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1.
Lancet Public Health ; 6(2): e97-e105, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33516292

RESUMO

BACKGROUND: Existing studies evaluating the association between maternal risk factors and specific infant outcomes such as birthweight, injury admissions, and mortality have mostly focused on single risk factors. We aimed to identify routinely recorded psychosocial characteristics of pregnant women most at risk of adverse infant outcomes to inform targeting of early intervention. METHODS: We created a cohort using administrative hospital data (Hospital Episode Statistics) for all births to mothers aged 15-44 years in England, UK, who gave birth on or after April 1, 2010, and who were discharged before or on March 31, 2015. We used generalised linear models to evaluate associations between psychosocial risk factors recorded in hospital records in the 2 years before the 20th week of pregnancy (ie, teenage motherhood, deprivation, pre-pregnancy hospital admissions for mental health or behavioural conditions, and pre-pregnancy hospital admissions for adversity, including drug or alcohol abuse, violence, and self-harm) and infant outcomes (ie, birthweight, unplanned admission for injury, or death from any cause, within 12 months from postnatal discharge). FINDINGS: Of 2 520 501 births initially assessed, 2 137 103 were eligible and were included in the birth outcome analysis. Among the eligible births, 93 279 (4·4%) were births to teenage mothers (age <20 years), 168 186 (7·9%) were births to previous teenage mothers, 51 312 (2·4%) were births to mothers who had a history of hospital admissions for mental health or behavioural conditions, 58 107 (2·7%) were births to mothers who had a history of hospital admissions for adversity, and 580 631 (27·2%) were births to mothers living in areas of high deprivation. 1 377 706 (64·5%) of births were to mothers with none of the above risk factors. Infants born to mothers with any of these risk factors had poorer outcomes than those born to mothers without these risk factors. Those born to mothers with a history of mental health or behavioural conditions were 124 g lighter (95% CI 114-134 g) than those born to mothers without these conditions. For teenage mothers compared with older mothers, 3·6% (95% CI 3·3-3·9%) more infants had an unplanned admission for injury, and there were 10·2 (95% CI 7·5-12·9) more deaths per 10 000 infants. INTERPRETATION: Health-care services should respond proactively to pre-pregnancy psychosocial risk factors. Our study demonstrates a need for effective interventions before, during, and after pregnancy to reduce the downstream burden on health services and prevent long-term adverse effects for children. FUNDING: Wellcome Trust.


Assuntos
Saúde Mental/estatística & dados numéricos , Resultado da Gravidez/epidemiologia , Fatores Socioeconômicos , Adolescente , Adulto , Inglaterra/epidemiologia , Feminino , Humanos , Vigilância da População , Gravidez , Gravidez na Adolescência/psicologia , Nascimento Prematuro , Características de Residência/estatística & dados numéricos , Fatores de Risco , Comportamento Autodestrutivo/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Violência/estatística & dados numéricos , Adulto Jovem
2.
Rev. enferm. UERJ ; 28: e36283, jan.-dez. 2020.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1103400

RESUMO

Objetivo: analisar a influência das composições familiares na ocorrência da gravidez na adolescência. Método:estudo caso-controle, realizado com 74 gestantes adolescentes, grupo de casos, e 74 adultas jovens sem história pregressa de gravidez na adolescência, grupo controle, pareadas pela variável renda familiar. Os dados foram coletados por meio de entrevistas estruturadas realizadas no período deagosto a outubro de 2016 em Cuiabá, Mato Grosso, e em seguida analisados pelos métodos estatísticos descritivo e inferencial. Resultados: identificou-se associação entre a ocorrência do desfecho com pertencer a famílias não nucleares, não permanecer a mesma família durante a infância e adolescência, e a constituição de uma família própria no período da adolescência. Conclusão:verificou-se que adolescentes inseridas em famílias não nucleares estão mais expostas a fatores de risco para ocorrência da gravidez na adolescência, quando comparadas às jovensprovenientes de famílias com ambos os pais.


