Purpose

The the total amount away from frequent pregnancy (RP) and you will repeated beginning (RB) among teens aged 15–19 continues to be unknown on Philippines regardless of the health insurance and socio-monetary outcomes. This research is designed to investigate the new RP and RB frequency trend in the Philippines away from 1993 so you’re able to 2013.

Procedures

All in all, 7091 women old fifteen–24 which experienced one pregnancy was in fact grabbed on the Philippine market fitness studies out-of 1993 to 2013. Yearly RP and you can RB incidence for every single generation in the three and you will five groups was basically determined and stratified of the region, types of household and you can wealth list. Cochran–Armitage examination and you may multivariate logistic regression was indeed used on determine development quotes.

Results

Compared to the feminine old 19–21 many years and twenty two–24 ages, in which coming down patterns was basically located, RP ([Modified Possibility ratio (AOR =0.96; 95%Confidence interval (CI) =0.82–step one.11) and you will RB (AOR = 0.90; CI = 0.73–1.10) manner certainly one of fifteen–18 season olds presented negligible cures along the 20 years. Out of a baseline incidence out-of % inside 1993, the new frequency off RP certainly one of teenagers got just shorter so you can % by 2013. Also, the brand new incidence out-of RB displayed a minimal . In the event RP and you can RB frequency were fundamentally located a whole lot more elevated in poorer teams, no variations in styles was noted across wide range quintiles.

Achievement

For two age, this new Philippines has revealed a constant and you may most high RP frequency. Next data, not only in the latest Philippines and also in other developing nations, is needed to allow development of secondary prevention software.

Simple English realization

Even with large and you may secure degrees of teenage virility from the Philippines, no particular research has been conducted to especially assess the trend and you may magnitude off regular adolescent pregnancy, which is recognized as a teenager that has got at least a couple pregnancies. Constant pregnancy, ergo needs to be investigated as it reflects not only new reproductive wellness from adolescent parents but also disparities operating delivery of health, studies and hobbies service to help you adolescents after their earliest maternity.

I used the Philippine Market and you can Fitness Surveys to help you attempt 7091 female old fifteen–24 who educated a minumum of one pregnancy. Yearly RP and you may RB prevalence each generation inside around three and you may four kinds had been computed and you may stratified of the area, kind of household and you may riches quintile. Trends was basically statistically analysed playing with Cochran–Armitage examination and you can multivariate logistic regression.

Whenever you are a drop try noticed in 19–21 and you will 22–24 12 months olds, we discover a stable incidence of a single in every four inside the 15–18 yrs old away from 1993 to help you 2013. That it development is actually evident across the all places, form of residence and you can socio-economic standing. Our very these are the hottest thai girls you ve ever seen own study as well as unearthed that those people about poorest wide range quintile showed an elevated risk of constant maternity compared to other quintiles. Brand new non-ong adolescents conveyed the need for secondary avoidance programs particularly for the fresh poorest home. Epidemiological review also are had a need to talk about the reasons and you can impression away from constant maternity to your maternal, child and you may neonatal fitness, not only in new Philippines, plus certainly almost every other low- and you will middle-money places.

Addition

The newest teenage pregnancy epidemic regarding Philippines could have been known as among the many bad on the Western Pacific Region having a present frequency off thirteen.6% certainly fifteen–19 season olds. The fresh Philippines is the only country here no extreme reduction in teenage fertility previously many years off 56 each 1000 during the 1973 so you can 57 each 1000 in the 2013 [dos, 3]. So you’re able to address which established public ailment, precautionary regulations and programs was basically accompanied [4, 5], and epidemiological studies have come made to render proof of new most recent sexual health insurance and conduct of Filipino teenagers . But not, these types of procedures possess place absolutely nothing increased exposure of more significant problem out-of regular teenage pregnancies.