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ISSN 2581-3463
RESEARCH ARTICLE
A Study of Causes of Teenage Pregnancy Rate in Nigeria: Statistical Modeling
Approach
Habiba Danjuma
Department of Statistics, Federal Polytechnic Bali, PMB 05 Bali, Taraba State, Nigeria
Received: 01-03-2021; Revised: 15-04-2021; Accepted: 25-04-2021
ABSTRACT
One major contemporary social problem confronting most countries in the world is teenage pregnancy.
From the first world countries such as the United States to the third world countries, this problem has
been a source of worry for policymakers, social workers, and other human service providers due to its
negative repercussions on the girl-child. This research seeks to explore the factors influencing adolescent
pregnancy descriptively and to compute a multivariable linear regression to examine causal relationships
and the strength of association among the several variables under study. The study used 10 years
retrospective study of teenage pregnancies managed at Federal Medical Center Jalingo. The statistical
tools used for analyses are multivariable liner regression analysis, Chi-square (ฯ‡2
) test, Charts and
descriptive statistics of the data and R package The information obtained were coded and transferred into
a template already design for registering such informationโ€™s. Variables relating to the socio-demographic
characteristics of the teenagers, antenatal and during pregnancy complications, and neonatal outcomes
were obtained. The study revealed the percentage prevalence of adolescence pregnancy in Taraba state,
the direction and strength of association between the variables under study as well as the cause and
implication of adolescent pregnancy on the education, economy, and future of the northern region and
the solutions to the threats adolescent pregnancy poses to northern Nigeria.
Key words: Socioeconomic factor, variable, multivariate regression, Demographic, Teenage
pregnancy and modeling
Address for correspondence:
Habiba Danjuma
E-mail: yumarhabiba@gmail.com
INTRODUCTION
Adolescence, according to the WHO refers to the
period between the ages of 10 and 19 years in
which the individual progresses from the initial
appearances of secondary sexual characteristics
to full sexual maturity and during which
psychological and emotional processes develop
from those of a child to those of an adult.
Evidence shows that infant mortality among
the children is sometimes 2 times higher than
among those of old peers. A stronger likelihood
of low birth-weight in the infant has been
recorded among adolescent mothers than among
older peers. This is mainly associated with poor
maternal nutrition. Low birth-weight babies
are 5โ€“30 times more likely to die than babies
of normal weight. If a mother is under 18, her
babyโ€™s chance of dying in the 1st
year of life is
60% higher than that of a baby born to a mother
older than 19. Part of this heavy toll has more
to do with poor socio-economic status and lack
of ante-natal and obstetric care than physical
maturity alone.
Teenage pregnancy, the pregnancy that occurs
to a young person between 13 and 19 years has
become a major social and health problem in
Nigeria in the recent times.[1]
This is because
of its association with higher morbidity
and mortality for both the mother and child
(National Population Commission [NPC] and
ICF; Ajala[2]
; Crockett[3]
, Bingham et al.[4]
and
Alika[5]
; Bamiwuye.[6]
Several studies have
reported an increase in pregnancy complications
associated with teenage pregnancy Alika[5]
;
Bonell et al.[7]
; Chilman[8]
such as anemia,
pregnancy induces hypertension, preterm labor,
Danjuma: A Study of causes of teenage pregnancy rate in Nigeria
AJMS/Apr-Jun-2021/Vol 5/Issue 2 9
obstructed and prolonged labor, unsafe abortion,
and high incidence of operative deliveries due to
physical immaturity of the pelvis of the teenage
mothers as well as low birth weight babies, and
even death (Bingham[4]
; Channels[9]
). Social
consequences of teenage pregnancies include
cases of dropping out of school Chau-Kuang
et al.,[10]
child abandonment, abortion, and loss
of skill and opportunities to find a job due to
little or no education Ekefre et al.[11]
among
others. The incidence of teenage pregnancy is
fast declining in the developed countries, with
the lowest
Incidence of 3% in Sweden Ezegwui et al.[12]
However, in other developing countries
particularly African countries; the incidence
ranged from 3.7% to 22.9% of all pregnancies.[13]
Nigeria has the highest rate of teenage pregnancy
in Africa. About 22.9% of the worldโ€™s teenage
pregnancies in 2010 were from Nigeria (NPC
[Nigeria] and ICF[14]
). According to Ezegwui
et al., Gilda et al.,[12,13]
23% of young women
age 15โ€“19 have begun childbearing; 18% have
had a child while 5% were pregnant with their
first child.
The incidence of teenage pregnancy varied greatly
between the Northern and Southern geopolitical
zones in Nigeria. Teenage pregnancy rates are
higher in the Northern parts of the country than in
the Southern parts: in the North, one (1) in every
three (3) teenage girls, whereas in the south - one
(1) out of every ten (10) girls.[14]
Among the
geopolitical zones, teenage pregnancy ranges from
8% in the South West and South East to 36% in the
North West.[14,15]
In addressing these variations, the
Federal and State Governments have embarked on
programs and strategies aimed at teaching teens
how to handle peer pressure to have sex, using
contraception, engaging in sex abstinence, and
promoting sex education. However, achieving
these aims still remains an illusion in Nigeria.