Objective: to analyze the influence of family compositions in the occurrence of pregnancy in adolescence. Method:this is a case-control study performed with 74 pregnant adolescents, group of cases, and 74 young adults without background history of pregnancy during adolescence, group control, paired by family income. Data were collected through structured interviews conducted in the period from August to October 2016 in Cuiabá, Mato Grosso, and then analyzed by descriptive and inferential statistical methods. Results:we identified an association between the occurrence of the outcome and the belonging to non-nuclear families, as well as the non-belonging to the same family during childhood and adolescence, besides the constitution of an own family in the period of adolescence. Conclusion: checked that adolescents inserted in nonnuclear families are more exposed to risk factors for the occurrence of pregnancy in adolescence when compared to young people coming from families with both parents.


Objetivo: analizar la influencia de las composiciones familiares en la ocurrencia del embarazo adolescente. Método: estudio caso-control efectuado con 74 adolescentes embarazadas, grupo de casos, y 74 jóvenes adultas sin historia anterior de embarazo en la adolescencia, grupo de control, agrupadas por sus ingresos familiares. Los datos se recopilaron mediante entrevistas estructuradas conducidas en el periodo de agosto a octubre de 2016 en Cuiabá, Mato Grosso, y posteriormente analizados por los métodos estadísticos descriptivo e inferencial. Resultados:se identificó una asociación entre la ocurrencia del desenlace y la pertenencia a las familias no nucleares, no permanencia en la misma familia durante niñez y adolescencia, y la constitución de una familia propia en el periodo de la adolescencia. Conclusion: comprobado eso que las adolescentes insertadas en familias no nucleares están más expuestas a los factores de riesgo para la ocurrencia del embarazo adolescente en comparación con las jóvenes provenientes de familias con ambos padres biológicos.


Assuntos
Humanos , Feminino , Gravidez , Adolescente , Adulto Jovem , Gravidez na Adolescência/psicologia , Características da Família , Fatores de Risco , Comportamento do Adolescente/psicologia , Relações Familiares/psicologia , Brasil/epidemiologia , Núcleo Familiar/psicologia , Estudos de Casos e Controles , Relações Pai-Filho , Relações Mãe-Filho
3.
PLoS One ; 15(9): e0238136, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32925926

RESUMO

BACKGROUND: Approximately one in every five adolescent girls in Kenya has either had a live birth or is pregnant with her first child. There is an urgent need to understand the language and symbols used to represent adolescent pregnancy, if the current trend in adolescent pregnancy is to be reversed. Agreement on the definition of a societal problem is an important precursor to a social issue's political prioritization and priority setting. METHODS: We apply the Public Arenas Model to appraise the environments, definitions, competition dynamics, principles of selection and current actors involved in problem-solving and prioritizing adolescent pregnancy as a policy issue. Using a focused ethnographic approach, we undertook semi-structured interviews with 14 members of adolescent sexual reproductive health networks at the national level and conducted thematic analysis of the interviews. FINDINGS: We found that existing definitions center around adolescent pregnancy as a "disease" that needs prevention and treatment, socially deviant behaviour that requires individual agency, and a national social concern that drains public resources and therefore needs to be regulated. These competing definitions contribute to the rarity of the topic achieving traction within the political agenda and contribute to conflicting solutions, such as lowering the legal age of consenting to sex, while limiting access to contraceptive information and services to minors. CONCLUSION: This paper provides a timely theoretical approach to draw attention to the different competing definitions and subsequent divergent interpretations of the problem of adolescent pregnancy in Kenya. Adolescent reproductive health stakeholders need to be familiar with the existing definitions and deliberately reframe this important social problem for better political prioritization and resource allocation. We recommend a definition of adolescent pregnancy that cuts across different arenas, and leverages already existing dominant and concurrent social and economic issues that are already on the agenda table.


