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The Association Between Household and Community Single Motherhood and Adolescent Pregnancy in South Africa

  • Sibusiso MkwananziEmail author
Chapter

Abstract

This study investigated the independent association of single motherhood at both household- and community-levels with adolescent pregnancy. A sample of 14,232 female adolescents aged 10–19 years was obtained from the 2011, 2012 and 2013 South African General Household Surveys (GHS). These data were analysed using descriptive statistics and multilevel binary logistic regression with Stata. Interaction terms were also tested. Findings showed that living in a single motherhood household increased the average odds of adolescent pregnancy as did high levels of single motherhood within communities in the adjusted models. Significant interaction was found between both household and community single motherhood variables and education, poverty and household sex composition, after adjusting for other variables. These results highlight the important need for supporting households headed by single mothers. This need arises from an independent association as well as the added risk that occurs when single motherhood occurs in the presence of school non-attendance and poverty. Early pregnancy prevention programmes and awareness campaigns for females growing up in homes and environments with greater levels of single motherhood are encouraged in order to ensure the sexual and reproductive health of young females in South Africa.

Keywords

Single motherhood Adolescent pregnancy South Africa Multilevel modelling Community and household level factors 

References

  1. Amoateng, A. Y., & Setlalentoa, B. M. P. (2015). Family structure, race, gender and poverty: The case of food deprivation in South Africa. African Sociological Review/Revue Africaine de Sociologie, 19(1), 43–62.Google Scholar
  2. Brahmbhatt, H., Kågesten, A., Emerson, M., Decker, M. R., Olumide, A. O., Ojengbede, O., et al. (2014). Prevalence and determinants of adolescent pregnancy in urban disadvantaged settings across five cities. Journal of Adolescent Health, 55(6), S48–S57.CrossRefGoogle Scholar
  3. Browne, W. J., Subramanian, S. V., Jones, K., & Goldstein, H. (2005). Variance partitioning in multilevel logistic models that exhibit overdispersion. Journal of the Royal Statistical Society, 168(3), 599–613.CrossRefGoogle Scholar
  4. Budlender, D., & Lund, F. (2011). South Africa: A legacy of family disruption. Development and Change, 42(4), 925–946.  https://doi.org/10.1111/j.1467-7660.2011.01715.x.CrossRefGoogle Scholar
  5. Bunting, B. (1964). The rise of the South African reich. London: Penguin Books.Google Scholar
  6. Buvinić, M., & Gupta, G. R. (1997). Female-headed households and female-maintained families: Are they worth targeting to reduce poverty in developing countries? Economic Development and Cultural Change, 45(2), 259–280.CrossRefGoogle Scholar
  7. Delius, P., & Glaser, C. (2002). Sexual socialisation in South Africa: A historical perspective. African Studies, 61(1), 27–54.CrossRefGoogle Scholar
  8. Department of Health. (1996). Choice on termination of pregnancy act: 92 of 1996. Government Gazette, 377(17602), 2–10.Google Scholar
  9. Department of Health. (2012). National contraception clinical guidelines. Pretoria.Google Scholar
  10. Dlamini, N. S. (2006). Measurement and characteristics of single mothers in South Africa: Analysis using the 2002 general household survey (M. A. thesis). University of KwaZulu-Natal. https://researchspace.ukzn.ac.za/bitstream/handle/10413/1610/Dlamini_NS_2006.pdf?sequence=1&isAllowed=y. Accessed October 9, 2018.
  11. Domenico, D. M., & Jones, K. H. (2007). Adolescent pregnancy in America: Causes and responses. Journal for Vocational Special Needs Education, 30(1), 4–12.Google Scholar
  12. Dunkle, K., Jewkes, R., Brown, H., McIntyre, J., Gray, G., & Harlow, S. (2003). Gender-based violence and HIV infection among pregnant women in Soweto (A Technical Report to the Australian Agency for International Development). Gender and Health Group, South African Medical Research Council. http://196.21.144.194/gender/women.pdf. Accessed October 9, 2018.
  13. Emmett, T. (2003). Social disorganisation, social capital and violence prevention in South Africa: Original contribution. African Safety Promotion, 1(2), 4–18.Google Scholar
  14. Essien, A., & Bassey, A. A. (2012). The social and religious challenges of single mothers in Nigeria. American Journal of Social Issues and Humanities, 2(4), 240–251.Google Scholar
  15. Ford, K., & Hosegood, V. (2005). AIDS mortality and the mobility of children in KwaZulu Natal, South Africa. Demography, 42(4), 757–768.  https://doi.org/10.1353/dem.2005.0029.CrossRefGoogle Scholar
