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Revista Facultad Nacional de Salud Pública
Print version ISSN 0120-386XOn-line version ISSN 2256-3334
Abstract
GABSTER, Amanda et al. Adolescent childbirth by cohort and its relationship with sociodemographic factors in Panama. Rev. Fac. Nac. Salud Pública [online]. 2022, vol.40, n.2, e07. Epub May 30, 2023. ISSN 0120-386X. https://doi.org/10.17533/udea.rfnsp.e346751.
Objective:
To describe the prevalence of adolescent childbirth by cohort over time and its relationship with sociodemographic factors in Panama.
Methodology:
The analysis was conducted through logistic regression, based on a secondary analysis of the Panama “Encuesta nacional de salud sexual y reproductiva 2014- 2015” (2014-2015 National Survey on Sexual and Reproductive Health), using cohorts by year of birth (1966-1975, 1976-1985, 1986-1995, and 1996-2000). A total of 4795 adult women (20-49 years old) and 821 adolescent girls (15-19 years old) were included.
Results:
We found an increased prevalence of adolescent childbirth between cohorts, where prevalence was 30.9% in the older cohort (1966-1975) and 51.5% in the 1986- 1995 cohort. In all cohorts, adolescent childbirth was associated with rurality (1966-1975, 42.3% rural non Indigenous; 1976- 1985, 56.6% rural Indigenous; 1986-1995, 65.4% rural non Indigenous, and 58.2% rural Indigenous). Adolescent childbirth was also associated with lower well-being; across all cohorts, there was a prevalence of over 40% in the lowest wealth quintile. Adolescent childbirth was associated with having 4 or more children in the older cohorts (1966-1975 and 1976-1985), with a prevalence of over 63%.
Conclusions:
The prevalence of adolescent childbirth in Panama has continued to increase. Rural and lower well-being populations have continued to exhibit a higher prevalence of adolescent childbirth, which signals where to focus preventive interventions.
Keywords : sociodemographic factors; Panama; adolescent childbirth; rurality.