Assuntos
Modelos Teóricos , Política , Gravidez na Adolescência/psicologia , Adolescente , Feminino , Humanos , Quênia , Gravidez
4.
BMC Public Health ; 20(1): 1025, 2020 Jun 29.
Artigo em Inglês | MEDLINE | ID: mdl-32600290

RESUMO

BACKGROUND: Many unmarried young people in low- and middle-income countries (LMIC) want to avoid pregnancy but do not use modern methods of contraception-as a result, half of teen births in these countries are unintended. Researchers have identified numerous barriers that prevent youth from using contraception. However, much of the research in West Africa is narrowly focused on married women, and relatively little research has been done to understand the needs, preferences, barriers, and solution set for sexually active unmarried young people who would like to avoid pregnancy. The purpose of this study was to gain insight into the behavioral barriers that prevent unmarried young people in eastern Senegal from using modern methods of contraception. METHODS: This qualitative study conducted in 2017 in the Tambacounda and Kedougou regions in Senegal explores attitudes and beliefs relating to sex and contraception among unmarried young women and men through 48 in-depth individual interviews with young people aged 15-24 and parents of youth and 5 sex-segregated focus groups with 6-9 young people per group. The research team conducted a thematic content analysis and synthesized the findings by major theme following the behavioral diagnosis methodology. RESULTS: Drawing insights from behavioral science, the analysis yields five key findings: (1) unmarried young people avoid making a decision about contraception because thinking about contraceptive use provokes uncomfortable associations with a negative identity (i.e., being sexually active before marriage); (2) unmarried young people see modern methods as inappropriate for people like them; (3) unmarried young people are overconfident in their ability to prevent pregnancy through traditional and folk methods; (4) unmarried young people overestimate the social and health risks of modern contraceptive methods; and (5) unmarried young people fail to plan ahead and are not prepared to use modern contraceptive methods before every sexual encounter. CONCLUSIONS: Interventions aimed at increasing uptake of contraceptives among unmarried young people in eastern Senegal must address several significant behavioral barriers in addition to structural, informational, and socio-cultural barriers in order to be successful.


Assuntos
Comportamento Contraceptivo/psicologia , Anticoncepção/psicologia , Gravidez na Adolescência/psicologia , Comportamento Sexual/psicologia , Pessoa Solteira/psicologia , Adolescente , Anticoncepção/estatística & dados numéricos , Serviços de Planejamento Familiar , Feminino , Grupos Focais , Acesso aos Serviços de Saúde , Humanos , Masculino , Gravidez , Gravidez na Adolescência/prevenção & controle , Pesquisa Qualitativa , Senegal , Adulto Jovem
5.
PLoS One ; 15(7): e0236269, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32697791

RESUMO

BACKGROUND: Suicide is one of the most common causes of death among female adolescents. A greater risk is seen among adolescent mothers who become pregnant outside marriage and consider suicide as the solution to unresolved problems. We aimed to investigate the factors associated with suicidal behavior among adolescent pregnant mothers in Kenya. METHODS: A total of 27 Focus Group Discussions (FGDs) and 8 Key Informant Interviews (KIIs) were conducted in a rural setting (Makueni County) in Kenya. The study participants consisted of formal health care workers and informal health care providers (traditional birth attendants and community health workers), adolescent and adult pregnant and post-natal (up to six weeks post-delivery) women including first-time adolescent mothers, and caregivers (husbands and/or mothers-in-law of pregnant women) and local key opinion leaders. The qualitative data was analyzed using Qualitative Solution for Research (QSR) NVivo version 10. RESULTS: Five themes associated with suicidal behavior risk among adolescent mothers emerged from this study. These included: (i) poverty, (ii) intimate partner violence (IPV), (iii) family rejection, (iv) social isolation and stigma from the community, and (v) chronic physical illnesses. Low economic status was associated with hopelessness and suicidal ideation. IPV was related to drug abuse (especially alcohol) by the male partner, predisposing the adolescent mothers to suicidal ideation. Rejection by parents and isolation by peers at school; and diagnosis of a chronic illness such as HIV/AIDS were other contributing factors to suicidal behavior in adolescent mothers. CONCLUSION: Improved social relations, economic and health circumstances of adolescent mothers can lead to reduction of suicidal behaviour. Therefore, concerted efforts by stakeholders including family members, community leaders, health care workers and policy makers should explore ways of addressing IPV, economic empowerment and access to youth friendly health care centers for chronic physical illnesses. Prevention strategies should include monitoring for suicidal behavior risks during pregnancy in both community and health care settings. Additionally, utilizing lay workers in conducting dialogue discussions and early screening could address some of the risk factors and reduce pregnancy- related suicide mortality in LMICs.


