##issue.issue##

##issue.vol## 10 ##issue.no## 2 (2021): Special Issue on Gender I

Trends and Causes of Socio-economic Inequality In Teenage Pregnancy and Childbearing in Tanzania

https://doi.org/10.56279/jhss.v10i2.79
Magashi Joseph
Dar es Salaam University College of Education University of Dar es Salaam
Asela Miho

Corresponding Author(s) : Magashi Joseph

jmagashi@gmail.com

Journal of Humanities & Social Science (JHSS), ##issue.vol## 10 ##issue.no## 2 (2021): Special Issue on Gender I

##article.abstract##

The paper analyses the trends and causes of socioeconomic inequalities in teenage
pregnancy and childbearing in Tanzania using the 2004/05, 2009/10 and 2015/16
Tanzania Demographic and Health Survey (TDHS) data. The analysis of trends and
causes of socioeconomic-inequality uses a representative sample of 7,450 teenagers
who were pregnant or had a child during the survey. Teenagers were obtained from a
multi-stage sampling technique. Erreygers Index (EI) and its decomposition are used in
the analyses. The EI indicates a significant increase in the magnitude of inequalities in
teenage pregnancy and childbearing over time. Further, there exists a pro-poor
inequality in teenage pregnancy and childbearing. A decomposition analysis revealed
that the major contributors to teenage pregnancy and childbearing includes early
marriage, early sexual debut, and teen education. The lack of social and economic
capital provides a possible explanation for the observed results. We thus argue for
compulsory secondary education and reproductive health education, as well as
addressing wealth inequalities, to redress the situation in Tanzania.

