Who are the fathers? Profiling fathers of children born to teenage mothers in South Africa using the Recorded Live Births 2016–2020

Despite the huge investment in reducing cases of teenage pregnancy in South Africa, the incidence remains high. Interventions are targeted at girls with minimal consideration for the men who father children with teenagers. Our study aimed to profile the men who have children born to teenage mothers.

We used South Africa’s Recorded Live Births 1998–2021 dataset containing cumulative live birth registrations recorded by Statistics South Africa. The birth notifications are received from the Department of Home Affairs. Our sample consisted of N = 97,161 registered births for mothers 19 years and younger for births which occurred between 2016 and 2020 with father information available.

Majority of men who fathered children with teenage girls were between the ages of 20 and 29 years (89.70%); teenage girls are having children fathered by older men, with an average six-year age gap. For every unit increase of mothers’ age, so too the odds of having children with an older father—our findings show 36% reduced odds (adjusted odds ratio 0.54) for a 12-year-old mother having a child with a non-peer father and double the odds (adjusted odds ratio 1.84) for an 18-year-old mother having a child with an older father. The odds of teenage girls having children with older men increased annually and were saturated in rural provinces and district municipalities in South Africa.

Our study provided a geographic and age profile of men who father children with teenage girls in the country which should be used as a starting point for programmes directed at men to augment interventions to make an accelerated dent in teenage pregnancy cases in the country.