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Adolescent Boys and Girls in Africa: Their Demography, Behavioural Outcomes, Determinants and Consequences

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Family Demography and Post-2015 Development Agenda in Africa

Abstract

Adolescents in sub-Saharan Africa hold particular social and economic development potential. This sub-group will grow into future parents, leaders and employers driving the sub-continent forward. However, they face a myriad of challenges not limited to healthcare, education and future employment opportunities. In order to better prepare sub-Saharan Africa for the future needs of these maturing individuals, there is a need to know more about who adolescents are. The purpose of this study is to examine the changing composition, fertility and mortality patterns of adolescents in sub-Saharan Africa. Guided by the social determinants of health framework, the study uses demographic and health surveys and census data from six sub-Saharan African countries. Frequency distributions, rates, population pyramids, age-specific fertility and mortality rates and regression models are used to profile adolescents in the region. In all countries, adolescents are highly concentrated in rural areas. Furthermore, the probability of adolescent fertility is higher in rural than urban areas. However, adolescent mortality is higher in urban compared to rural areas. In conclusion, concentrated efforts should be made on addressing the needs of adolescents in rural areas to achieve a healthy and successful transition to adulthood.

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References

  • Alleyne, G., Binagwaho, A., Haines, A., Jahan, S., Nugent, R., Rojhani, A., Stuckler, D., & Lancet NCD Action Group. (2013). Embedding non-communicable diseases in the post-2015 development agenda. The Lancet, 381(9866), 566–574.

    Article  Google Scholar 

  • Aryal, K. K., Mehata, S., Neupane, S., Vaidya, A., Dhimal, M., Dhakal, P., Rana, S., Bhusal, C. L., Lohani, G. R., & Paulin, F. H. (2015). The burden and determinants of non communicable diseases risk factors in Nepal: Findings from a Nationwide STEPS survey. PLoS One, 10(8), e0134834.

    Article  Google Scholar 

  • Axelson, D., Goldstein, B., Goldstein, T., Monk, K., Haifeng, Y., Hickey, M. B., Sakolsky, D., Diler, R., Hafeman, D., & Merranko, J. (2015). Diagnostic precursors to bipolar disorder in offspring of parents with bipolar disorder: A longitudinal study. American Journal of Psychiatry, 172(7), 638–646.

    Article  Google Scholar 

  • Blum, R. W. (2007). Youth in sub-Saharan Africa. Journal of Adolescent Health, 41(3), 230–238.

    Article  Google Scholar 

  • Bongaarts, J., & Casterline, J. (2013). Fertility transition: Is sub-Saharan Africa different? Population and Development Review, 38(s1), 153–168.

    Article  Google Scholar 

  • Bradshaw, D., Steyn, K., Levitt, N., & Nojilana, B. (2011). Non communicable diseases: A race against time. Cape Town: Medical Research Council South Africa.

    Google Scholar 

  • Branson, N., Hofmeyr, C., & Lam, D. (2014). Progress through school and the determinants of school dropout in South Africa. Development Southern Africa, 31(1), 106–126.

    Article  Google Scholar 

  • Brière, F. N., Rohde, P., Seeley, J. R., Klein, D., & Lewinsohn, P. M. (2014). Comorbidity between major depression and alcohol use disorder from adolescence to adulthood. Comprehensive Psychiatry, 55(3), 526–533.

    Article  Google Scholar 

  • Carneiro, P., Meghir, C., & Parey, M. (2013). Maternal education, home environments, and the development of children and adolescents. Journal of the European Economic Association no., 11(s1), 123–160.

    Article  Google Scholar 

  • Chandra-Mouli, V., McCarraher, D. R., Phillips, S. J., Williamson, N. E., & Hainsworth, G. (2014). Contraception for adolescents in low and middle income countries: Needs, barriers, and access. Reproductive health no., 11(1), 1.

    Article  Google Scholar 

  • CSDH. (2007). A conceptual framework for action on the social determinants of health. Geneva: CSDH/WHO Wanless. Edited by WHO.

