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2024 Faculty of Clinical Medicine and Dentistry IAA Journal of Biological Sciences

Factors influencing Teenage Pregnancy among Girls attending Kampala International University Teaching Hospital, Bushenyi, Uganda

Alal Levi Tema

Teenage pregnancy and subsequent childbirth to women less than 20 years of age continue to be a major globalpublic health concern in both developed and developing countries, affecting more than 16 million girls and youngwomen, or an estimated 11% of all births worldwide. This study determined the factors influencing teenagepregnancy among teenage girls aged 13–19 attending ANC at KIU-TH, Bushenyi District. A cross-sectional studydesign was employed for this study. Quantitative data was collected using structured interviews. Questionnaire toolswere checked for their accuracy and data completeness, then the data was coded and entered into Epi Info version7, then exported into SPSS version 22.0 for analysis. A binary logistic regression model was used to identify thedeterminant factors. A collinearity diagnostic test was conducted using tolerance to check for collinearity betweenindependent variables and the interaction effect. Variables in the bivariable analysis having a p-value <0.2 wereconsidered for the multivariate analysis to adjust the confounders. The strength and presence of a statisticalassociation were assessed by the OR, p-value, and 95% confidence interval (95% CI). Variables with a p-value ≤0.05were considered statistically significant determinants of teenage pregnancy. The Hosmer-Lemeshow goodness-offittest (p = 0.9289) was used to assess the fitness of the model. A total of 310 adolescents were included in the study,with a response rate of 100%. The majority (39.7%) were aged 16–17, and more than half (59.0%) were from ruralareas. The proportion of teenage pregnancies among study participants was 19.0. In the multivariate logisticregression model, age, residence, parents’ marital status, level of education, monthly income, substance abuse,history of use of contraceptives, age of first sexual contact, and awareness of safe sex were statistically significant.The study showed a high prevalence of teenage pregnancy. Age, residence, parents’ marital status, level of education,monthly income, substance abuse, history of use of contraceptives, age of first sexual contact, and awareness of safesex were found to have a statistically significant association.Keywords: Teenage pregnancy, Childbirth, Girls, Marital status, Age.