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June 20, 2026BMJ OpenOpen Access

Why do adolescent girls become pregnant? Contextual pathways to adolescent pregnancy in rural Tanzania: a mixed-methods study

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Authors

PLPhilipo Joshua LoishiyeNMNeema C MagotiSSShadhir Said

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Overview

Mixed-methods study identifies socioeconomic and gender factors influencing adolescent pregnancy in rural Tanzania.

Key Points

  • This study investigates the contextual reasons and determinants of adolescent pregnancy among girls in rural Tanzania.
  • Convergent mixed-methods design integrating quantitative surveys and qualitative interviews.
  • 418 adolescent girls aged 15-19 were surveyed using multistage sampling, with qualitative interviews conducted with selected adolescents, parents, and community stakeholders.
  • Data were analyzed separately and integrated using triangulation.
  • The prevalence of adolescent pregnancy in Korogwe District was 16%.
  • Older age (18-19 years), school discontinuation, marital union, and economic vulnerability were identified as significant risk factors.
  • Poverty, transactional relationships, and misconceptions about contraception were reported as constraints on reproductive autonomy.

Cite This Study

Loishiye et al. (2026) studied this question.

synapsesocial.com/papers/6a362f3bdb0793dc1a536bdfhttps://doi.org/10.1136/bmjopen-2025-113632
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Determinants of Teenage Pregnancy in Tanzania2025
  2. 2MULTILEVEL DETERMINANTS OF TEENAGE PREGNANCIES AMONG GIRLS AGED 13-19 YEARS IN RURAL UGANDA: COMMUNITY BASED CROSS-SECTIONAL STUDY2025
  3. 3Determinants of adolescent pregnancy in Zambia: A secondary data analysis of 2018 Zambia Demographic and Health Survey2024
  4. 4Pooled prevalence and associated factors of teenage pregnancy among women aged 15 to 19 years in sub-Saharan Africa: evidence from 2019 to 2022 demographic and health survey data2024 · 30 citations
  5. 5Effect of adolescents' demographic factors on reproductive outcomes affecting teenage pregnancy in Momba District, Tanzania2025