Factors associated with motherhood among urban refugee adolescent girls and young women in informal settlements in Kampala, Uganda

Adolescent girls and young women (AGYW) in sub-Saharan Africa face a high risk of unintended pregnancy. This risk is compounded in informal settlements, where resources are scarce and access to sexual and reproductive health services is limited. Being a young mother in informal settlements could exa...

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Vydáno v:Women & health Ročník 63; číslo 1; s. 51 - 58
Hlavní autoři: Malama, Kalonde, Logie, Carmen H., Okumu, Moses, Hakiza, Robert, Mwima, Simon, Kyambadde, Peter
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Taylor & Francis 2023
Taylor & Francis LLC
Témata:
Access
Adolescent
Adolescent girls
Adolescent girls and young women
Adolescent mothers
Adolescents
Adult
Birth control
Child
Children
Childrens health
Confidence intervals
Contraception
Female
Food security
Generalized linear models
Girls
Health education
Health services
Healthy food
High risk
HIV Infections - epidemiology
Humans
informal settlements
Insecurity
Linear analysis
Mental depression
Mental health
Mental health services
Mothers
Pregnancy
Pregnancy, Unplanned
Refugees
Refugees - psychology
Reproductive health
Scarcity
Sexual Behavior
Uganda
Unplanned pregnancy
Unwanted pregnancy
Uptake
Young Adult
Young mothers
Young women
Uganda
Kampala Uganda
informal settlements
Uganda
unplanned pregnancy
refugees
Adolescent girls and young women
ISSN:0363-0242, 1541-0331, 1541-0331
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Shrnutí:Adolescent girls and young women (AGYW) in sub-Saharan Africa face a high risk of unintended pregnancy. This risk is compounded in informal settlements, where resources are scarce and access to sexual and reproductive health services is limited. Being a young mother in informal settlements could exacerbate existing experiences of resource scarcity and poor access to sexual and reproductive health services. To explore this, we analyzed the factors associated with motherhood among refugee AGYW in Kampala, Uganda. Between January and March 2018, peer researchers recruited refugee youth aged 15-24 and living in five informal settlements in Kampala to participate in this study. We used a backwards generalized linear model with a log binomial regression to determine if mental health, resource insecurity and sexual and reproductive health variables were associated with motherhood among study participants. Our analysis included 333 AGYW with a mean age of 19.3 years (standard deviation: 2.6). Nearly one-quarter (23 percent; n = 76) of AGYW had children. Having children was associated with greater likelihood of reporting food insecurity (adjusted prevalence ratio [aPR]: 1.96, 95 percent confidence interval [CI]: 1.07-3.61), depressive symptoms (aPR: 2.03, 95 percent CI: 1.09-3.80), and contraception uptake (aPR: 2.37, 95 percent CI: 1.58-3.56) compared to not having children. Mental health and resource insecurity interventions are required for refugee AGYW with children in informal settlements. Sexual and reproductive health services should be promoted to refugee AGYW regardless of motherhood status to prevent unplanned pregnancy.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0363-0242
1541-0331
1541-0331
DOI:10.1080/03630242.2022.2158411