To understand causes of teenage pregnancy
and childbearing in Nigeria and other parts of
the world, several studies have linked teenage
pregnancy with African traditional society.[12,15]
This is because women often marry at a very
young age[11]
and childbearing occurred early
and within marriage.[6]
In Nigeria, premarital
teenage pregnancy has increased and more
teenage girls are getting pregnant.[12]
Many
studies have linked declining age at first
menstruation (menarche), increasing age at
marriage, increasing premarital teenage sexual
activity Chau-Kuang et al.[10]
, Ezegwui et al.[12]
and Gilda et al.[13]
, age at first sexual intercourse
and educational levels,[14]
low or ineffective
use of contraceptives[7]
as risk factors in
teenage pregnancy and childbearing. Other
factors associated with a high rate of teenage
pregnancy in Nigeria include loss of the eldersโ€™
traditional social controls over sexual behavior
of the teenagers,[8]
the collapse of the extended
family structure,[11]
societal approval of teenage
sexual relationship and premarital pregnancy
as a sign of fruitfulness before marriage,[2]
poverty,[5]
sexual abuse and rape, and the effect
of globalization, modernization, urbanization
and education on the sexuality.[15]
NPC Nigeria
and ICF International[14]
also reported religious
beliefs and ignorance. In spite of these studies;
studies on factors influencing teenage pregnancy
and childbearing in Nigeria have been minimal.
The study therefore Aimed at modeling the socio-
demographic effects of teenage pregnancy rates in
the Taraba State of Nigeria.
METHODOLOGY
The study was 10 years retrospective study of
teenage pregnancies managed at Government
hospital in Taraba state, from January 1, 2010 to
December 31, 2020. The sources of information
were Antenatal, labor, and neonatal ward records,
theater records, patientโ€™s records, and case notes.
The information obtained will be coded and
transferred into a template already design for
registering such informationโ€™s. Variables relating
to the socio-demographic characteristics of
the teenagers, antenatal and during pregnancy
complications, and neonatal outcome will be
obtained. R-Statistical Package (version 3.0.0)
were used to determine the causal relationship
between the socio-demographic characteristics
under study, Microsoft Excel package (2007)
was used to show a vivid picture of the trend
and distribution of the socio-demographic
characteristics as well as to show the direction and
strength of the association between the said factors
under study. The percentages were determined as
well as chart to present the results. The following
statistics are used in the analysis of data.
i. Multivariable liner regression analysis.
ii. Chi-square (ฯ‡2
) test
iii. Charts and descriptive statistics of the data.
Danjuma: A Study of causes of teenage pregnancy rate in Nigeria
AJMS/Apr-Jun-2021/Vol 5/Issue 2 10
iv. A critical discuss analysis of the topic of
research will be carefully look upon so as to
give a very broad idea of the study for further
research.
Multiple Linear Regression Analysis
Multiple linear regression analysis is an extension
of simple linear regression analysis, used to assess
the association between two or more independent
(explanatory and predictor) variables and a single
continuous dependent (response) variable. The
multiple linear regression equation is as follows:
0 1 1 2 2 p p
Y b b X b X b X
ห†
= + + +โ€ฆ+
whereas the predicted or expected value of the
dependent variable, X1
through Xp
are p distinct
independent or predictor variables, b0
is the value
of Y when all of the independent variables (X1
through Xp
) are equal to zero, and b1
through bp
are the estimated regression coefficients. Each
regression coefficient represents the change
in Y relative to a unit change in the respective
independent variable. In the multiple regression
situation, b1
, for example, is the change in Y
relative to a one unit change in X1
, holding all
other independent variables constant (i.e., when
the remaining independent variables are held at
the same value or are fixed). Again, statistical
tests can be performed to assess whether each
regression coefficient is significantly different
from zero.
Chi-Square (ฯ‡2
)
The Chi-square test provides the basic for
testing whether more than two populations may
be considered equal or not. Chi-square test of
independent constitutes a method for deciding
whether the hypothesis of independent between
variable in difference classification is to enable or
not. The procedures provide a test of the equality
of more two population properties, Chi-square
test furniture a conclusion on whether asset of
observed frequencies that the hypothesis under
Which theoretical frequencies where derived
should be rejected. When population variables
are qualitative characteristics such as marital
status political affiliation sex, state of heath type
of treatment or kind of response the presence of
absence of independent between variables can be
used to draw impartment conclusion.