    Google Scholar 

  • Dalal, S., Beunza, J. J., Volmink, J., Adebamowo, C., Bajunirwe, F., Njelekela, M., Mozaffarian, D., Fawzi, W., Willett, W., & Adami, H.-O. (2011). Non-communicable diseases in sub-Saharan Africa: What we know now. International Journal of Epidemiology, 40(4), 885–901.

    Article  Google Scholar 

  • De Wet, N. (2016). Pregnancy and death: An examination of pregnancy-related deaths among adolescents in South Africa. South African Journal of Child Health, 10(3), 151–155.

    Article  Google Scholar 

  • Di Cesare, M., Khang, Y.-H., Asaria, P., Blakely, T., Cowan, M. J., Farzadfar, F., Guerrero, R., Ikeda, N., Kyobutungi, C., & Msyamboza, K. P. (2013). Inequalities in non-communicable diseases and effective responses. The Lancet, 381(9866), 585–597.

    Article  Google Scholar 

  • Dufur, M. J., Hoffmann, J. P., Braudt, D. B., Parcel, T. L., & Spence, K. R. (2015). Examining the effects of family and school social capital on delinquent behavior. Deviant Behavior, 36(7), 511–526.

    Article  Google Scholar 

  • Essau, C. A., Lewinsohn, P. M., Olaya, B., & Seeley, J. R. (2014). Anxiety disorders in adolescents and psychosocial outcomes at age 30. Journal of Affective Disorders, 163, 125–132.

    Article  Google Scholar 

  • Ezeh, A. C., Mberu, B. U., & Emina, J. O. (2009). Stall in fertility decline in eastern African countries: Regional analysis of patterns, determinants and implications. Philosophical Transactions of the Royal Society B: Biological Sciences., 1532(364), 2991–3007.

    Article  Google Scholar 

  • Fatusi, A. O., & Hindin, M. J. (2010). Adolescents and youth in developing countries: Health and development issues in context. Journal of Adolescence, 33(4), 499–508.

    Article  Google Scholar 

  • Fedewa, M. V., Gist, N. H., Evans, E. M., & Dishman, R. K. (2014). Exercise and insulin resistance in youth: A meta-analysis. Pediatrics, 133(1), e163–e174.

    Article  Google Scholar 

  • Fernando, S. (2010). Mental health, race and culture. Basingstoke: Palgrave Macmillan.

    Book  Google Scholar 

  • Filmer, D., & Fox, L. (2014). Youth employment in sub-Saharan Africa. Washington, DC: World Bank Publications.

    Book  Google Scholar 

  • Ford, C. A., Bearman, P. S., & Moody, J. (1999). Foregone health care among adolescents. JAMA, 282(23), 2227–2234.

    Article  Google Scholar 

  • Garcia, M. H., & Fares, J. (Eds.). (2008). Youth in Africa’s labor market. Washington, DC: World Bank Publications.

    Google Scholar 

  • Garenne, M., Tollman, S., Kahn, K., Collins, T., & Ngwenya, S. (2001). Understanding marital and premarital fertility in rural South Africa. Journal of Southern African Studies, 27(2), 277–290.

    Article  Google Scholar 

  • Hayward, K. (2004). City limits: Crime, consumer culture and the urban experience. London: Routledge.

    Google Scholar 

  • Helman, C. G. (2007). Culture, health and illness. New York: CRC Press.

    Google Scholar 

  • Hervish, A, & Clifton, D. (2012). Status report: Adolescents and young people in sub-Saharan Africa. Opportunities and challenges.

    Google Scholar 

  • Ibrahim, M. M., & Damasceno, A. (2012). Hypertension in developing countries. The Lancet, 380(9841), 611–619.

    Article  Google Scholar 

  • Kabiru, C. W., Izugbara, C. O., & Beguy, D. (2013). The health and wellbeing of young people in sub-Saharan Africa: An under-researched area? BMC International Health and Human Rights, 13(1), 11.