##journal.references##
  1. Anderton, D. L., N. O. L. L Tsuya, Bean & G. P. Mineau. 1987. Intergenerational Transmission of
  2. Relative Fertility and Life Course Patterns. Demography, 24(4): 467–480. Retrieved on 18
  3. November 2020, from https://doi.org/10.2307/2061386.
  4. Arland, T. 1991. Influence of the Marital History of Parents on the Marital and Cohabitational
  5. Experiences of Children. American Journal of Sociology, 96(4): 868–894. Retrieved on 18
  6. November 2020, from https://doi.org/10.2307/2780734.
  7. Axinn, W. G. & A. Thornton. 1992. The Influence of Parental Resources on the Timing of the
  8. Transition to Marriage. Social Science Research, 21(3): 261–285. Retrieved on 18 November 2020,
  9. from https://doi.org/10.1016/0049–089x(92)90008–5.
  10. Barber, J. S. 2001. The Intergenerational Transmission of Age at First Birth Among Married and
  11. Unmarried Men and Women. Social Science Research, 30(2): 219–247. Retrieved on 18 November
  12. , from https://doi.org/10.1006/ssre.2000.0697.
  13. Bengtson, V. L. 1975. Generation and Family Effects in Value Socialization. American Sociological
  14. Review, 40(3): 358–371.
  15. Chirwa, C. G., J. Mazalale, G. Likupe, D. Nkhoma, L. Chiwaula & J. Chintsanya. 2019. An Evolution of
  16. Socioeconomic Related Inequality in Teenage Pregnancy and Childbearing in Malawi. Plos ONE,
  17. (11): 1–16. Retrieved on 6 July 2020, from https://doi.org/https://doi.org/10.1371/journal.
  18. pone.0225374 editor.
  19. Crockett, L. J., C. R. Bingham, J. S. Chopak & J. R. Vicary. 1996. Timing of First Sexual Intercourse:
  20. The Rolle of Social Control, Social Learning & Problem Behavior. Journal of Youth and Adolescence,
  21. (1): 89–111. Retrieved on 16 December 2020, from https://doi.org/ 10.1007/ bf01537382.
  22. Darroch, J. E., V. Woog & A. Bankole. 2016. Adding It Up: Costs and Benefits of Meeting the Contraceptive
  23. Needs of Adolescents. Retrieved on 30 June 2020, from https://www. guttmacher.
  24. org/report/adding-it-meeting-contraceptive-needs-of-adolescents.
  25. Erreygers, G. 2009. Correcting the Concentration Index. Journal of Health Economics, 28(2): 504–515.
  26. Retrieved on 6 July 2020, from https://doi.org/10.1016/j.jhealeco.2008.02.003.
  27. Filmer, D. & L. Pritchett. 2011. Estimating Wealth Effects Without Expenditure Data-Or Tears : An
  28. Application to Educational Enrollments in States of India. Demography, 38(1): 115–132.
  29. Retrieved on 6 August 2020, from https://doi.org/10.1353/dem.2001.0003.
  30. Hope, T. L., E. I. Wilder & T. T. Watt. 2003. The Relationships Among Adolescent Pregnancy,
  31. Pregnancy Resolution & Juvenile Delinquency. The Sociological Quarterly, 44(4): 555–576.
  32. Retrieved on 16 November 2020, from http://www.jstor.org/stable/4120722.
  33. Izugbara, C. O., F. M. Wekesah, T. Tilahun, J. Amo-Adjei & Z. T. Tsala Dimbuene. 2018. Family
  34. Planning in East Africa: Trends and Dynamics. Retrieved on 9 December 2020, from https://aphrc.
  35. org/wp-content/uploads/2019/07/family-planning-in-east-africa-report_january-2018.pdf.
  36. Kahn, J. R. & K. E. Anderson. 1992. Intergenerational Patterns of Teenage Fertility. Demography,
  37. (1): 39–57. Retrieved on 18 November 2020, from https://doi.org/10.2307/2061362.
  38. Kakwani, N., A. Wagstaff & E. Van Doorslaer. 1997. Socioeconomic Inequalities in Health:
  39. Measurement, Computation & Statistical Inferenc. Journal of Econometrics, 77: 87–103.
  40. Kassa, G. M., A. O. Arowojolu, A. T. A. Odukogbe & A. W. Yalew. 2019. Trends and Determinants of
  41. Teenage Childbearing in Ethiopia: Evidence from the 2000 to 2016 Demographic and Health
  42. Surveys. Italian Journal of Pediatrics, 45(1): 1–13. Retrieved on 6 July 2020, from https://doi. org/
  43. 1186/s13052–019–0745–4.Kenya National Bureau of Statistics, Ministry of Health/Kenya, National AIDS Control Council/Kenya,
  44. Kenya Medical Research Institute & National Council for Population and Development. 2015.
  45. Kenya. in Kenya Demographic and Health Survey 2014. Retrieved on 8 December 2020, from
  46. http://dhsprogram.com/pubs/pdf/fr308/fr308.pdf.
  47. Khoramrooz, M., A. Rezapour, S. Shirinbakhsh & A. Khosravi. 2019. Understanding Changes in
  48. Socioeconomic Inequality of Unintended Pregnancy Among Iranian Married Women: A BlinderOaxaca Decomposition Analysis. Health Scope, 8(4): E85011. Retrieved on 15 July 2020, from