The test statistics for the Chi-square is given below
2
2 ( )
r c
i i
i i j i
O e
e
๏ฃ
= =
โˆ’
= โˆ‘โˆ‘
Where
O=the observed value
E=the expected value
Model Specification
This research study will be modeled on a simple
and multiple regression model as;
Model
Statistically;
The simple linear regression model is expressed
implicitly as;
Y= ฮฒ+ ฮฒ1
X1
+ ะต
The simple multiple regression modelsis given as;
Y= ฮฒo
+ ฮฒ1
X1
+ ฮฒ2
X2
+ฮฒ3
X3
+โ€ฆโ€ฆ+ฮฒ12
X12
+ะต
Where
Y= Teenage pregnancy
e = error term
ฮฒ0
= Constant term
ฮฒi
= Coefficient to be estimated
X1
= Islam
X2
= Christianity
X3
= Fulani
X4
= Jukum
X5
= Mumuye
X6
=Jumjo
X7
= Educated teenage
X8
= Non-educated teenage
X9
= Rich
X10
= middle
X11
= poor
ฮฒ1
-ฮฒ11
= Regression Coefficient
Analysis
Table 1 shows the number, percentage and
correlation analysis of teenage pregnancy with
their predictors. All the factors considered have
significant effect of the teenage pregnancy since
the P-value are 0.05 and 0.01. Note that the
Danjuma: A Study of causes of teenage pregnancy rate in Nigeria
AJMS/Apr-Jun-2021/Vol 5/Issue 2 11
percentages of teenage pregnancy are taken based
on the number of women sample in some selected
community.
Table 2 presents regression analysis for the
socio-demographic factor the estimates, standard
errors, significant P-values and odd ratios of
the parameters of contribution of the socio-
demographic factor to the teenage pregnancy are
presented in Table 2. It can be observed from the
above that each factor contributed differently to the
teenage pregnancy in Nigeria. Teenage pregnancy
is commonly determined by level of education of
the parents followed by tribe followed by wealth
index.
Table 3 shows model parameters estimate for the
socio-demographic effects of teenage pregnancy
rate. The interpretation are stated below:
Interpretation of the Model
Wealth index
The risk of a rich household having teenage
pregnancy is smaller than the risk of a poor and
middle household.
Education level
The risk of a high education level household
having teenage pregnancy is smaller than the risk
of a low level of education
Religion
The risk of a Muslim household having teenage
pregnancy is more than the risk of a Christian
household having teenage pregnancy.
Table 2: Regression analysis for the socio-demographic factor
Coefficients: Estimate Std.
error
z value Pr(|z|) Odd
ratio
(Intercept) โˆ’2.29852 0.07040 โˆ’32.647 2eโˆ’16 ***
Religion โˆ’0.03547 0.10090 โˆ’0.352 0.725188 0.96515
Education Level 0.80199 0.08519 9.414 2eโˆ’16 *** 2.22997
Level Education of Teenagersโ€™ Parents 0.65368 0.08197 7.975 1.53eโˆ’15 *** 1.92260
Tribe โˆ’0.49311 0.13625 โˆ’3.619 0.000295 *** 0.61072
Wealth index 0.23561 0.10543 2.235 0.025435 * 1.26568
Table 1: Frequency (percentage in parenthesis)
distribution of number of teenage pregnancy and the
predictors (socio-demographic factors)
Determinants Factor
level
No of teenage
pregnancy
ฯ‡2
P
value
Religion Islam
Christianity
7250 (64.3%)
5366 (41.6%)
0.001
0.001
Higher Educ.
Secondary
Primary
No Educ.
189 (12.8%)
13663 (32.6%)
4835 (46.2%)
6786 (62.4%)
0.001
0.001
0.001
0.001
Tribe Fulani
Jukum
Mumuye
Jumjo
2895 (67%)
1728 (22.9%)
1300 (47.3%)
1550 (23.2%)
0.001
0.001
0.001
0.001
Level Education
of Teenagersโ€™
Parents
Higher Educ.
Secondary
Primary
No Educ.
308 (18.8%)
1625 (34.5%)
2806 (58.8%)
4848 (76.8%)
0.001
0.001
0.000
0.000
Wealth Index Rich
Middle
Poor
821 (21.8%)
2429 (36%)
5723 (64.2%)
0.001
0.001
0.001
Table 3: Model parameters estimate for the socio-demographic effects of teenage pregnancy rate
Coefficients Estimate Std.
