Factors associated with adolescent birth in Indonesia: a national survey

Background: Adolescent birth has many negative impacts on the development of a country. However, preparing for pregnancy needs to be done from adolescence to give birth to healthy children and become healthy pregnant mothers. In Indonesia, the adolescent birth rate is still high. This study aimed to identify the determinants of adolescent birth (15-19 years old) in Indonesia.
Methods: This study was a quantitative study by using secondary data from the 2019 Government Performance and Accountability Survey (GPAS) which was the result of a collaboration between the National Population and Family Planning Board, and Central Bureau of Statistics with representative sample's coverage at Provinces and National level (N = 7,786). simple and multiple logistic regression tests were used to analyze data in this study.
Results: Total responses in this study were 7,786 respondents, 373 respondents of them were adolescent birth (4.8%). The factors that had a significant effect on adolescent birth were adolescents who work, came from rural areas, had low levels of welfare, and the first age to have sexual intercourse at the age of 15-19 years old. Meanwhile, the level of education, information on family planning, access to print or electronic media, and age at first marriage had no significant effect on adolescent birth.
Conclusion: This study concludes the most influencing factor on adolescent birth was the first age to have sexual intercourse and suggests designing media that is more suitable to the needs of adolescents.