    Article  Google Scholar 

  • Kara, R., & Maharaj, P. (2015). Childbearing among young people in South Africa: Findings from the National Income Dynamics Study. Southern African Journal of Demography, 16(1), 57.

    Google Scholar 

  • Kaufman, C. E., De Wet, T., & Stadler, J. (2001). Adolescent pregnancy and parenthood in South Africa. Studies in Family Planning, 32(2), 147–160.

    Article  Google Scholar 

  • Kiragu, K. (2001). Youth and HIV/AIDS: Can we avoid catastrophe? Population Reports. Series L: Issues in World Health, (12), 40.

    Google Scholar 

  • Klepinger, D. H., Lundberg, S., & Plotnick, R. D. (1995). Adolescent fertility and the educational attainment of young women. Family Planning Perspectives, 27, 23–28.

    Article  Google Scholar 

  • Leclerc-Madlala, S. (2002). On the virgin cleansing myth: Gendered bodies, AIDS and ethnomedicine. African Journal of AIDS Research, 1(2), 87–95.

    Article  Google Scholar 

  • Loaiza, E., & Liang, M. (2013). Adolescent pregnancy: A review of the evidence. New York: UNFPA.

    Google Scholar 

  • Lobel, T. E., Nov-Krispin, N., Schiller, D., Lobel, O., & Feldman, A. (2004). Gender discriminatory behavior during adolescence and young adulthood: A developmental analysis. Journal of Youth and Adolescence, 33(6), 535–546.

    Article  Google Scholar 

  • Lozano, R., Naghavi, M., Foreman, K., Lim, S., Shibuya, K., Aboyans, V., Abraham, J., Adair, T., Aggarwal, R., & Ahn, S. Y. (2013). Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: A systematic analysis for the global burden of disease study 2010. The Lancet, 380(9859), 2095–2128.

    Article  Google Scholar 

  • Marsella, A. J., & White, G. (2012). Cultural conceptions of mental health and therapy (Vol. 4). New York: Springer.

    Google Scholar 

  • Mulkeen, A. (2005). Teachers for rural schools: A challenge for Africa. Africa region World Bank. Washington, DC: World Bank.

    Google Scholar 

  • National Research Council. (1993). Social dynamics of adolescent fertility in sub-Saharan Africa. Washington, DC: National Academies Press.

    Google Scholar 

  • Ncube, M., & Lufumpa, C. L. (2014). The emerging middle class in Africa. London: Routledge.

    Google Scholar 

  • Nishimura, M., & Yamano, T. (2013). Emerging private education in Africa: Determinants of school choice in rural Kenya. World Development, 43, 266–275.

    Article  Google Scholar 

  • Okojie, C. E. E. (2003). Employment creation for youth in Africa: The gender dimension. Jobs for Youth: National Strategies for Employment Promotion, 15–16.

    Google Scholar 

  • Owusu-Acheampong, E., & Williams, A. A. (2015). Dearth of teachers in rural basic schools: Implications on human resource development in the Amenfi West District, Ghana. British Journal of Education, (3), 32–42.

    Google Scholar 

  • Patel, V. (1995). Explanatory models of mental illness in sub-Saharan Africa. Social Science & Medicine, 40(9), 1291–1298.

    Article  Google Scholar 

  • Patton, G. C., Coffey, C., Sawyer, S. M., Viner, R. M., Haller, D. M., Bose, K., Vos, T., Ferguson, J., & Mathers, C. D. (2009). Global patterns of mortality in young people: A systematic analysis of population health data. The Lancet, 374(9693), 881–892.

    Article  Google Scholar 

  • Patton, G. C., Sawyer, S. M., Santelli, J. S., Ross, D. A., Afifi, R., Allen, N. B., Arora, M., Azzopardi, P., Baldwin, W., & Bonell, C. (2016). Our future: A lancet commission on adolescent health and wellbeing. The Lancet, 387(10036), 2423–2478.

