Objective

The new the amount regarding repeated pregnancy (RP) and you may constant birth (RB) certainly one of teens aged 15–19 remains not familiar on the Philippines inspite of the health and socio-economic effects. This research orchidromance kullanД±cД± adД± will take a look at new RP and you may RB incidence styles regarding the Philippines regarding 1993 to 2013.

Actions

All in all, 7091 feminine old 15–24 whom knowledgeable one pregnancy was basically caught regarding the Philippine group wellness studies away from 1993 to help you 2013. Annual RP and you may RB prevalence per age group into the three and you will five groups was calculated and stratified by region, version of quarters and you can wealth index. Cochran–Armitage tests and you can multivariate logistic regression was basically used on influence trend quotes.

Results

Than the feminine aged 19–21 years and you can twenty-two–24 ages, for which decreasing habits was in fact found, RP ([Modified Opportunity ratio (AOR =0.96; 95%Trust period (CI) =0.82–step one.11) and you can RB (AOR = 0.90; CI = 0.73–1.10) trend among fifteen–18 12 months olds exhibited negligible cures along side 2 decades. Away from set up a baseline prevalence off % inside the 1993, the newest frequency out of RP certainly one of adolescents got just reduced to % because of the 2013. Furthermore, the brand new frequency from RB demonstrated a minimal . Even when RP and you will RB incidence were generally receive a great deal more increased for the poorer communities, no variations in trends were listed across riches quintiles.

Conclusion

For 2 age, the Philippines shows a reliable and you may most higher RP frequency. After that research, not only in brand new Philippines and in addition in other development countries, is required to permit development of supplementary protection apps.

Plain English realization

Even after high and you will secure quantities of adolescent virility throughout the Philippines, no specific studies have started presented in order to specifically assess the pattern and you can magnitude regarding repeated adolescent maternity, which is recognized as an adolescent that got at the least one or two pregnancies. Repeated pregnancy, for this reason should be examined since it shows not merely the reproductive wellness of adolescent moms and dads in addition to disparities operating beginning off fitness, degree and you can interests service to help you adolescents just after their first pregnancy.

We utilized the Philippine Group and you may Health Surveys so you can try 7091 female aged fifteen–24 whom educated one maternity. Yearly RP and you will RB frequency for every single age bracket during the three and five kinds was determined and you can stratified by part, sort of residence and you can riches quintile. Style was indeed statistically analysed using Cochran–Armitage examination and you will multivariate logistic regression.

When you find yourself a drop is actually noticed in 19–21 and you can twenty-two–24 12 months olds, i found a constant prevalence of a single in just about any five into the 15–18 years old from 1993 in order to 2013. Which development try obvious across the most of the places, form of house and you can socio-economic updates. The study and discovered that those individuals on the poorest money quintile displayed an increased threat of repeated pregnancy as compared to almost every other quintiles. The fresh non-ong teens expressed the necessity for supplementary protection programs especially for the fresh poorest domiciles. Epidemiological testing also are needed seriously to explore the causes and you will feeling off regular pregnancy with the maternal, child and you will neonatal wellness, not just in the latest Philippines, and also among other reasonable- and middle-earnings countries.

Addition

The latest teenage maternity epidemic in the Philippines has been known as among the many poor about West Pacific Area that have an excellent recent incidence regarding thirteen.6% certainly one of fifteen–19 12 months olds. The fresh Philippines is the only nation in this field and no tall decrease in teenage fertility previously decades off 56 for every 1000 during the 1973 in order to 57 per 1000 within the 2013 [2, 3]. To target this established public ailment, precautionary principles and you will apps were observed [cuatro, 5], and you will epidemiological studies have been created to provide proof of this new newest sexual health insurance and behavior of Filipino teenagers . Yet not, these tips has place nothing emphasis on the greater amount of significant problem off regular adolescent pregnancies.