error
Z value P-value Odd
ratio
(Intercept) โˆ’1.56616 0.08642 โˆ’18.123 2eโˆ’16 ***
Christianity โˆ’0.12778 0.05599 โˆ’2.282 0.02247* 0.88005
Islam 0.18883 0.06473 2.917 0.00353** 1.20784
No Education โˆ’0.51906 0.07508 โˆ’6.914 4.72eโˆ’12*** 0.59508
Primary โˆ’0.28639 0.10965 โˆ’2.612 0.00901** 0.75097
Secondary โˆ’0.38028 0.08704 โˆ’4.369 1.25eโˆ’05*** 0.68367
Tertiary โˆ’1.20474 0.21461 โˆ’5.614 1.98eโˆ’08*** 0.29977
Fulani 0.13130 0.05300 2.478 0.01323* 1.14031
Jukum โˆ’0.11457 0.05268 โˆ’2.175 0.02965* 0.89175
Mumuye โˆ’0.17154 0.05866 โˆ’2.924 0.00346** 0.84237
Jumjo 0.92915 0.35559 2.613 0.008975** 2.53236
Rich 0.13130 0.05300 2.478 0.01323* 0.14031
Middle 0.31457 0.00268 โˆ’2.175 0.002965** 0.89175
Poor 0.67154 0.05866 โˆ’2.924 0.00346** 0.84237
Danjuma: A Study of causes of teenage pregnancy rate in Nigeria
AJMS/Apr-Jun-2021/Vol 5/Issue 2 12
Parentsโ€™ education background
The risk of having teenage pregnancy from a
woman whose parenthas secondary education
or more is smaller than that of a woman whose
partner has no formal education
CONCLUSION
The study is revealed the percentage prevalence
of adolescence pregnancy in Taraba state, the
particular tribe that is more associated with
adolescent pregnancy in the study area, the
sociodemographic factors associated with teenage
pregnancy in northern. Nigeria, the various
factors leading to teenage pregnancy in northern
Nigeria, the direction and strength ofassociation
between the variables under study and the cause
and implication of adolescent pregnancy on the
education, economy and future of the northern
region and the solutions to thethreats adolescent
pregnancy poses to northern Nigeria. Model
selection procedure showed that not all the
variables identified in this study, are significant.
The effect of religion and parentsโ€™ poor education
and education level of girls on the teenage
pregnancy in the Tarabastate was significant. On
the average, the risk that a Muslim household
will have more teenage pregnancy is more than
the risk of a Christian household having teenage
pregnancy. This is so due to the religion provision
of Islam that allows a man to marry at early stage
of poverty. Also it is being deduced from the
analysis that the more educated a household is, the
lower the risk of having teenage pregnancy.
RECOMMENDATION
1. Based on the findings, the following
recommendations are made:
2. The dangers of teenage pregnancy both here
and hereafter should be emphasized by the
religion leaders.
3. Parents should personally lecture their children
on the dangers of teenage pregnancy.
4. Government should provide free education for
women in the communities.
5. Further studies should be considered on danger
of teenage pregnancy.
REFERENCES
1. Adekanle DA, Adeyemi AS, Odu OO. Teenage and
non-teenage pregnant women in Southwestern Nigeria:
A descriptive study. Calicut Med J 2008;693:e5.
2. AjalaAO. Factors associated with teenage pregnancy and
fertility in Nigeria. J Econ Sustain Dev 2014;5:52-61.
3. Crockett LJ. Comparing Teenage Pregnancy Rates and
Teenage Birth Rates Between States that do and do Not
Mandate Sex or STD/HIV Education Programs. South
Carolina: Brian S. Summerville; 2010.
4. Bingham CR, Chopak JS, Vicary JR. Timing of first
sexual intercourse: The role of social control, social
learning, and problem behavior. J Youth Adolescence
1996;25:89-111.
5. Alika IH. Counselling implications of sexual behaviour
of Nigerian undergraduates. JORIND 2012;10:27-33.
6. Bamiwuye SO. Gender differentials in self-perception
of risk and other barrier, HIV risk-reduction practices
among Youths in Nigeria. J Demogr Soc Stat 2014;
6:31-38.
7. Bonell C, Allen E, Strange V, Copas A, Oakley A,
Stephenson J, et al. The effect of dislike of school
on risk of teenage pregnancy: Testing of hypotheses
using longitudinal data from a randomized trial of Sex
education. J Epidemiol Commun Health 2004;59:223-30.
8. Chilman C. Adolescent Pregnancy and Childbearing.
Washington, DC: US Government Printing Office;
2019. p. 15-41.
9. Channels. More Teenage Girls in Nigeria are Getting
Pregnant; 2013. Available from: http://www.channelstv.
com/2013/07/15/more-teenage-girls-in-nigeria-are-
getting-pregnant.
10. Chau-Kuang C, Ward C, Willians K, Abdullah A.
Investigating risk factors affecting teenage pregnancy
rates in the United States. Eur Int J Sci Technol
2013;2:41-51.
11. Ekefre EN, Ekanem SA, Esien OE. Teenage pregnancy
and education in Nigeria: A philo-sociological
management strategy. J Educ Soc Res 2019;4:41-7.
12. Ezegwui HU, Ikeako LC, Ogbuefi F. Obstetric outcome
of teenagepregnancies at a tertiary hospital in Enugu,
Nigeria. Niger J Clin Pract 2012;15:147-50.
13. Gilda S, Finer LB, Bankole A, Eilers MA, Singh S.
Adolescent pregnancy, birth, and abortion rates across
countries: Levels and recent trends. J Adolesc Health
2015;56:223-30.