  49. https://doi.org/10.5812/jhealthscope.85011.
  50. Michael, R. T. & N. B. Tuma. 1985. Entry Into Marriage and Parenthood by Young Men and Women:
  51. The Influence of Family Background. Demography, 22(4): 515–544. Retrieved on 18 November
  52. , from https://doi.org/10.2307/2061586.
  53. Miller, B. C., M. C. Norton, T. Curtis, J. E. Hill, P. Schvaneveldt & M. H. Young. 1997. The Timing of
  54. Sexual Intercourse Among Adolescents: Family, Peer & Other Antecedents. Youth and Society,
  55. (1): 54–83. Retrieved on 16 December 2020, from https://doi.org/https:// doi.org/ 10.1177/
  56. x97029001003.
  57. Montgomery, M. R., M. Gragnolati, K. A. Burke & E. Paredes. 2000. Measuring Living Standards With
  58. Proxy Variables. Demography, 37(2): 155–174. Retrieved on 7 July 2020, from https://
  59. doi.org/10.2307/2648118.
  60. National Institute of Statistics of Rwanda (NISR), Ministry of Finance and Economic Planning,
  61. Ministry of Health (MOH) & ICF International. 2016. Rwanda Demographic and Health Survey 2014–
  62. Retrieved on 8 December 2020, from http://dhsprogram.com/ pubs/pdf/ fr316/ fr316.pdf.
  63. National Bureau of Statisics (NBS) & ICF Macro. 2005. Tanzania Demographic and Health Survey 2004–
  64. Dar es Salaam, Tanzania: National Bureau of Statistics and ORC Macro.
  65. National Bureau of Statisics & ICF Macro. 2010. Tanzania Demographic and Health Survey 2010. Dar
  66. es Salaam, Tanzania: NBS and ICF Macro.
  67. —. 2016. Tanzania Demographic and Health Survey and Malaria Indicator Survey 2015–2016. Dar es
  68. Salaam, Tanzania & Rockville, Maryland, USA.
  69. Neal, S., Z. Matthews, M. Frost, H. Fogstad, A. V. Camacho & L. Laski. 2012. Childbearing in
  70. Adolescents Aged 12–15 Years in Low Resource Countries: A Neglected Issue. New Estimates
  71. from Demographic and Household Surveys in 42 Countries. Acta Obstetricia Et Gynecologica
  72. Scandinavica, 91(9): 1114–1118. Retrieved on 30 June 2020, from https://doi.org/10.1111/j.1600–
  73. 2012.01467.x.
  74. O’Donnell, O., S. O’neill, T. B. Ourti & Van Walsh. 2016. Conindex: Estimation of Concentration
  75. Indices. Stata Journal, 16(1): 112–138.
  76. O’Donnell, O., E. Van Doorslaer, A. Wagstaff & M. Lindelow. 2008. Analyzing Health Equity Using
  77. Household Survey Data: A Guide to Techniques and Their Implementation. in WBI Learning
  78. Resources Series. Retrieved on 4 June 2020, from https://doi.org/10.2471/blt.08.052357.
  79. Omani-Samani, R., M. A. Rarani, M. Sepidarkish, E. K. Morasae, S. Maroufizade & A. Almasi-Hashiani.
  80. Socioeconomic Inequality of Unintended Pregnancy in the Iranian Population: A
  81. Decomposition Approach. BMC Public Health, 18(607): 1–8. Retrieved on 15 July 2020, from
  82. https://doi.org/https://doi.org/10.1186/s12889–018–5515–5.
  83. Penman-Aguilar, A., M. Carter, M. Christine Snead & A. P. Kourtis. 2013. Socioeconomic
  84. Disadvantage as a Social Determinant of Teen Childbearing in the U.S. Public Health Reports, 128
  85. (SUPPL. 1): 5–22. Retrieved on 15 July 2020, from https://doi.org/10.1177/00333549131282s102.
  86. Poudel, S., N. Upadhaya, R. B. Khatri & R. Ghimire. 2018. Trends and Factors Associated With
  87. Pregnancies Among Adolescent Women in Nepal : Pooled Analysis of Nepal Demographic and
  88. Health Surveys ( 2006. 2011 and 2016. Plos ONE, 13(8): 1–13. Retrieved on 15 July 2020, from
  89. https://doi.org/https://doi.org/10.1371/journal. pone.0202107.
  90. Ramirez-Valles, J., M. A. Zimmerman & L. Juarez. 2002. Gender Differences of Neighborhood and
  91. Social Control Processes: A Study of the Timing of First Intercourse Among Low-Achieving,
  92. Urban, African American Youth. Youth and Society, 33(3): 418–441. Retrieved on 16 December
  93. , from https://doi.org/10.1177/0044118x02033003004.
  94. Sahn, D. E. & D. Stifel. 2003. Exploring Alternative Measures of Welfare in the Absence of
  95. Expenditure Data. Review of Income and Wealth, 49(4): 463–489.
  96. Singh, S., J. E. Darroch, J. J. Frost, M. Barrett, A. Mckay, E. Maticka-Tyndale, … & V. Woog. 2001.
  97. Socioeconomic Disadvantage and Adolescent Women’s Sexual and Reproductive Behavior: The
  98. Case of Five Developed Countries. Family Planning Perspectives, 33(6): 251–258 & 289. Retrieved
  99. on 15 July 2020, from https://doi.org/10.2307/3030192.