  16. Francis, G. I. (2008). The effect of household characteristics on adolescent childbearing in Lesotho (M. A. thesis). University of the Witwatersrand, Johannesburg.Google Scholar
  17. Franklin, D. L. (1988). Race, class, and adolescent pregnancy: An ecological analysis. American Journal of Orthopsychiatry, 58(3), 339.CrossRefGoogle Scholar
  18. Goldstein, H. (2011). Multilevel statistical models. Hoboken, NJ: Wiley.Google Scholar
  19. Gustafsson, S. S., & Worku, S. Y. (2006). Marriage markets and single motherhood in South Africa (Tinbergen Institute Discussion Paper TI 2006-102/3). Amsterdam. https://papers.tinbergen.nl/06102.pdf. Accessed October 9, 2018.
  20. Holborn, L., & Eddy, G. (2011). First steps to healing the South African family. Johannesburg: South African Institute of Race Relations.Google Scholar
  21. Hosegood, V., McGrath, N., & Moultrie, T. (2009). Dispensing with marriage: Marital and partnership trends in rural KwaZulu Natal, South Africa 2000–2006. Demographic Research, 20(13), 279–312.CrossRefGoogle Scholar
  22. Jewkes, R., Morrell, R., & Christofides, N. (2009). Empowering teenagers to prevent pregnancy: Lessons from South Africa. Culture, Health & Sexuality, 11(7), 675–688.  https://doi.org/10.1080/13691050902846452.CrossRefGoogle Scholar
  23. Jewkes, R. K., Dunkle, K., Nduna, M., Jama, P. N., & Puren, A. (2010). Associations between childhood adversity and depression, substance abuse and HIV and HSV2 incident infections in rural South African youth. Child Abuse and Neglect, 34(11), 833–841.  https://doi.org/10.1016/j.chiabu.2010.05.002.CrossRefGoogle Scholar
  24. Kawachi, I., & Subramanian, S. V. (2007). Neighbourhood influences on health. Journal of Epidemiology and Community Health, 61(1), 3–4.  https://doi.org/10.1136/jech.2005.045203.CrossRefGoogle Scholar
  25. Kusakabe, K. (2002, December 11–13). Vulnerability of female-headed households in Cambodia. Presented at the workshop on “Family, Gender and Health”, Center for Family and Women Studies Hanoi, Vietnam. https://www.academia.edu/2413097/Vulnerability_of_female-headed_households_in_Cambodia. Accessed October 13, 2018.
  26. Lee, M. C. (2001). Family and adolescent childbearing. Journal of Adolescent Health, 28(4), 307–312.CrossRefGoogle Scholar
  27. Limpopo Population and Development Directorate. (2014). Factors associated with teenage pregnancy in Limpopo province. In Factors associated with teenage pregnancy in South Africa. A national perspective: Research findings from the Eastern Cape, Gauteng, Kwazulu-Natal, Limpopo and Mpumalanga.Google Scholar
  28. Luo, J., Wang, L.-G., & Gao, W.-B. (2012). The influence of the absence of fathers and the timing of separation on anxiety and self-esteem of adolescents: A cross-sectional survey. Child: Care, Health and Development, 38(5), 723–731.Google Scholar
  29. Macleod, C. (2011). ‘Adolescence’, pregnancy and abortion: Constructing a threat of degeneration. New York: Routledge.Google Scholar
  30. Macleod, C., & Durrheim, K. (2002). Racializing teenage pregnancy: ‘Culture’ and ‘tradition’ in the South African scientific literature. Ethnic and Racial Studies, 25(5), 778–801.CrossRefGoogle Scholar
  31. Macleod, C., & Tracey, T. (2010). A decade later: Follow-up review of South African research on the consequences of and contributory factors in teen-aged pregnancy. South African Journal of Psychology, 40(1), 18–31.CrossRefGoogle Scholar
  32. Makola, M. P. (2011). Teenage pregnancy: Views of parents/caregivers, teenagers and teachers at two high schools in Soweto, Gauteng (M. A. thesis). University of Witwatersrand, Johannesburg.Google Scholar
  33. Malema, R. N. (2000). Risk factors associated with teenage pregnancy at Ga-Dikgale villages in the Northern Province of South Africa (M. S. thesis). University of Pretoria.Google Scholar
  34. Mbanefo, C. M. (2013). Levels and correlates of single motherhood in Southern Africa (M. A. thesis). University of the Witwatersrand, Johannesburg.Google Scholar
  35. McLanahan, S., & Bumpass, L. (1988). Intergenerational consequences of family disruption. American Journal of Sociology, 94(1), 130–152.  https://doi.org/10.1086/228954.CrossRefGoogle Scholar
  36. Meade, C. S., Kershaw, T. S., & Ickovics, J. R. (2008). The intergenerational cycle of teenage motherhood: An ecological approach. Health Psychology, 27(4), 419.CrossRefGoogle Scholar
  37. Merlo, J. (2003). Multilevel analytical approaches in social epidemiology: Measures of health variation compared with traditional measures of association. Journal of Epidemiology and Community Health, 57(8), 550–552.CrossRefGoogle Scholar