14. National Population Commission Nigeria and ICF
International. Nigeria Demographic and Health Survey
2013. Abuja, Nigeria, Rockville, Maryland, USA: National
PopulationCommissionNigeriaandICFInternational;2014.
15. World Health Organization. Trends in Maternal
Mortality: 1990-2008. Estimates Developed by
WHO/UNICEF/UNFPA and the World Bank.
Geneva: World Health Organization; 2010.
Available from: http://www.whqlibdoc.who.int/
publications/2010/9789241500265_eng.pdf.

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02_AJMS_311_21.pdf

  • 1. www.ajms.com 8 ISSN 2581-3463 RESEARCH ARTICLE A Study of Causes of Teenage Pregnancy Rate in Nigeria: Statistical Modeling Approach Habiba Danjuma Department of Statistics, Federal Polytechnic Bali, PMB 05 Bali, Taraba State, Nigeria Received: 01-03-2021; Revised: 15-04-2021; Accepted: 25-04-2021 ABSTRACT One major contemporary social problem confronting most countries in the world is teenage pregnancy. From the first world countries such as the United States to the third world countries, this problem has been a source of worry for policymakers, social workers, and other human service providers due to its negative repercussions on the girl-child. This research seeks to explore the factors influencing adolescent pregnancy descriptively and to compute a multivariable linear regression to examine causal relationships and the strength of association among the several variables under study. The study used 10 years retrospective study of teenage pregnancies managed at Federal Medical Center Jalingo. The statistical tools used for analyses are multivariable liner regression analysis, Chi-square (ฯ‡2 ) test, Charts and descriptive statistics of the data and R package The information obtained were coded and transferred into a template already design for registering such informationโ€™s. Variables relating to the socio-demographic characteristics of the teenagers, antenatal and during pregnancy complications, and neonatal outcomes were obtained. The study revealed the percentage prevalence of adolescence pregnancy in Taraba state, the direction and strength of association between the variables under study as well as the cause and implication of adolescent pregnancy on the education, economy, and future of the northern region and the solutions to the threats adolescent pregnancy poses to northern Nigeria. Key words: Socioeconomic factor, variable, multivariate regression, Demographic, Teenage pregnancy and modeling Address for correspondence: Habiba Danjuma E-mail: yumarhabiba@gmail.com INTRODUCTION Adolescence, according to the WHO refers to the period between the ages of 10 and 19 years in which the individual progresses from the initial appearances of secondary sexual characteristics to full sexual maturity and during which psychological and emotional processes develop from those of a child to those of an adult. Evidence shows that infant mortality among the children is sometimes 2 times higher than among those of old peers. A stronger likelihood of low birth-weight in the infant has been recorded among adolescent mothers than among older peers. This is mainly associated with poor maternal nutrition. Low birth-weight babies are 5โ€“30 times more likely to die than babies of normal weight. If a mother is under 18, her babyโ€™s chance of dying in the 1st year of life is 60% higher than that of a baby born to a mother older than 19. Part of this heavy toll has more to do with poor socio-economic status and lack of ante-natal and obstetric care than physical maturity alone. Teenage pregnancy, the pregnancy that occurs to a young person between 13 and 19 years has become a major social and health problem in Nigeria in the recent times.[1] This is because of its association with higher morbidity and mortality for both the mother and child (National Population Commission [NPC] and ICF; Ajala[2] ; Crockett[3] , Bingham et al.[4] and Alika[5] ; Bamiwuye.[6] Several studies have reported an increase in pregnancy complications associated with teenage pregnancy Alika[5] ; Bonell et al.[7] ; Chilman[8] such as anemia, pregnancy induces hypertension, preterm labor,
  • 2. Danjuma: A Study of causes of teenage pregnancy rate in Nigeria AJMS/Apr-Jun-2021/Vol 5/Issue 2 9 obstructed and prolonged labor, unsafe abortion, and high incidence of operative deliveries due to physical immaturity of the pelvis of the teenage mothers as well as low birth weight babies, and even death (Bingham[4] ; Channels[9] ). Social consequences of teenage pregnancies include cases of dropping out of school Chau-Kuang et al.,[10] child abandonment, abortion, and loss of skill and opportunities to find a job due to little or no education Ekefre et al.[11] among others. The incidence of teenage pregnancy is fast declining in the developed countries, with the lowest Incidence of 3% in Sweden Ezegwui et al.[12] However, in other developing countries particularly African countries; the incidence ranged from 3.7% to 22.9% of all pregnancies.