Assuntos
Serviços de Saúde do Adolescente/organização & administração , Violência por Parceiro Íntimo/psicologia , Gravidez na Adolescência/psicologia , Gestantes/psicologia , Suicídio/prevenção & controle , Adolescente , Serviços de Saúde do Adolescente/economia , Feminino , Grupos Focais , Recursos em Saúde/organização & administração , Humanos , Violência por Parceiro Íntimo/prevenção & controle , Quênia/epidemiologia , Pobreza , Gravidez , Cuidado Pré-Natal/economia , Cuidado Pré-Natal/organização & administração , Pesquisa Qualitativa , Medição de Risco , Fatores de Risco , População Rural/estatística & dados numéricos , Suicídio/psicologia , Suicídio/estatística & dados numéricos , Adulto Jovem
6.
BMC Public Health ; 20(1): 1120, 2020 Jul 16.
Artigo em Inglês | MEDLINE | ID: mdl-32677930

RESUMO

BACKGROUND: Parent-child communication about sexual issues can reduce risky sexual behaviour amongst adolescents. Risky sexual behaviour is of concern in sub-Saharan Africa where the prevalence of early pregnancy, unsafe abortion and HIV are high. Parent-child communication about sexual issues presents a feasible approach for reducing sexual risk amongst adolescents in sub-Saharan Africa but limited research exists from the region. This study from Zambia examines the sociodemographic and psychosocial factors that are associated with whether parents communicate with their daughters about sexual issues. METHODS: Data from a cluster randomized controlled trial examining the effect of interventions aiming to reduce teenage pregnancy and school drop out in Zambia was used. The data was collected between January-July in 2018 and consists of structured, face to face interviews with 4343 adolescent girls and 3878 parents. Cross sectional analyses examined the associations between parent-child communication about sexual issues and sociodemographic and psychosocial characteristics using univariate and multivariable logistic regression models. RESULTS: Adolescent girls who felt connected to their parents and those who perceived their parents to be comfortable in communicating about sex, were more likely to speak to their parents about sexual issues than those who did not (AOR 1.23, 95% CI 1.01-1.52; and AOR 2.94, 95% CI 2.45-3.54, respectively). Girls whose parents used fear-based communication about sexual issues, and those who perceived their parents as being opposed to education about contraception, were less likely to communicate with their parents about sex than those who did not (AOR 0.76, 95% CI 0.65-0.89; and AOR 0.76, 95% CI 0.63-0.91, respectively). Girls enrolled in school were less likely to communicate with their parents about sex than those out of school (AOR 0.56, 95% CI 0.44-0.71). CONCLUSION: Parenting style, children's perception of parental attitudes and parental communication styles are associated with whether parents and children communicate about sexual issues. This may imply that parents can improve the chances of communicating with their children about sex by conveying non-judgemental attitudes, using open communication styles with neutral messages and appearing comfortable whilst displaying positive attitudes towards communication around sex and contraceptive use. TRIAL REGISTRATION: ISRCTN registry: ISRCTN12727868 , (4 March 2016).