  38. Ministry in the Office of the President. (1994). White paper on reconstruction and development. Government Gazette, 353(16085), 7.Google Scholar
  39. Mkhwanazi, N. (2010). Understanding teenage pregnancy in a post-apartheid South African township. Culture, Health & Sexuality, 12(4), 347–358.  https://doi.org/10.1080/13691050903491779.CrossRefGoogle Scholar
  40. Mkhwanazi, N. (2011). Developing and expanding our ideas about teenage desire and fertility. Agenda, 25(3), 2–8.  https://doi.org/10.1080/10130950.2011.617509.CrossRefGoogle Scholar
  41. Mkwananzi, S. (2017). Teenage mothers and fathers: A demographic perspective. In D. Bhana & N. Mkhwanazi (Eds.), Young families (pp. 31–49). Pretoria: HSRC Press.Google Scholar
  42. Moore, M. R., & Chase-Lansdale, P. L. (2001). Sexual intercourse and pregnancy among African American girls in high-poverty neighborhoods: The role of family and perceived community environment. Journal of Marriage and Family, 63(4), 1146–1157.  https://doi.org/10.2307/3599820.CrossRefGoogle Scholar
  43. Moyo, O. N., & Kawewe, S. M. (2009). Lone motherhood in Zimbabwe: The socioeconomic conditions of lone parents and their children. Social Work in Public Health, 24(1–2), 161–177.CrossRefGoogle Scholar
  44. Muindi, K. (2007). Adolescent sexual behaviour in Navrongo: Does family count? (M. Sc. thesis). University of the Witwatersrand, Johannesburg.Google Scholar
  45. Omar, K., Hasim, S., Muhammad, N. A., Jaffar, A., Hashim, S. M., & Siraj, H. H. (2010). Adolescent pregnancy outcomes and risk factors in Malaysia. International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics, 111(3), 220–223.CrossRefGoogle Scholar
  46. Panday, S., Makiwane, M. B., Ranchod, C., & Letsoalo, T. (2009). Teenage pregnancy in South Africa: With a specific focus on school-going learners. Pretoria: Department of Basic Education.Google Scholar
  47. Powers, D. A. (2005). Effects of family structure on the risk of first premarital birth in the presence of correlated unmeasured family effects. Social Science Research, 34(3), 511–537.CrossRefGoogle Scholar
  48. Reddy, S. P., James, S., Sewpaul, R., Koopman, F., Funani, N. I., Sifunda, S., et al. (2010). Umthente Uhlaba Usamila—The 2nd South African national youth risk behaviour survey 2008. Pretoria: South African Medical Research Council.Google Scholar
  49. Santos, M. I., & Rosário, F. (2011). A score for assessing the risk of first-time adolescent pregnancy. Family Practice, 28(5), 482–488.CrossRefGoogle Scholar
  50. Stats SA. (2012). General household survey, 2011 statistical release. Pretoria: Statistics South Africa.Google Scholar
  51. Stats SA. (2013). General household survey, 2012 statistical release. Pretoria: Statistics South Africa.Google Scholar
  52. Stats SA. (2014). General household survey, 2013 statistical release. Pretoria: Statistics South Africa.Google Scholar
  53. Stats SA. (2015). Statistics South Africa. http://www.statssa.gov.za. Accessed November 11, 2015.
  54. Subramanian, S. V. (2004). The relevance of multilevel statistical methods for identifying causal neighborhood effects. Social Science and Medicine, 58(10), 1961–1967.CrossRefGoogle Scholar
  55. Timaeus, I. M., & Moultrie, T. A. (2015). Teenage childbearing and educational attainment in South Africa. Studies in Family Planning, 46(2), 143–160.  https://doi.org/10.1111/j.1728-4465.2015.00021.x.CrossRefGoogle Scholar
  56. Ugoji, F. N. (2011). Parental marital status and peer influence as correlates of teenage pregnancy among female teens in south-South Nigeria. Gender and Behaviour, 9(2), 4125–4138.CrossRefGoogle Scholar
  57. UN. (2015). The world’s women 2015: Trends and statistics. New York: United Nations.Google Scholar
  58. Vundule, C., Maforah, F., Jewkes, R., & Jordaan, E. (2001). Risk factors for teenage pregnancy among sexually active black adolescents in Cape Town. A case control study. South African Medical Journal, 91(1), 73–80.Google Scholar
  59. Weeks, J. (2011). Population: An introduction to concepts and issues (11th ed.). Belmont, CA: Wadsworth Cengage Learning.Google Scholar
  60. Willan, S. (2013). A review of teenage pregnancy in South Africa—Experiences of schooling, and knowledge and access to sexual & reproductive health services. Cape Town: Partners in Sexual Health.Google Scholar
  61. Wood, K., Maforah, F., & Jewkes, R. (1998). “He forced me to love him”: Putting violence on adolescent sexual health agendas. Social Science and Medicine, 47(2), 233–242.  https://doi.org/10.1016/s0277-9536(98)00057-4.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Demography and Population StudiesUniversity of the WitwatersrandJohannesburgSouth Africa

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