[13] Nigeria has the highest rate of teenage pregnancy in Africa. About 22.9% of the worldโ€™s teenage pregnancies in 2010 were from Nigeria (NPC [Nigeria] and ICF[14] ). According to Ezegwui et al., Gilda et al.,[12,13] 23% of young women age 15โ€“19 have begun childbearing; 18% have had a child while 5% were pregnant with their first child. The incidence of teenage pregnancy varied greatly between the Northern and Southern geopolitical zones in Nigeria. Teenage pregnancy rates are higher in the Northern parts of the country than in the Southern parts: in the North, one (1) in every three (3) teenage girls, whereas in the south - one (1) out of every ten (10) girls.[14] Among the geopolitical zones, teenage pregnancy ranges from 8% in the South West and South East to 36% in the North West.[14,15] In addressing these variations, the Federal and State Governments have embarked on programs and strategies aimed at teaching teens how to handle peer pressure to have sex, using contraception, engaging in sex abstinence, and promoting sex education. However, achieving these aims still remains an illusion in Nigeria. To understand causes of teenage pregnancy and childbearing in Nigeria and other parts of the world, several studies have linked teenage pregnancy with African traditional society.[12,15] This is because women often marry at a very young age[11] and childbearing occurred early and within marriage.[6] In Nigeria, premarital teenage pregnancy has increased and more teenage girls are getting pregnant.[12] Many studies have linked declining age at first menstruation (menarche), increasing age at marriage, increasing premarital teenage sexual activity Chau-Kuang et al.[10] , Ezegwui et al.[12] and Gilda et al.[13] , age at first sexual intercourse and educational levels,[14] low or ineffective use of contraceptives[7] as risk factors in teenage pregnancy and childbearing. Other factors associated with a high rate of teenage pregnancy in Nigeria include loss of the eldersโ€™ traditional social controls over sexual behavior of the teenagers,[8] the collapse of the extended family structure,[11] societal approval of teenage sexual relationship and premarital pregnancy as a sign of fruitfulness before marriage,[2] poverty,[5] sexual abuse and rape, and the effect of globalization, modernization, urbanization and education on the sexuality.[15] NPC Nigeria and ICF International[14] also reported religious beliefs and ignorance. In spite of these studies; studies on factors influencing teenage pregnancy and childbearing in Nigeria have been minimal. The study therefore Aimed at modeling the socio- demographic effects of teenage pregnancy rates in the Taraba State of Nigeria. METHODOLOGY The study was 10 years retrospective study of teenage pregnancies managed at Government hospital in Taraba state, from January 1, 2010 to December 31, 2020. The sources of information were Antenatal, labor, and neonatal ward records, theater records, patientโ€™s records, and case notes. The information obtained will be coded and transferred into a template already design for registering such informationโ€™s. Variables relating to the socio-demographic characteristics of the teenagers, antenatal and during pregnancy complications, and neonatal outcome will be obtained. R-Statistical Package (version 3.0.0) were used to determine the causal relationship between the socio-demographic characteristics under study, Microsoft Excel package (2007) was used to show a vivid picture of the trend and distribution of the socio-demographic characteristics as well as to show the direction and strength of the association between the said factors under study. The percentages were determined as well as chart to present the results. The following statistics are used in the analysis of data. i. Multivariable liner regression analysis. ii. Chi-square (ฯ‡2 ) test iii. Charts and descriptive statistics of the data.
  • 3. Danjuma: A Study of causes of teenage pregnancy rate in Nigeria AJMS/Apr-Jun-2021/Vol 5/Issue 2 10 iv. A critical discuss analysis of the topic of research will be carefully look upon so as to give a very broad idea of the study for further research. Multiple Linear Regression Analysis Multiple linear regression analysis is an extension of simple linear regression analysis, used to assess the association between two or more independent (explanatory and predictor) variables and a single continuous dependent (response) variable. The multiple linear regression equation is as follows: 0 1 1 2 2 p p Y b b X b X b X ห† = + + +โ€ฆ+ whereas the predicted or expected value of the dependent variable, X1 through Xp are p distinct independent or predictor variables, b0 is the value of Y when all of the independent variables (X1 through Xp ) are equal to zero, and b1 through bp are the estimated regression coefficients. Each regression coefficient represents the change in Y relative to a unit change in the respective independent variable. In the multiple regression situation, b1 , for example, is