Exploring the patterns and socio-economic determinants of teenage pregnancy in India

Authors

  • Rajnee Kumari Division of Sociology and Social Anthropology, A. N. Sinha Institute of Social Studies (ANSISS), Patna, Bihar, India https://orcid.org/0000-0002-6223-7914
  • Sanjay Kumar Pal Department of Fertility and Social Demography, International Institute for Population Sciences, Mumbai, Maharashtra, India
  • Jyoti Kumar Migrant Resilience Collaborative Program, Jan Sahas, Lucknow, Uttar Pradesh, India https://orcid.org/0009-0009-0919-3981

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20251365

Keywords:

Adolescent pregnancy, Social determinants, Economic determinants, India

Abstract

Background: Adolescent pregnancy is a significant public health issue in low- and middle-income (LMICs) countries, influenced by factors like early marriage, low education, rural residence, poverty, limited contraceptive use, and sociocultural norms. Therefore, this study aims to assess the patterns and socio-economic determinants of adolescent pregnancy in India.

Methods: The analysis draws on data from the fourth and fifth rounds of the national family health survey (NFHS), focusing on adolescent girls aged 15-19. Univariate, bivariate analysis and binary logistic regression were performed to assess patterns and socio-economic determinants of adolescent pregnancy.

Results: Results indicate a decline in adolescent pregnancy rates from 8.5% to 7.2% in the fourth and fifth rounds of NFHS. A higher rate of adolescent pregnancy was observed among not educated (21.4% to 19.2%), primary educated (15.6% to 13.4%), poorest (11.2% to 10.5%), and scheduled tribes (ST) (11.2% to 9.3%). Additional determinants included other religious, scheduled caste (SC), exposure to mass media, and family planning messages had the lower rate of adolescent pregnancies and women residing in eastern and northeastern regions had higher pregnancies. The logistic results also suggested that urban residence, higher level of education, working status, Christian faith, richest wealth status, and exposure to mass media had lower likelihood of adolescent pregnancies in India.

Conclusions: Findings suggest that while improvements in healthcare access and economic conditions have reduced adolescent pregnancy rates, persistent structural inequalities remain. Policy efforts must prioritize education, economic empowerment, rural health infrastructure, and youth-centered reproductive health services to achieve meaningful reductions in teenage pregnancies.

 

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References

Raut D, Patil A. Study of comparison of pregnancy and foetal outcome among the pregnant adolescent (13-19 years) and control (20-25 years) groups. J Evolution Med Dental Sci. 2014;3(73):15374-81. DOI: https://doi.org/10.14260/jemds/2014/4072

Chari AV, Heath R, Maertens A, Fatima F. The causal effect of maternal age at marriage on child wellbeing: Evidence from India. J Develop Economics. 2017;127:42-55. DOI: https://doi.org/10.1016/j.jdeveco.2017.02.002

Paul P. Maternal age at marriage and adverse pregnancy outcomes: findings from the India human development survey, 2011-2012. J Pediatr Adolescent Gynecol. 2018;31(6):620-4. DOI: https://doi.org/10.1016/j.jpag.2018.08.004

World Health Organization. Adolescent pregnancy: factsheet. World Health Organization; 2024. Available at: https://www.who.int/news-room/fact-sheets/detail/adolescent pregnancy#:~:text=Overview,to%20address%20adolescent%20pregnancy%20effectively. Accessed on 26 March 2025.

Cinar N, Menekse D. Affects of adolescent pregnancy on health of baby. Open J Pediatr Neonatal Care. 2017;3(1):12-6.

Korenčan S, Pinter B, Grebenc M, Verdenik I. The outcomes of pregnancy and childbirth in adolescents in Slovenia. Slovenian J Publ Heal. 2017;56(4):268-75. DOI: https://doi.org/10.1515/sjph-2017-0036

World Health Organization. Adolescent pregnancy: factsheet. World Health Organization. 2014. Available at: https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy. Accessed on 3 March 2025.

Sedgh G, Finer LB, Bankole A, Eilers MA, Singh S. Adolescent pregnancy, birth, and abortion rates across countries: levels and recent trends. J Adolescent Health. 2015;56(2):223-30. DOI: https://doi.org/10.1016/j.jadohealth.2014.09.007

Menon AK, Praveen N, Sagar MV. A descriptive study of the socio-demographic determinants influencing adolescent pregnancy in Shimoga Town, Karnataka. Int J Med Sci Public Health. 2014;3(5):552-6. DOI: https://doi.org/10.5455/ijmsph.2014.210220143

Poudel S, Upadhaya N, Khatri RB, Ghimire PR. Trends and factors associated with pregnancies among adolescent women in Nepal: Pooled analysis of Nepal Demographic and Health Surveys (2006, 2011 and 2016). PloS one. 2018;13(8):e0202107. DOI: https://doi.org/10.1371/journal.pone.0202107

Young J, Trotman H, Thame M. The impact of antenatal care on pregnancy performance between adolescent girls and older women. West Indian Med J. 2007;56(5):414.

Patra S. Motherhood in childhood: addressing reproductive health hazards among adolescent married women in India. Reproduct Health. 2016;13:1-9. DOI: https://doi.org/10.1186/s12978-016-0171-7

Kumar A, Singh T, Basu S, Pandey S, Bhargava V. Outcome of teenage pregnancy. Indian J Pediatr. 2007;74:927-31. DOI: https://doi.org/10.1007/s12098-007-0171-2

Acharya DR, Bhattaria R, Poobalan AS, van Teijlingen E, Chapman GN. Factors associated with teenage pregnancy in South Asia: a systematic review. Health Sci J. 2010;4(1):3-14.