  100. Thornton, A. & D. Camburn. 1987. The Influence of the Family on Premarital Sexual Attitudes and
  101. Behaviour. Demography, 24(3): 323–340.
  102. Uganda Bureau of Statistics (UBOS) & ICF International. 2018. Uganda Demographic and Health Survey
  103. Retrieved on 8 December 2020, from http://dhsprogram.com/pubs/pdf/fr333/fr333.pdf.
  104. United Nations Population Fund (UNFPA). 2015. Girlhood, Not Motherhood: Preventing Adolescent
  105. Pregnancy. Retrieved on 15 April 2020 from https://www.unfpa.org/sites/default/files/pubpdf/girlhood_not_motherhood_final_web.pdf.
  106. —. 2018. Fact Sheet: Teenage Pregnancy. Retrieved on 22 November 2020, from https:// tanzania.
  107. unfpa.org/en/publications/fact-sheet-teenage-pregnancy.
  108. United Nations Children’s Fund (UNICEF). 2014. Ending Child Marriage: Progress and Prospects. in
  109. Ending Child Marriage: Progress and Prospects, UNICEF (Issue New York). Retrieved on 15 July 2020
  110. from http://data.unicef.org/corecode/uploads/document6/uploaded_pdfs/corecode/child-marriagebrochure-hr_164.pdf.
  111. —. 2019. Adolescent Demographics. Retrieved on 6 May 2020 from https://data.unicef. org/ topic/
  112. adolescents/demographics/.
  113. United Republic of Tanzania (URT). 2017. Tanzania Statistical Abstract 2016. Retrieved on 18
  114. November 2020, from https://nbs.go.tz/nbs/takwimu/abstracts/statistical_abstract_2016.pdf.
  115. Van Doorslaer, E. & T. Van Ourti. 2012. Measuring Inequality and Inequity in Health and Health
  116. Care. In Oxford Handbook of Health Economics. Retrieved on 16 June 2020, from
  117. https://doi.org/10.1093/oxfordhb/9780199238828.013.0035.
  118. Viner, R. M., E. M. Ozer, S. Denny, M. Marmot, M. Resnick, A. Fatusi & C. Currie. 2012. Adolescence
  119. and the Social Determinants of Health. The Lancet, 379, 1641–1652. Retrieved on 15 July 2020,
  120. from https://doi.org/10.1016/s0140–6736(12)60149–4.
  121. Wado, Y. D., E. A. Sully & J. N. Mumah. 2019. Pregnancy and Early Motherhood Among Adolescents
  122. in Five East African Countries : A Multi-Level Analysis of Risk and Protective Factors. BMC
  123. Pregnancy and Childbirth. 19(59): 1–11. Retrieved on 15 July 2020, from https://doi. org/
  124. https://doi.org/10.1186/s12884–019–2204–zWagstaff, A., E. Van Doorslaer & P. Paci. 1989. Equity in the Finance and Delivery of Health Care:
  125. Some Tentative Cross-Country Comparisons. Oxford Review of Economic Policy, 5(1): 89–112.
  126. retrieved on 13 august 2020, from https://doi.org/10.1093/oxrep/5.1.89.
  127. Wagstaff, A., E. Van Doorslaer & N. Watanabe. 2003. on Decomposing the Causes of Health Sector
  128. Inequalities With an Application to Malnutrition Inequalities in Vietnam. Journal of Econometrics,
  129. (1): 207–223. Retrieved on 13 August 2020, from https://doi.org/10.1016/s0304–
  130. (02)00161–6.
  131. World Health Organization (WHO). 2018. Adolescents: Health Risks and Solutions. Retrieved on 15 July
  132. , from https://www.who.int/news-room/fact-sheets/detail/adolescents-health-risks-andsolutions.
  133. —. 2019. Adolescent Pregnancy: Evidence Brief. Retrieved on 15 July 2020, from
  134. https://apps.who.int/iris/bitstream/handle/10665/329883/who-rhr-19.15–eng.pdf?ua=1.
  135. —. 2020. Adolescent Pregnancy. Retrieved on 30 June 2020, from https://www.who.int/en/newsroom/fact-sheets/detail/adolescent-pregnancy.
  136. Wodon, Q., C. Male, A. Nayihouba, A. Onagoruwa, A. Savadogo, A. Yedan, … & Petroni, S. 2017.
  137. Economic Impacts of Child Marriage: Global Synthesis Report. Journal of Global Health, 7(1).
  138. Retrieved on 15 July 2020, from https://doi.org/10.7189/jogh.07.010903.
  139. Wu, L. L. 1996. Effects of Family Instability, Income & Income Instability on the Risk of a Premarital
  140. Birth. American Sociological Review, 61(3): 386–406. Retrieved on 18 November 2020, from
  141. https://doi.org/10.2307/2096355.
  142. Yakubu, I. & Salisu, W. J. 2018. Determinants of Adolescent Pregnancy in Sub-Saharan Africa : A
  143. Systematic Review. Reproductive Health, 15(15). Retrieved on 15 July 2020, from https://doi. org/
  144. 1186/s12978–018–0460–4
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Trends and Causes of Socio-economic Inequality In Teenage Pregnancy and Childbearing in Tanzania. (2021). Journal of Humanities & Social Science (JHSS), 10(2). https://doi.org/10.56279/jhss.v10i2.79
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