Factors independently associated with teenage pregnancy among 385 teenage girls living in Palorinya and Bidi Bidi refugee settlements of West Nile region, northern Uganda
Variable | All (n=385) Freq (%) | Teenage pregnancy | Crude PR (95% CI) | P value | Adjusted PR (95% CI) | P value | |
Yes (n=131) Freq (%) | No (n=254) Freq (%) | ||||||
Occupation | |||||||
Working | 56 (14.6) | 29 (22.1) | 27 (10.6) | 1.7 (1.24 to 2.56) | 0.001 | 1.1 (0.86 to 1.54) | 0.346 |
Not working | 329 (85.6) | 102 (77.86) | 227 (89.4) | Reference | Reference | ||
Education | |||||||
No education | 5 (1.3) | 5 (3.8) | 0 (0.0) | 3.1 (2.64 to 3.64) | <0.001 | 2.3 (1.26 to 4.35) | 0.007 |
Primary | 316 (82.1) | 102 (77.9) | 214 (84.3) | Reference | Reference | ||
Secondary and beyond | 64 (16.6) | 24 (18.3) | 40 (15.8) | 1.2 (9.81 to 1.66) | 0.407 | 1.1 (0.84 to 1.51) | 0.439 |
Media exposure | |||||||
Listens to radio | 60 (15.6) | 5 (3.8) | 55 (21.6) | 1 (1.00 to 1.00) | 1 | N/A | |
Owns a mobile phone | 71 (18.4) | 50 (38.2) | 21 (8.3) | 0.9 (0.80 to 0.98) | 0.015 | 0.9 (0.80 to 1.00) | 0.052 |
Reads newspaper | 11 (2.9) | 1 (0.8) | 10 (3.9) | 1 (1.00 to 1.00) | 1 | ||
Watch television | 3 (0.8) | 1 (0.8) | 2 (0.8) | 1 (1.00 to 1.00) | 1 | ||
Uses more than one medium | 65 (16.9) | 39 (29.8) | 26 (10.2) | 0.9 (0.84 to 1.01) | 0.085 | ||
None of the above | 175 (45.6) | 35 (26.7) | 140 (55.1) | Reference | |||
Relationship to the household head | |||||||
Parent | 251 (65.2) | 43 (32.8) | 208 (81.9) | Reference | Reference | ||
Relative | 49 (12.73) | 9 (6.9) | 40 (15.8) | 1.1 (0.56 to 2.06) | 0.834 | 0.9 (0.47 to 1.64) | 0.687 |
Husband/spouse | 85 (22.1) | 79 (60.3) | 6 (2.4) | 5.4 (4.11 to 7.17) | <0.001 | 3.8 (2.51 to 5.84) | <0.001 |
Intention to get pregnant in 12 months | |||||||
Yes | 22 (5.7) | 19 (14.5) | 3 (1.2) | 1.1 (1.03 to 1.15) | 0.003 | 1.0 (0.97 to 1.1) | 0.246 |
No | 363 (94.3) | 112 (85.5) | 251 (98.8) | Reference | Reference | ||
Have friends who are pregnant | |||||||
Yes | 200 (52.0) | 116 (88.6) | 84 (33.1) | 1.1 (0.89 to 1.36) | 0.421 | N/A | |
No | 185 (48.0) | 15 (11.4) | 170 (66.9) | Reference | |||
Peer pressure | |||||||
Yes | 143 (37.1) | 90 (68.7) | 53 (20.9) | 3.7 (2.73 to 5.05) | <0.001 | 2.1 (1.54 to 2.86) | <0.001 |
No | 242 (62.9) | 41 (31.3) | 201 (79.1) | Reference | Reference | ||
Married | |||||||
Yes | 96 (24.9) | 90 (68.7) | 6 (2.4) | 6.6 (4.95 to 8.82) | <0.001 | 1.1 (0.88 to 1.46) | 0.337 |
No | 289 (75.1) | 41 (31.3) | 248 (97.6) | Reference | Reference | ||
Mode of marriage | |||||||
Arranged/forced | 37 (38.5) | 33 (36.7) | 4 (66.7) | Reference | N/A | ||
Willingly | 59 (61.5) | 57 (63.3) | 2 (33.3) | 1.0 (0.95 to 1.16) | 0.347 | ||
History of contraceptive use | |||||||
Yes | 53 (13.8) | 44 (33.6) | 9 (3.5) | 3.2 (2.55 to 3.94) | <0.001 | 1.8 (1.31 to 2.33) | <0.001 |
No | 332 (86.2) | 87 (66.4) | 245 (96.5) | Reference | Reference | ||
Living with both parents | |||||||
Yes | 169 (43.9) | 65 (49.6) | 104 (40.9) | 1.3 (0.95 to 1.66) | 0.104 | 1.1 (0.88 to 1.40) | 0.392 |
No | 216 (56.1) | 66 (50.4) | 150 (59.1) | Reference | Reference | ||
Home sex education | |||||||
Yes | 139 (36.1) | 34 (26.0) | 105 (41.3) | Reference | Reference | ||
No | 246 (63.9) | 97 (74.0) | 149 (58.7) | 1.6 (1.16 to 2.24) | 0.005 | 1.2 (0.94 to 1.63) | 0.127 |
Home contraceptive use counselling | |||||||
Yes | 69 (17.9) | 26 (19.8) | 43 (16.9) | 1.13 (0.81 to 1.60) | 0.471 | N/A | |
No | 316 (82.1) | 105 (80.2) | 211 (83.1) | Reference | |||
Received school sex education | |||||||
Yes | 212 (55.1) | 67 (52.3) | 145 (57.1) | 1.0 (0.96 to 1.17) | 0.265 | N/A | |
No | 173 (44.9) | 61 (47.7) | 109 (42.9) | Reference | |||
School contraceptive use counselling | |||||||
Yes | 156 (40.5) | 56 (43.8) | 100 (39.4) | 1.0 (0.93 to 1.13) | 0.573 | N/A | |
No | 229 (59.5) | 75 (56.2) | 154 (60.6) | Reference | |||
Health education on dangers of teenage pregnancy | |||||||
Yes | 249 (64.7) | 100 (76.3) | 149 (58.7) | 1.8 (1.25 to 2.49) | 0.001 | 1.2 (0.92 to 1.66) | 0.167 |
No | 136 (35.3) | 31 (23.7) | 105 (41.3) | Reference | Reference | ||
Sexual abuse | |||||||
Yes | 20 (5.2) | 17 (13.0) | 3 (1.2) | 2.7 (2.14 to 3.46) | <0.001 | 1.5 (1.07 to 1.99) | 0.018 |
No | 365 (94.8) | 114 (87.0) | 251 (98.8) | Reference | Reference | ||
Physical abuse | |||||||
Yes | 83 (21.6) | 51 (38.9) | 32 (12.6) | 2.3 (1.80 to 2.99) | <0.001 | 1.1 (0.82 to 1.36) | 0.658 |
No | 302 (78.4) | 80 (61.1) | 222 (87.4) | Reference | Reference | ||
Alcohol consumption | |||||||
Yes | 34 (8.8) | 24 (18.3) | 10 (3.9) | 2.3 (1.77 to 3.03) | <0.001 | 0.9 (0.64 to 1.20) | 0.414 |
No | 351 (91.2) | 107 (81.7) | 244 (96.1) | Reference | Reference |