Assuntos
Comportamento do Adolescente/psicologia , Núcleo Familiar/psicologia , Relações Pais-Filho , Poder Familiar/psicologia , Saúde Sexual , Aborto Induzido , Adolescente , Adulto , Criança , Comunicação , Comportamento Contraceptivo/psicologia , Estudos Transversais , Feminino , Humanos , Modelos Logísticos , Masculino , Gravidez , Gravidez na Adolescência/prevenção & controle , Gravidez na Adolescência/psicologia , Ensaios Clínicos Controlados Aleatórios como Assunto , Assunção de Riscos , Comportamento Sexual/psicologia , Zâmbia
7.
Enferm. clín. (Ed. impr.) ; 30(supl.5): 88-91, jun. 2020. tab
Artigo em Inglês | IBECS | ID: ibc-196482

RESUMO

The brain undergoes very rapid growth and development among toddler below 5 year of age. The fault in their upbringing during this period of time will cause them to undergo growth and development disorder, and parents who get married too young early have lack of knowledge of raising their young children. As a result, the latter become vulnerable during their growth and development. The objective of the research was to analyze the correlation between early marriage and teenager pregnancy to stunting in growth among toddlers. The research used descriptive analytic method with cross-sectional design. It was conducted at Bangun Rejo Village, Tanjung Morawa District, Deli Serdang regency from June to September 2019. The population consisted of 645 toddler aged between 0 and 59 months. The sample was chosen by using systematic random sampling technique. The data were gathered by using questionnaires in order to get the information about early marriage and by conducting observation in order to find out toddler stunting. The result of univariate analysis showed that 87 (82.1%) infants had normal growth. The result of bivariate analysis, using chi-square test, showed that there was correlation between early marriage and toddler stunting, teenager pregnancy (p = 0.000) and marriage age (p = 0.001). The conclusion of the research was that there was correlation between early marriage and teenager pregnancy to stunting in toddler. The study showed that toddlers in case of parent with early marriage was more vulnerable to growth and development disorder. It is recommended that health service of care for adolescents and integrated monitoring of toddler be established in order to decrease the risk of incidence of early marriage and toddler stunting


No disponible


Assuntos
Humanos , Masculino , Feminino , Gravidez , Recém-Nascido , Lactente , Pré-Escolar , Adolescente , Gravidez na Adolescência/psicologia , Casamento/psicologia , Complicações na Gravidez , Comportamento Sexual , Educação Sexual , Estudos Transversais , Características da Família , Nutrição Materna , Nutrição do Lactente , Indonésia
8.
West J Emerg Med ; 21(3): 640-646, 2020 Apr 21.
Artigo em Inglês | MEDLINE | ID: mdl-32421513

RESUMO

INTRODUCTION: Adolescents who seek care in the emergency department (ED) are a cohort at increased risk of unintended pregnancy. Although adolescents are interested in learning about pregnancy prevention in the ED, there is a lack of effective educational interventions in this setting. Long-acting reversible contraceptives (LARC) are highly effective and safe in teens, yet are underutilized. This study assessed contraception use among adolescents in the ED and evaluated the impact of an educational video on their interest in and uptake of LARCs. METHODS: We conducted a two-arm randomized controlled trial on a convenience sample of sexually active females 14 to 21 years old in an urban pediatric ED. Participants were randomized to an educational video or standard care. All participants completed a survey and were given an informational card about affiliated teen clinics with the option to schedule an appointment. We assessed pre-post mean differences between control and intervention participants and pre-post differences among intervention participants. Participants were followed three months after their ED visit to examine use of contraception. RESULTS: A total of 79 females were enrolled (42 control and 37 intervention). The mean age was 17 years, and most were youth of color. The proportion of participants with a prior pregnancy was 18%. Almost all participants reported wanting to avoid pregnancy, yet 18% reported not using contraception at last intercourse. At baseline, 17.7% of participants were somewhat or very interested in the intrauterine device (IUD) or implant. After watching the video, 42.3% were somewhat or very interested in the IUD and 35.7% in the implant. Among those who watched the video, there were significant increases in interest in using an IUD or implant (p<.001). Compared to controls, adolescents who watched the video were also significantly more likely to report wanting an IUD (p<0.001) or implant (p=0.002). A total of 46% were reached for follow-up. Of these, 16% had initiated a LARC method after their ED visit (p=NS). CONCLUSION: Most adolescent females in the ED want to avoid pregnancy, but are using ineffective methods of contraception. A brief educational video on LARCs was acceptable to adolescents and feasible to implement in a busy urban ED setting. Adolescents who watched the video had significantly greater interest in using LARCs, but no demonstrated change in actual adoption of contraception.


