Goal
The latest the amount from constant pregnancy (RP) and frequent birth (RB) certainly teens old 15–19 is still not familiar in the Philippines inspite of the health insurance and socio-financial effects. This research aims to check out the brand new RP and RB frequency styles on Philippines off 1993 to 2013.
Measures
A maximum of 7091 female old 15–24 who educated a minumum of one pregnancy have been caught on the Philippine group fitness studies regarding 1993 in order to 2013. Annual RP and you can RB frequency for each generation inside the about three and you will five groups had been determined and you can stratified because of the region, types of house and you can wealth directory. Cochran–Armitage screening and you will multivariate logistic regression was in fact placed on determine pattern rates.
Overall performance
Versus female aged 19–21 years and you can 22–24 many years, whereby coming down patterns had been discover, RP ([Modified Possibility proportion (AOR =0.96; 95%Rely on interval (CI) =0.82–1.11) and you will RB (AOR = 0.90; CI = 0.73–step 1.10) styles among fifteen–18 seasons olds presented negligible avoidance along the twenty years. Out-of set up a baseline prevalence of % into the 1993, this new prevalence away from RP one of teenagers had just faster to help you % of the 2013. More over, the new incidence out-of RB demonstrated a negligible . Even though RP and you may RB prevalence have been essentially discover a lot more elevated inside the poorer communities, no differences in fashion were detailed all over money quintiles.
Completion
For 2 decades, the newest Philippines indicates a stable and more high RP prevalence. Next data, not just in the brand new Philippines but also various other development places, is needed to permit growth of secondary reduction software.
Plain English summation
Despite high and secure amounts of adolescent fertility from the Philippines, zero specific research has come conducted to specifically assess the pattern and you can magnitude away from regular teenage maternity, that’s recognized as a teen who’s got had at the very least one or two pregnancies. Repeated pregnancy, for this reason needs to be investigated whilst shows not just the fresh new reproductive fitness off teenage moms and dads but also disparities in service beginning away from fitness, studies and passion help to teenagers shortly after its earliest maternity.
I utilized the Philippine Group and you can Health Studies so you’re able to decide to try 7091 feminine old 15–24 whom educated at least one pregnancy. Annual RP and you may RB frequency for each age group when you look at the about three and you will four groups had been calculated and you may stratified by the region, variety of house and you can wide range quintile. Trends was basically statistically analysed having fun with Cochran–Armitage assessment and multivariate logistic regression.
While a drop was noticed in 19–21 and you may twenty-two–24 12 months olds, we discover a constant incidence of 1 in any five when you look at the 15–18 years old from 1993 so you can 2013. Which trend are apparent across the countries, kind of house and you may socio-financial condition. The research including discovered that those people regarding the poorest riches quintile showed an increased likelihood of constant pregnancy compared to most other quintiles. The brand new low-ong adolescents expressed the necessity for additional reduction software particularly for the fresh new poorest houses. Epidemiological research are necessary to discuss the reason why and you will impact of repeated pregnancy on maternal, child and you may neonatal health, not just in new Philippines, plus certainly almost every other lowest- and you can middle-income countries.
Addition
The new adolescent maternity epidemic on the Philippines might have been acknowledged as among the poor about Western Pacific Area with an effective current incidence out-of 13.6% certainly 15–19 year olds. The fresh Philippines is the merely country here without high decline in teenage fertility previously years out-of 56 for every 1000 inside the 1973 so you can 57 for each and every 1000 into the 2013 [2, 3]. In order to address so it entrenched personal ailment, preventive principles and you will programs was accompanied [cuatro, 5], and you can epidemiological research has started created to KД±rgД±zistan kadД±n render proof of the new newest sexual health insurance and conduct away from Filipino teens . Although not, these types of strategies enjoys lay little focus on the greater amount of serious problem of repeated teenage pregnancies.
