Dusita PhuengsamranJongjit RittirongMay, Zin Hein, 1986-2024-07-082024-07-08202020202024Thesis (M.A. (Population and Sexual and Reproductive Health))--Mahidol University, 2020https://repository.li.mahidol.ac.th/handle/20.500.14594/99439Population and Sexual and Reproductive Health (Mahidol University 2020)Adolescent childbearing is global reproductive health concern especially, among adolescents in poorer and marginalized communities. Adolescent childbearing leads adolescent mothers and their children to face negative health outcomes and socioeconomic consequences. In Myanmar, 7.4% of adolescents aged 15-19 years are married. Among this number, 25% gave birth before their 20th birthday. This study aims to examine factors associated with adolescent childbearing in Myanmar. The study used the data from Myanmar Demographic Health Survey 2015-2016 which was the very first one in Myanmar. The total sample was 817 female respondents aged 15-24 years who have been reported to never have a sexual experience. Taking UNFPA's measurement, adolescent childbearing is considered as childbearing that happened when women were before ages 15 and up to 19 years of age. So, the dependent variable of adolescent childbearing was constructed as 'yes' for those who had childbearing at age 19 or below, and 'no' if otherwise. Binary logistic regression was conducted to examine the association between childbearing at adolescent age and selected socio-demographic factors, including education, employment status, residence, household wealth, region, Also a number of the household member as well as marital status and age at first sex. Fifty-two percent of the 817 female respondents aged 15-24 years had childbearing at adolescent ages Women who have their first sexual experience at below 15 years was 3.75 time significantly more likely to report adolescent childbearing than women who have first sex at 15 years and over (OR=3.75, 95%CI =1.59-8.82, p-value=0.002). Literate women are 0.61 times less likely to experience adolescent childbearing (OR=0.61, 95% CI 0.40-0.92, p-value=0.021). Women who worked for the whole year are 0.66 times less likely to experience adolescent childbearing compared with those who had no work (OR=0.66, 95%CI 0.46-0.94, p-value< 0.023). Women who were from state area (less ethnicity) 1.57 times more likely to experience with adolescent childbearing compared to women from the region (less ethnicity) (OR=1.57, 95%CI= 1.16-2.11, p-value= 0.003. The study identifies that adolescent childbearing is significantly associated with literacy and employment status in individual level and age at first sex in interpersonal level and region (less ethnicity area) in the community level. Promoting educational and occupational opportunities for the girls may be a feasible measure to delay childbearing. IMPLICATION OF THE THESIS The findings support the knowledge gap on adolescent childbearing and its related factors in Myanmar. The appropriate policies are called such as compulsory education up to secondary school, promotion of women role in labor market and law enforcement on legal marriage age, and equal accessibility of sexual and reproductive health services for both married and unmarried women may be considered in order to improve adolescent reproductive health outcomes in Myanmar.ix, 62 leaves: ill.application/pdfengผลงานนี้เป็นลิขสิทธิ์ของมหาวิทยาลัยมหิดล ขอสงวนไว้สำหรับเพื่อการศึกษาเท่านั้น ต้องอ้างอิงแหล่งที่มา ห้ามดัดแปลงเนื้อหา และห้ามนำไปใช้เพื่อการค้าHealth services accessibility -- BurmaTeenage mothers -- BurmaMaster ThesisMahidol University