Assuntos
Serviço Hospitalar de Emergência , Contracepção Reversível de Longo Prazo/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Educação de Pacientes como Assunto/métodos , Gravidez na Adolescência/prevenção & controle , Sexo sem Proteção/prevenção & controle , Adolescente , Comportamento do Adolescente/psicologia , Feminino , Seguimentos , Comportamentos Relacionados com a Saúde , Humanos , Dispositivos Intrauterinos/estatística & dados numéricos , Contracepção Reversível de Longo Prazo/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Gravidez , Gravidez na Adolescência/psicologia , Gravidez não Planejada , Gravidez não Desejada , Estudos Prospectivos , Sexo sem Proteção/psicologia , Gravação em Vídeo , Adulto Jovem
9.
Int J Public Health ; 65(4): 469-476, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32388574

RESUMO

OBJECTIVES: This study explores the barriers to accessing antenatal care (ANC) services amongst pregnant adolescents within a particular community of South Africa. METHODS: An exploratory qualitative design was applied to examine the views of pregnant adolescents. In-depth interviews were conducted with pregnant adolescents at the Mitchells Plain Midwifery Obstetric Unit, as well as nursing staff working at the facility. Thematic analysis was then used and analysis was framed using the social-ecological model for health-seeking behaviour. RESULTS: This study found that barriers to adolescents seeking ANC often centered on a discourse of adolescent pregnancy being deviant, irresponsible, and shameful. Pregnant adolescents often absorbed these beliefs and were fearful of other's reaction within their family, the community, at school, and within the ANC facilities. CONCLUSIONS: Stigma regarding adolescent pregnancy participates in the perpetuation of a culture of non-disclosure and shame, which stands in the way of young pregnant people seeking the care they require. Such beliefs and attitudes need to be challenged at a community and national level.


Assuntos
Acesso aos Serviços de Saúde/organização & administração , Serviços de Saúde Materna/organização & administração , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Gravidez na Adolescência/psicologia , Gestantes/psicologia , Adolescente , Feminino , Humanos , Gravidez , Cuidado Pré-Natal/organização & administração , Pesquisa Qualitativa , Estigma Social , África do Sul , Adulto Jovem
10.
BMC Public Health ; 20(1): 537, 2020 Apr 19.
Artigo em Inglês | MEDLINE | ID: mdl-32306983

