'You have a lot of mirrors': structural and socioecological factors impacting adolescent pregnancy and reproductive health in the Amazon basin, Peru, a qualitative study.
Cult Health Sex
; 26(10): 1268-1284, 2024 Oct.
Article
en En
| MEDLINE
| ID: mdl-38315608
ABSTRACT
Loreto, in the Peruvian Amazon, has one of the highest adolescent pregnancy rates in the country. However, underlying causes of adolescent pregnancy are not fully understood as data are limited in Indigenous and remote Amazonian communities. This study investigated adolescent reproductive health within Loreto using an ecological systems framework. Forty-one semi-structured interviews were conducted in June 2022 community leaders (n = 12) and adolescent participants between 15 and 17 years of age (pregnant girls, n = 11; never pregnant girls, n = 9; and boys, n = 9). We also conducted focus group discussions with community health workers and educators in October 2022 (three focus groups, n = 15). Adolescent reproductive health is complex with multi-layered factors that put girls at higher risk of pregnancy. We found a paradoxical relationship between expected social and gender norms and individual desires. This research provides a contextual understanding of the lived experience of adolescents and young people in the Amazon region of Peru. Our findings suggest the need for greater exploration of the contradictory ideas surrounding adolescent pregnancy and female sexuality.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Embarazo en Adolescencia
/
Grupos Focales
/
Investigación Cualitativa
/
Salud Reproductiva
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
Límite:
Adolescent
/
Female
/
Humans
/
Male
/
Pregnancy
País/Región como asunto:
America do sul
/
Peru
Idioma:
En
Revista:
Cult Health Sex
Asunto de la revista:
CIENCIAS DO COMPORTAMENTO
/
CIENCIAS SOCIAIS
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos