AUTHOR=Nyamhanga Tumaini , Luoga Pankras TITLE=Factors Associated With Teenage Pregnancy in Tanzania: Analysis of the 2022 Tanzania Demographic and Health Survey and Malaria Indicator Survey JOURNAL=International Journal of Public Health VOLUME=Volume 70 - 2025 YEAR=2025 URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2025.1608146 DOI=10.3389/ijph.2025.1608146 ISSN=1661-8564 ABSTRACT=ObjectiveFew studies on teenage pregnancy in Tanzania have used a nationally representative sample. This study sought to determine the prevalence and factors associated with teenage pregnancy in Tanzania.MethodsWe conducted a secondary data analysis of 3,083 teenagers aged 15–19 years drawn from the 2022 Tanzania Demographic and Health Survey.ResultsAfter controlling for other covariates, we found that teenagers aged 18–19 years (AOR = 4.5, 95% CI:3.3, 6.1), those who said that getting permission to access healthcare was not a big problem (AOR = 2.7, 95% CI:1.4, 5.3), and those from the Southern zone (AOR = 2.4, 95% CI: 1.5, 3.9), had higher odds of reporting ever having been pregnant. Those with secondary or higher education levels (AOR = 0.3, 95% CI: 0.19, 0.39) and those who married after age 15 (AOR = 0.4, 95% CI: 0.2, 0.8), had lower odds of reporting ever having been pregnant.ConclusionThis study highlights the significant factors associated with teenage pregnancy among teenagers aged 15–19 years in Tanzania. The education system should facilitate the majority of girls obtaining at least a secondary level of education. Teenager-friendly sexual and reproductive health services need to prioritize older teenagers, with lower education levels and those from poor families.