RESUMO

BACKGROUND: During pregnancy or lactating, adequate nutrition for adolescents becomes critical to reduce risks for both child and maternal-related morbidity and mortality. Power dynamics play a massive role in health outcomes. The main objective of this study was to examine the power dynamics in the families and communities and their impact on the pregnant and lactating adolescent girls' access and utilization of nutrition services in Trans-Mara East Sub-County, Narok County. METHODS: A cross-sectional approach that employed mixed methods with both quantitative and qualitative research was adopted. Probability proportionate to size sampling techniques using cluster and simple random methods were used to practically access pregnant or lactating adolescents. Data was collected using questionnaires, in-depth interview and Focus Group Discussion. Quantitative data was analyzed descriptively using frequencies and inferentially using odds ratio and Z-test. Framework analysis was employed to analyze qualitative data. P ≤ 0.05 was considered statistically significant. RESULTS: In the power dynamics analyses, the intrinsic capability (Intrinsic capabilities are those adolescent driven initiatives that facilitate their access to nutrition services) was more likely to decrease awareness by half (OR = 0.52, 95% CI = 0.4-0.7, P < 0.01) whereas extrinsic dependency was likely to increase utilization by 1.2 times (OR = 1.2, 95% CI = 1.0-1.5, P = 0.055). From the stakeholder power matrix, the health personnel had observable visible power to influence access and utilization of nutrition services. Additional results revealed that adolescents who draw their support from significant others were more likely to utilize nutrition services as compared to those who attempted to make their own efforts to seek these services. Furthermore, health personnel have the most influential powers in ensuring adolescents access services and thus the most important actors in the stakeholder matrix. Other actors requiring focus included parents, political figures and governments while stakeholder engagement have higher potential of increasing access and utilization of services through dialogue. CONCLUSIONS: Community access to nutritional services can be increased through use of multiple avenues to reach adolescents, including school-based, health system-based, community-based approaches and even marriage registries. A heightened engagement in the identified stakeholder network is necessary when planning community conversations, to ensure a multi-stakeholder approaches in meeting the nutrition needs of adolescents.


Assuntos
Serviços de Dietética , Lactação/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Poder Psicológico , Gravidez na Adolescência/psicologia , Adolescente , Criança , Estudos Transversais , Feminino , Grupos Focais , Pessoal de Saúde/psicologia , Humanos , Quênia , Casamento , Estado Nutricional , Gravidez , Cuidado Pré-Natal/psicologia , Pesquisa Qualitativa , Inquéritos e Questionários
12.
Enferm. clín. (Ed. impr.) ; 30(supl.3): 66-70, mar. 2020. graf, tab
Artigo em Inglês | IBECS | ID: ibc-196114

RESUMO

OBJECTIVE: This study is aimed to analyze the effectiveness of Titeer game toward preventing of teenage pregnancy. METHOD: A quasi experiment with pre-posttest control group was used in this study. One hundreed and thirty eight of tenagers aged 2-10 years were recruited as participants (69 of tenagers each group). Titeer game was given to intervention group during a month. Conventional intervention (leaflet) were provided to control group. The illustrative questionnaires were measured before intervention, 2 and 10 weeks after intervention to measure knowledge, attitude, sefl-eficacy, life skill, peer influenced, behavior, and prevent of pregnancy of tenagers. Independent T-Test and General Linear Model Repeated Measured (GLM-RM) was used to complete of analysis. RESULTS: Knowledge, attitude, self efficacy, life skill peer influenced, and pregnancy prevention were significantly increase 2 and 10 of weeks after intervention. CONCLUSION: The Titeer game could be increase of preventing tenagers' pregnancy aged 2-10 years


No disponible


Assuntos
Humanos , Feminino , Adolescente , Adulto Jovem , Adulto , Gravidez na Adolescência/prevenção & controle , Educação Sexual/métodos , Conhecimentos, Atitudes e Prática em Saúde , Jogos e Brinquedos/psicologia , Gravidez na Adolescência/psicologia , Educação Sexual/organização & administração , Inquéritos e Questionários , Autoeficácia , Serviços de Saúde do Adolescente
13.
Artigo em Inglês | MEDLINE | ID: mdl-32098226

RESUMO

The problem of early motherhood is still a serious medical and social problem in many countries around the world. The aim of this study was to analyze the attitudes of teenage mothers towards pregnancy and childbirth. A retrospective cross-sectional study was conducted with the use of an original questionnaire containing a test to measure attitudes on a five-point Likert scale and a Life Orientation Test-Revised (LOT-R) to assess dispositional optimism. The study involved 308 teenage mothers between 13 and 19 years of age. Attitudes of teenage mothers towards pregnancy and childbirth were more often positive (90.6%) than negative (9.4%). Sociodemographic features determining the attitudes of teenage mothers towards both their pregnancy and childbirth included their age, marital status, current occupation, and main source of income. The type of attitude adopted by teenage mothers towards pregnancy and childbirth was significantly related to the level of their dispositional optimism.


