A decade of teenage pregnancy in South Africa, 2014–2023: A spatial analysis of national birth records

Sbonelo Charles Chamane and Musawenkosi Mabaso
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Sbonelo Charles Chamane: Public Health, Societies and Belonging, Human Sciences Research Council, South Africa
Musawenkosi Mabaso: Public Health, Societies and Belonging, Human Sciences Research Council, South Africa

International Journal of Research in Business and Social Science (2147-4478), 2025, vol. 14, issue 5, 305-312

Abstract: Teenage pregnancy remains a significant and multifaceted public health concern within the South African context. This public health threat has led to a disproportionate prevalence of HIV among female youth, along with increased maternal and child mortality rates. This retrospective cohort study employed birth record data from South Africa. This study utilises descriptive statistics and the Pearson Chi-Square Test of Independence to analyse the statistical differences in the prevalence of teenage pregnancy. The Global Moran’s I was employed to analyse spatial autocorrelation, and the Local Moran’s I was subsequently utilised to identify hotspots of teenage pregnancy. In the past decade, births to mothers under the age of 20 constituted 13.0% of a total of 9,609,356 births, amounting to 1,249,074 births. Teenage pregnancy rates were markedly elevated from 2014 to 2018 in comparison to the period from 2019 to 2023 (13.7% versus 12.3%, p

Date: 2025
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