Shrestha S. Socio-cultural factors influencing adolescent pregnancy in rural Nepal. Int J Adolescent Med Heal. 2002;14(2):101-10. DOI: https://doi.org/10.1515/IJAMH.2002.14.2.101

Yakubu I, Salisu WJ. Determinants of adolescent pregnancy in sub-Saharan Africa: a systematic review. Reproduct Health. 2018 Dec;15:1-1. DOI: https://doi.org/10.1186/s12978-018-0460-4

Prakash R, Singh A, Pathak PK, Parasuraman S. Early marriage, poor reproductive health status of mother and child wellbeing in India. BMJ Sexual Reproduct Health. 2011;37(3):136-45. DOI: https://doi.org/10.1136/jfprhc-2011-0080

Mukhopadhyay P, Chaudhuri RN, Paul B. Hospital-based perinatal outcomes and complications in teenage pregnancy in India. J Heal Populat Nutrit. 2010;28(5):494. DOI: https://doi.org/10.3329/jhpn.v28i5.6158

IIPS O. National Family Health Survey (NFHS-3), 2005-06: India. Vol. I. Mumbai: International Institute for Population Sciences. 2007.

IIPS and ICF. National Family Health Survey (NFHS-4): 2019-21 India. Mumbai: International Institute for Population Sciences (IIPS) and ICF. 2017.

IIPS and ICF. National Family Health Survey (NFHS-5): 2019-21 India. Mumbai: International Institute for Population Sciences (IIPS). 2021.

Mutea L, Were V, Ontiri S, Michielsen K, Gichangi P. Trends and determinants of adolescent pregnancy: Results from Kenya demographic health surveys 2003-2014. BMC Women's Health. 2022;22(1):416. DOI: https://doi.org/10.1186/s12905-022-01986-6

UNICEF, People Y, Planning F. Teenage Pregnancy. Fact Sheet: Plan You Family Plan Your Future. UNICEF: Malaysia. 2008. Available at: https://www.unicef.org/malaysia/Teenage_Pregnancies_-_Overview.pdf. Accessed on 3 March 2025.

Envuladu EA, Agbo HA, Ohize VA, Zoakah AI. Determinants and outcome of teenage pregnancy in a rural community in Jos, Plateau State, Nigeria. Age. 2014;13(15):72. DOI: https://doi.org/10.4103/2384-5147.129319

Senkyire EK, Boateng D, Boakye FO, Logo DD, Ohaja M. Socioeconomic factors associated with adolescent pregnancy and motherhood: Analysis of the 2017 Ghana maternal health survey. Plos One. 2022;17(12):e0272131. DOI: https://doi.org/10.1371/journal.pone.0272131

Mehrnoush V, Ranjbar A, Banihashemi F, Darsareh F, Shekari M, Shirzadfardjahromi M. Urban-rural differences in the pregnancy-related adverse outcome. Gynecol Obstetr Clin Med. 2023;3(1):51-5. DOI: https://doi.org/10.1016/j.gocm.2022.12.001

Wado YD, Sully EA, Mumah JN. Pregnancy and early motherhood among adolescents in five East African countries: a multi-level analysis of risk and protective factors. BMC Pregnancy Childbirth. 2019;19:1-1. DOI: https://doi.org/10.1186/s12884-019-2204-z

Braine T. Adolescent pregnancy: a culturally complex issue. Bull World Health Organ. 2009;87(6):410-1. DOI: https://doi.org/10.2471/BLT.09.020609

Godha D, Gage AJ, Hotchkiss DR, Cappa C. Predicting maternal health care use by age at marriage in multiple countries. J Adolescent Health. 2016;58(5):504-11. DOI: https://doi.org/10.1016/j.jadohealth.2016.01.001

Worku MG, Tessema ZT, Teshale AB, Tesema GA, Yeshaw Y. Prevalence and associated factors of adolescent pregnancy (15-19 years) in East Africa: a multilevel analysis. BMC Pregnancy Childbirth. 2021;21:1-8. DOI: https://doi.org/10.1186/s12884-021-03713-9

Raneri LG, Wiemann CM. Social ecological predictors of repeat adolescent pregnancy. Perspectives on sexual and reproductive health. 2007;39(1):39-47. DOI: https://doi.org/10.1363/3903907

Pradhan MR, Mondal S, Saikia D, Mudi PK. Dynamics of caste and early childbearing in India: a perspective of three decades. BMC Women's Health. 2024;24(1):231. DOI: https://doi.org/10.1186/s12905-024-03077-0

Shri N, Singh M, Dhamnetiya D, Bhattacharyya K, Jha RP, Patel P. Prevalence and correlates of adolescent pregnancy, motherhood and adverse pregnancy outcomes in Uttar Pradesh and Bihar. BMC Pregnancy Childbirth. 2023;23(1):66. DOI: https://doi.org/10.1186/s12884-023-05354-6

UNICEF. Ending Child Marriage: A profile of progress in India, 2023 update. Available at: https://data.unicef.org/resources/ending-child-marriage-a-profile-of-progress-in-india-2023. Accessed on 26 March 2025.

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Published

2025-04-30

How to Cite

Kumari, R., Pal, S. K., & Kumar, J. (2025). Exploring the patterns and socio-economic determinants of teenage pregnancy in India. International Journal Of Community Medicine And Public Health, 12(5), 2124–2134. https://doi.org/10.18203/2394-6040.ijcmph20251365

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Original Research Articles