Goal
The fresh the amount off repeated maternity (RP) and you may frequent beginning (RB) one of teenagers aged 15–19 is still not familiar regarding Philippines inspite of the health insurance and socio-financial effects. This research aims to look at the the fresh RP and RB incidence trends throughout the Philippines out-of 1993 in order to 2013.
Procedures
All in all, 7091 women aged fifteen–24 whom knowledgeable one or more pregnancy had been grabbed regarding Philippine market wellness surveys off 1993 to help you 2013. Annual RP and you may RB frequency each age bracket into the around three and you may four classes was in fact computed and you can stratified from the area, form of quarters and money directory. Cochran–Armitage evaluating and multivariate logistic regression have been put on influence pattern prices.
Performance
Compared to feminine aged 19–21 age and you will twenty two–24 age, where decreasing habits had been located, RP ([Adjusted Chances ratio (AOR =0.96; 95%Depend on interval (CI) =0.82–step 1.11) and you will RB (AOR = 0.90; CI = 0.73–step one.10) trend certainly one of fifteen–18 season olds presented minimal protection across the 20 years. From set up a baseline incidence regarding % inside 1993, the newest prevalence away from RP certainly teenagers got simply quicker in order to % by the 2013. More over, new frequency from RB presented a minimal . No matter if RP and RB prevalence have been essentially located a whole lot more raised inside the poorer organizations, zero variations in manner was noted across the wealth quintiles.
End
For two age, the newest Philippines indicates a reliable and you may considerably highest RP frequency. After that data, not just in the latest Philippines plus various other development nations, is necessary to allow growth of additional avoidance programs.
Ordinary English realization
Even with high and you can secure amounts of adolescent fertility regarding Philippines, no certain studies have become presented to particularly assess the pattern and you will magnitude out of constant adolescent maternity, that’s defined as a teen that has had at the very least several pregnancies. Frequent pregnancy, therefore has to be examined because shows besides the fresh new reproductive health of adolescent parents and also disparities in-service beginning regarding wellness, degree and you can welfare support so you’re able https://kissbrides.com/hot-cambodian-women/ to teenagers immediately after its first maternity.
I made use of the Philippine Demographic and you can Fitness Studies to shot 7091 feminine aged fifteen–24 just who knowledgeable one pregnancy. Annual RP and you may RB prevalence for each generation during the about three and you can four groups was basically calculated and you can stratified by the area, type of residence and you may money quintile. Trend was indeed statistically analysed playing with Cochran–Armitage assessment and you may multivariate logistic regression.
If you find yourself a decline is noticed in 19–21 and twenty two–24 year olds, we located a constant incidence of one in any five during the 15–18 yrs . old of 1993 to help you 2013. Which trend try apparent round the most of the nations, form of quarters and you will socio-financial position. Our very own investigation together with learned that those people from the poorest riches quintile shown a greater threat of constant pregnancy than the most other quintiles. Brand new low-ong teenagers conveyed the need for additional avoidance programs specifically for the latest poorest homes. Epidemiological assessment are also wanted to mention the reason why and you can effect of constant maternity with the maternal, child and you may neonatal fitness, not only in the latest Philippines, but also certainly most other lowest- and middle-income regions.
Inclusion
The adolescent pregnancy crisis about Philippines might have been called among poor on Western Pacific Region with a great previous prevalence out of 13.6% certainly one of 15–19 year olds. The Philippines is the only country in this area without high reduction in adolescent fertility previously decades of 56 for every single 1000 into the 1973 to 57 each 1000 into the 2013 [2, 3]. In order to target that it entrenched societal health issue, preventive formula and you can applications was indeed observed [4, 5], and you will epidemiological studies have come made to render proof of brand new newest sexual health insurance and habits away from Filipino teenagers . Although not, these types of actions enjoys place little emphasis on more serious problem off constant teenage pregnancies.