Determinants of Teenage Pregnancy and its Health and Educational Outcomes among Female Secondary School Students in Lagelu Local Government Area, Oyo State, Nigeria
DOI:
https://doi.org/10.31149/ijimm.v4i8.2965Keywords:
Teenage pregnancy, Adolescent girls, Secondary school students, Reproductive health, Educational outcomes, Determinants, NigeriaAbstract
Background: Teenage pregnancy remains a major public health and developmental challenge, particularly in low- and middle-income countries, where it is associated with adverse maternal health outcomes, educational disruption, and socioeconomic consequences. In Nigeria, adolescent pregnancy continues to affect girls’ educational attainment and future opportunities, with contributing factors including poverty, inadequate sexuality education, poor parental support, and limited access to reproductive health services. This study assessed the determinants of teenage pregnancy and its health and educational outcomes among female secondary school students in Lagelu Local Government Area, Oyo State, Nigeria.
Methods: A descriptive cross-sectional survey design was adopted for the study. A total of 250 female secondary school students were selected using a multistage sampling technique from selected secondary schools in Lagelu Local Government Area. Data were collected using a structured questionnaire assessing sociodemographic characteristics, determinants of teenage pregnancy, and perceived health and educational outcomes. Data were analyzed using descriptive statistics, chi-square test, and binary logistic regression. Statistical significance was determined at p < 0.05.
Results: The prevalence of teenage pregnancy among respondents was 15.2%. The most commonly reported determinants of teenage pregnancy were inadequate sexuality education, poor parental supervision, poverty, peer influence, and limited contraceptive knowledge. Teenage pregnancy was significantly associated with age (p < 0.001), class level (p = 0.004), family type (p = 0.004), living arrangement (p < 0.001), parental educational attainment (p = 0.005), and household income (p = 0.002). Respondents identified major health consequences of teenage pregnancy, including pregnancy complications, anaemia, mental health challenges, and risks associated with unsafe abortion. Educational consequences included school dropout, absenteeism, poor academic performance, reduced classroom participation, and limited future educational opportunities. In the multivariate logistic regression model, older age, polygamous family structure, living with guardians or single parents, low parental educational attainment, and low household income remained significant predictors of teenage pregnancy.
Conclusion: Teenage pregnancy remains an important challenge among female secondary school students in Lagelu Local Government Area, driven largely by socioeconomic and family-related factors. The findings highlight the need for comprehensive sexuality education, strengthened parental involvement, improved adolescent-friendly reproductive health services, and interventions addressing socioeconomic inequalities to reduce teenage pregnancy and improve health and educational outcomes among adolescent girls.
References
[1] A. I. Ajayi, A. O. Fadairo, and W. Akpan, "Adolescents' sexual and reproductive health challenges and access to reproductive health services in Nigeria: A qualitative study," BMC Pregnancy and Childbirth, vol. 23, Art. no. 314, 2023.
[2] E. O. Amoo, O. S. Oginni, A. E. Idowu, M. P. Ajayi, and G. W. Samuel, "Socio-environmental factors and adolescent pregnancy in Nigeria: A multilevel analysis," BMC Women's Health, vol. 23, Art. no. 91, 2023.
[3] D. B. Asmamaw, M. Alemayehu, A. G. Mekonnen, and Z. T. Tessema, "Factors associated with adolescent pregnancy among adolescent girls in high-fertility countries in sub-Saharan Africa: A multilevel analysis," BMC Women's Health, vol. 23, Art. no. 69, 2023, doi: 10.1186/s12905-023-02169-7.
[4] L. B. Ayamolowo, S. J. Ayamolowo, D. O. Adelakun, and B. A. Adesoji, "Factors influencing unintended pregnancy and abortion among unmarried young people in Nigeria: A scoping review," BMC Public Health, vol. 24, Art. no. 1494, 2024, doi: 10.1186/s12889-024-19005-8.
[5] A. M. Enaworoke, K. Elmusharaf, N. Ibrahim, and S. Poix, "Factors associated with adolescent pregnancy and public health interventions to address in Nigeria: A scoping review," Reproductive Health, vol. 20, Art. no. 95, 2023, doi: 10.1186/s12978-023-01629-5.
[6] Federal Ministry of Health and Social Welfare, National Population Commission, Nigeria, and ICF, Nigeria Demographic and Health Survey 2024. Abuja, Nigeria: FMoHSW, NPC, and ICF, 2025.
[7] G. T. Feyissa, L. B. Tolu, M. Soboka, and A. Ezeh, "Effectiveness of interventions to reduce child marriage and teen pregnancy in sub-Saharan Africa: A systematic review of quantitative evidence," Frontiers in Reproductive Health, vol. 5, Art. no. 1105390, 2023, doi: 10.3389/frph.2023.1105390.
[8] C. O. Izugbara, F. M. Wekesah, and S. A. Adedini, Maternal Health in Nigeria: A Situational Update. Nairobi, Kenya: African Population and Health Research Center, 2016.
[9] A. M. Kalamar, E. Lee-Rife, and M. J. Hindin, "Interventions to prevent and reduce adolescent childbearing in low- and middle-income countries: A systematic review," Studies in Family Planning, vol. 51, no. 3, pp. 261–290, 2020.
[10] G. M. Kassa, A. O. Arowojolu, A. T. A. Odukogbe, and A. W. Yalew, "Prevalence and determinants of adolescent pregnancy in Africa: A systematic review and meta-analysis," Reproductive Health, vol. 15, Art. no. 195, 2018, doi: 10.1186/s12978-018-0640-2.
[11] S. E. Neal, V. Chandra-Mouli, and A. A. Channon, "Trends in adolescent first births in sub-Saharan Africa: A tale of increasing inequity?," Reproductive Health, vol. 15, no. 1, Art. no. 15, 2018.
[12] S. Neal, V. Chandra-Mouli, and A. Channon, "What is the evidence for the impact of interventions to reduce inequalities in adolescent pregnancy in low- and middle-income countries? A systematic review," BMC Public Health, vol. 18, Art. no. 109, 2018.
[13] A. N. Odo, E. S. Samuel, I. F. Nwankwo, and E. Chukwu, "Determinants of adolescent pregnancy and associated factors among young women in Nigeria: Evidence from demographic and health survey data," African Journal of Reproductive Health, vol. 26, no. 5, pp. 45–57, 2022.
[14] F. Okonofua, "Preventing adolescent pregnancy in Africa: What we know and what we need to do," African Journal of Reproductive Health, vol. 19, no. 3, pp. 9–16, 2015.
[15] United Nations Population Fund, Motherhood in Childhood: The Untold Story. New York, NY, USA: United Nations Population Fund, 2022.
[16] United Nations Population Fund, State of World Population 2022: Seeing the Unseen—The Case for Action in the Neglected Crisis of Unintended Pregnancy. New York, NY, USA: United Nations Population Fund, 2022.
[17] World Health Organization, "Adolescent pregnancy," World Health Organization, 2024.
[18] I. Yakubu and W. J. Salisu, "Determinants of adolescent pregnancy in sub-Saharan Africa: A systematic review," Reproductive Health, vol. 15, Art. no. 15, 2018.