    Article  Google Scholar 

  • Population Reference Bureau. (2017). The demographic dividend in Africa relies on investment in the reproductive health and rights of adolescents and youth. Washington: Population Reference Bureau.

    Google Scholar 

  • Powell, P. W., Chen, R., Kumar, A., Streisand, R., & Holmes, C. S. (2013). Sociodemographic effects on biological, disease care, and diabetes knowledge factors in youth with type 1 diabetes. Journal of Child Health Care, 17(2), 174–185.

    Article  Google Scholar 

  • Rossouw, L., Burger, R., & Burger, R. (2012). The fertility transition in South Africa: A retrospective panel data analysis. Stellenbosch: Department of Economics and Bureau for Economic Research, Stellenbosch University.

    Google Scholar 

  • South African Human Rights Commission, & United Nations Children’s Fund. (2016). Global goals for every child: Progress and disparities among children in South Africa. Pretoria: South African Human Rights Commission/United Nations Children’s Fund.

    Google Scholar 

  • Statistics South Africa. (2016). Vulnerable groups series I: The social profile of youth, 2009–2014.

    Google Scholar 

  • Statistics South Africa. (2018). Demographic profile of Adolescents in South Africa. Pretoria: Statistics South Africa.

    Google Scholar 

  • UNAIDS. (2000). Report on the global HIV/AIDS epidemic (UNAIDS/00.13E). Geneva: UNAIDS.

    Google Scholar 

  • UNAIDS. (2015, July). 2014 HIV and AIDS estimates.

    Google Scholar 

  • UNDP. (2011). Gender equality and women’s empowerment in public administration: Mali case study.

    Google Scholar 

  • UNICEF. (2011). Opportunity in Crisis: Preventing HIV from early adolescence to young adulthood. UNICEF.

    Google Scholar 

  • United Nations Population Fund. (2015). Adolescents and youth. New York: United Nations Population Fund.

    Google Scholar 

  • Verkuyl, D. A. A. (1995). Practising obstetrics and gynaecology in areas with a high prevalence of HIV infection. The Lancet, 346(8970), 293–296.

    Article  Google Scholar 

  • Viner, R. M., Coffey, C., Bloem, P., Costello, A., Santelli, J., & Patton, G. C. (2011). 50-year mortality trends in children and young people: A study of 50 low-income, middle-income and high-income countries. The Lancet, 377(9772), 1162.

    Article  Google Scholar 

  • WHO. (2009). Global burden of disease. Projections of mortality and burden of disease, 2002–2030. edited by http://www.who.int/topics/global_burden_of_disease/en/. World Health Organisation.

  • WHO. (2010). Fact File: 10 facts on adolescent health 2010. Available from http://www.who.int/features/factfiles/adolescent_health/facts/en/index.html.

  • WHO. (2012). World Health Organization, Global Health estimates 2012. Geneva: WHO.

    Google Scholar 

  • Winskell, K., Miller, K. S., Allen, K. A., & Obong’o, C. O. (2016). Guiding and supporting adolescents living with HIV in sub-Saharan Africa: The development of a curriculum for family and community members. Children and Youth Services Review, 61, 253–260.

    Article  Google Scholar 

  • Wood, K., & Jewkes, R. (2006). Blood blockages and scolding nurses: Barriers to adolescent contraceptive use in South Africa. Reproductive Health Matters, 14(27), 109–118.

    Article  Google Scholar 

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De Wet, N., Mabetha, K., Mataboge, P. (2020). Adolescent Boys and Girls in Africa: Their Demography, Behavioural Outcomes, Determinants and Consequences. In: Odimegwu, C. (eds) Family Demography and Post-2015 Development Agenda in Africa. Springer, Cham. https://doi.org/10.1007/978-3-030-14887-4_9

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  • DOI: https://doi.org/10.1007/978-3-030-14887-4_9

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