the change in Y relative to a one unit change in X1 , holding all other independent variables constant (i.e., when the remaining independent variables are held at the same value or are fixed). Again, statistical tests can be performed to assess whether each regression coefficient is significantly different from zero. Chi-Square (ฯ‡2 ) The Chi-square test provides the basic for testing whether more than two populations may be considered equal or not. Chi-square test of independent constitutes a method for deciding whether the hypothesis of independent between variable in difference classification is to enable or not. The procedures provide a test of the equality of more two population properties, Chi-square test furniture a conclusion on whether asset of observed frequencies that the hypothesis under Which theoretical frequencies where derived should be rejected. When population variables are qualitative characteristics such as marital status political affiliation sex, state of heath type of treatment or kind of response the presence of absence of independent between variables can be used to draw impartment conclusion. The test statistics for the Chi-square is given below 2 2 ( ) r c i i i i j i O e e ๏ฃ = = โˆ’ = โˆ‘โˆ‘ Where O=the observed value E=the expected value Model Specification This research study will be modeled on a simple and multiple regression model as; Model Statistically; The simple linear regression model is expressed implicitly as; Y= ฮฒ+ ฮฒ1 X1 + ะต The simple multiple regression modelsis given as; Y= ฮฒo + ฮฒ1 X1 + ฮฒ2 X2 +ฮฒ3 X3 +โ€ฆโ€ฆ+ฮฒ12 X12 +ะต Where Y= Teenage pregnancy e = error term ฮฒ0 = Constant term ฮฒi = Coefficient to be estimated X1 = Islam X2 = Christianity X3 = Fulani X4 = Jukum X5 = Mumuye X6 =Jumjo X7 = Educated teenage X8 = Non-educated teenage X9 = Rich X10 = middle X11 = poor ฮฒ1 -ฮฒ11 = Regression Coefficient Analysis Table 1 shows the number, percentage and correlation analysis of teenage pregnancy with their predictors. All the factors considered have significant effect of the teenage pregnancy since the P-value are 0.05 and 0.01. Note that the
  • 4. Danjuma: A Study of causes of teenage pregnancy rate in Nigeria AJMS/Apr-Jun-2021/Vol 5/Issue 2 11 percentages of teenage pregnancy are taken based on the number of women sample in some selected community. Table 2 presents regression analysis for the socio-demographic factor the estimates, standard errors, significant P-values and odd ratios of the parameters of contribution of the socio- demographic factor to the teenage pregnancy are presented in Table 2. It can be observed from the above that each factor contributed differently to the teenage pregnancy in Nigeria. Teenage pregnancy is commonly determined by level of education of the parents followed by tribe followed by wealth index. Table 3 shows model parameters estimate for the socio-demographic effects of teenage pregnancy rate. The interpretation are stated below: Interpretation of the Model Wealth index The risk of a rich household having teenage pregnancy is smaller than the risk of a poor and middle household. Education level The risk of a high education level household having teenage pregnancy is smaller than the risk of a low level of education Religion The risk of a Muslim household having teenage pregnancy is more than the risk of a Christian household having teenage pregnancy. Table 2: Regression analysis for the socio-demographic factor Coefficients: Estimate Std. error z value Pr(|z|) Odd ratio (Intercept) โˆ’2.29852 0.07040 โˆ’32.647 2eโˆ’16 *** Religion โˆ’0.03547 0.10090 โˆ’0.352 0.725188 0.96515 Education Level 0.80199 0.08519 9.414 2eโˆ’16 *** 2.22997 Level Education of Teenagersโ€™ Parents 0.65368 0.08197 7.975 1.53eโˆ’15 *** 1.92260 Tribe โˆ’0.49311 0.13625 โˆ’3.619 0.000295 *** 0.61072 Wealth index 0.23561 0.10543 2.235 0.025435 * 1.26568 Table 1: Frequency (percentage in parenthesis) distribution of number of teenage pregnancy and the predictors (socio-demographic factors) Determinants Factor level No of teenage pregnancy ฯ‡2 P value Religion Islam Christianity 7250 (64.3%) 5366 (41.6%) 0.001 0.001 Higher Educ. Secondary Primary No Educ. 189 (12.8%) 13663 (32.6%) 4835 (46.2%) 6786 (62.4%) 0.001 0.001 0.001 0.001 Tribe Fulani Jukum Mumuye Jumjo 2895 (67%) 1728 (22.9%) 1300 (47.3%) 1550 (23.2%) 0.001 0.001 0.001 0.001 Level Education of Teenagersโ€™ Parents Higher Educ. Secondary Primary No Educ. 308 (18.8%) 1625 (34.5%) 2806 (58.8%) 4848 (76.8%) 0.001 0.001 0.000 0.000 Wealth Index Rich Middle Poor 821 (21.8%) 2429 (36%) 5723 (64.2%) 0.001 0.001 0.001 Table 3: Model parameters estimate for the socio-demographic effects of teenage pregnancy rate Coefficients Estimate Std. error Z value P-value Odd ratio (Intercept) โˆ’1.56616 0.08642 โˆ’18.123 2eโˆ’16 *** Christianity โˆ’0.12778 0.05599 โˆ’2.282 0.02247* 0.88005 Islam 0.18883 0.06473 2.917 0.00353** 1.20784 No Education โˆ’0.51906 0.07508 โˆ’6.914 4.72eโˆ’12*** 0.59508 Primary โˆ’0.28639 0.10965 โˆ’2.612 0.00901** 0.75097 Secondary โˆ’0.38028 0.08704 โˆ’4.369 1.25eโˆ’05*** 0.68367 Tertiary โˆ’1.20474 0.21461 โˆ’5.614 1.98eโˆ’08*** 0.29977 Fulani 0.13130 0.05300 2.478 0.01323* 1.14031 Jukum โˆ’0.11457 0.05268 โˆ’2.175 0.02965* 0.89175 Mumuye โˆ’0.17154 0.05866 โˆ’2.924 0.00346** 0.84237 Jumjo 0.92915 0.35559 2.613 0.008975** 2.53236 Rich 0.13130 0.05300 2.478 0.01323* 0.14031 Middle 0.31457 0.00268 โˆ’2.175 0.002965** 0.89175 Poor 0.67154 0.05866 โˆ’2.924 0.00346** 0.84237
