevel logistic regression analysis that adjusted for cluster and survey weights was used to identify predictors of adolescent pregnancy in Nigeria, across the six geopolitical zones of Nigeria. Adolescent pregnancy remained constant between 2008 (22.9%; 95% CI = 22.14, 24.66), and 2013 (22.5%; 95% CI = 20.58, 24.50), but a significant decline was reported in 2018 (18.7%; 95% CI = 17.12, 20.46). Trends show a decrease in adolescent pregnancy across all six geopolitical zones, except for the South-East zone which reported a slight increase (0.6%). Multivariable analysis revealed that the main socioeconomic predictors across all six geopolitical zones were: poor households, increasing age, and low education. Exposure to media (watching television and reading newspapers) was reported as predictor in all regions except the North-East geopolitical zone, while all northern zones reported high levels of adolescent pregnancy in male-led households. To address adolescent pregnancy in Nigeria, there is need to promote girls' education especially among poor households, and for the dissemination of reproductive health messages to adolescents through various forms of mass media campaign, as well as the adoption of social marketing interventions to improve sexual and reproductive health literacy.