  • 5. Danjuma: A Study of causes of teenage pregnancy rate in Nigeria AJMS/Apr-Jun-2021/Vol 5/Issue 2 12 Parentsโ€™ education background The risk of having teenage pregnancy from a woman whose parenthas secondary education or more is smaller than that of a woman whose partner has no formal education CONCLUSION The study is revealed the percentage prevalence of adolescence pregnancy in Taraba state, the particular tribe that is more associated with adolescent pregnancy in the study area, the sociodemographic factors associated with teenage pregnancy in northern. Nigeria, the various factors leading to teenage pregnancy in northern Nigeria, the direction and strength ofassociation between the variables under study and the cause and implication of adolescent pregnancy on the education, economy and future of the northern region and the solutions to thethreats adolescent pregnancy poses to northern Nigeria. Model selection procedure showed that not all the variables identified in this study, are significant. The effect of religion and parentsโ€™ poor education and education level of girls on the teenage pregnancy in the Tarabastate was significant. On the average, the risk that a Muslim household will have more teenage pregnancy is more than the risk of a Christian household having teenage pregnancy. This is so due to the religion provision of Islam that allows a man to marry at early stage of poverty. Also it is being deduced from the analysis that the more educated a household is, the lower the risk of having teenage pregnancy. RECOMMENDATION 1. Based on the findings, the following recommendations are made: 2. The dangers of teenage pregnancy both here and hereafter should be emphasized by the religion leaders. 3. Parents should personally lecture their children on the dangers of teenage pregnancy. 4. Government should provide free education for women in the communities. 5. Further studies should be considered on danger of teenage pregnancy. REFERENCES 1. Adekanle DA, Adeyemi AS, Odu OO. Teenage and non-teenage pregnant women in Southwestern Nigeria: A descriptive study. Calicut Med J 2008;693:e5. 2. AjalaAO. Factors associated with teenage pregnancy and fertility in Nigeria. J Econ Sustain Dev 2014;5:52-61. 3. Crockett LJ. Comparing Teenage Pregnancy Rates and Teenage Birth Rates Between States that do and do Not Mandate Sex or STD/HIV Education Programs. South Carolina: Brian S. Summerville; 2010. 4. Bingham CR, Chopak JS, Vicary JR. Timing of first sexual intercourse: The role of social control, social learning, and problem behavior. J Youth Adolescence 1996;25:89-111. 5. Alika IH. Counselling implications of sexual behaviour of Nigerian undergraduates. JORIND 2012;10:27-33. 6. Bamiwuye SO. Gender differentials in self-perception of risk and other barrier, HIV risk-reduction practices among Youths in Nigeria. J Demogr Soc Stat 2014; 6:31-38. 7. Bonell C, Allen E, Strange V, Copas A, Oakley A, Stephenson J, et al. The effect of dislike of school on risk of teenage pregnancy: Testing of hypotheses using longitudinal data from a randomized trial of Sex education. J Epidemiol Commun Health 2004;59:223-30. 8. Chilman C. Adolescent Pregnancy and Childbearing. Washington, DC: US Government Printing Office; 2019. p. 15-41. 9. Channels. More Teenage Girls in Nigeria are Getting Pregnant; 2013. Available from: http://www.channelstv. com/2013/07/15/more-teenage-girls-in-nigeria-are- getting-pregnant. 10. Chau-Kuang C, Ward C, Willians K, Abdullah A. Investigating risk factors affecting teenage pregnancy rates in the United States. Eur Int J Sci Technol 2013;2:41-51. 11. Ekefre EN, Ekanem SA, Esien OE. Teenage pregnancy and education in Nigeria: A philo-sociological management strategy. J Educ Soc Res 2019;4:41-7. 12. Ezegwui HU, Ikeako LC, Ogbuefi F. Obstetric outcome of teenagepregnancies at a tertiary hospital in Enugu, Nigeria. Niger J Clin Pract 2012;15:147-50. 13. Gilda S, Finer LB, Bankole A, Eilers MA, Singh S. Adolescent pregnancy, birth, and abortion rates across countries: Levels and recent trends. J Adolesc Health 2015;56:223-30. 14. National Population Commission Nigeria and ICF International. Nigeria Demographic and Health Survey 2013. Abuja, Nigeria, Rockville, Maryland, USA: National PopulationCommissionNigeriaandICFInternational;2014. 15. World Health Organization. Trends in Maternal Mortality: 1990-2008. Estimates Developed by WHO/UNICEF/UNFPA and the World Bank. Geneva: World Health Organization; 2010. Available from: http://www.whqlibdoc.who.int/ publications/2010/9789241500265_eng.pdf.