Assuntos
Atitude , Mães/psicologia , Parto/psicologia , Gravidez na Adolescência/psicologia , Adolescente , Adulto , Estudos Transversais , Feminino , Humanos , Gravidez , Estudos Retrospectivos , Adulto Jovem
14.
Int J Qual Stud Health Well-being ; 15(1): 1716620, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31975645

RESUMO

Purpose: Using Schlossberg's Transition Theory, this study explored the lived experiences of pregnant adolescents and adolescent mothers coping strategies during their transition to motherhood.Methods: Based on a phenomenological perspective, this qualitative study used in-depth interviews (IDIs) and focus group discussions (FGDs) to answer the research aim. The process of data gathering included 8 FGDs and 12 IDIs held with adolescent mothers and pregnant adolescents. Audio recordings were transcribed and imported into MAXQDA 2018 for analysis.Results: Applying the interpretative phenomenologial analysis (IPA), four key themes emerged. This included: news of pregnancy; adolescent motherhood; social support and coping strategies. The findings display female adolescents' expressions of some of the negative aspects of motherhood they have been confronted with that have affected their lives. The dominant societal challenges posited by the adolescents included coping with economic and financial constraints, opting for unsafe abortion to reduce stigma associated with unplanned pregnancy, and managing the extra responsibility of taking care of the baby and the challenge of going back to school after delivery.Conclusion: There is the need to build social capital among community members regarding their support to improve the psychosocial well-being of adolescents during early motherhood.


Assuntos
Adaptação Psicológica , Comportamento do Adolescente/psicologia , Mães/psicologia , Gravidez na Adolescência/psicologia , Teoria Psicológica , Adolescente , Feminino , Grupos Focais , Gana , Humanos , Ilegitimidade/psicologia , Gravidez , Gravidez não Planejada/psicologia , Estigma Social , Apoio Social , Adulto Jovem
15.
Midwifery ; 82: 102619, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31923708

RESUMO

OBJECTIVE: This study examined the sociodemographic and sociocultural factors associated with the pattern of birth assistance used among adolescent mothers aged 15-19 in Nigeria. DESIGN: The study used a quantitative design, using secondary data from the Nigeria Demographic and Health Surveys conducted between 2003 and 2013. SETTING: The study was nationally representative and conducted across Nigeria. PARTICIPANTS: A weighted sample of 2,096 adolescent mothers aged 15-19. MEASUREMENTS AND FINDINGS: Data were analysed using frequencies, chi square tests and multinomial logistic regression respectively. It was discovered that mothers aged 18 and above had lower odds of using traditional and skilled birth attendants (aORs = 0.68 (0.51-0.92); 0.63 (0.44-0.92)); Igbo mothers had lower odds of using TBAs (aOR = 0.03 (0.002-0.53)); and mothers in female-headed households were less likely to use SBAs (aOR = 0.40 (0.20-0.82)). Rich mothers were more likely to use SBAs (aOR = 2.21 (1.23-3.94)). Mothers whose partners had at least primary education were more likely to use SBAs (aOR = 1.73 (1.09-2.73); 1.64 (1.03-2.59)). Adolescent mothers in the North East (aOR = 5.79 (2.91-11.51)), North West (aOR = 8.24 (4.01-16.93)), South East (aOR = 69.70 (13.96-348.05)) and South South (aOR = 27.84(7.80-99.30)) were more likely to use TBAs, while mothers in the North East (aOR = 0.46 (0.28-0.76)) and North West (aOR = 0.50 (0.29-0.84)) were less likely to use SBAs. Mothers who used partial ANC were more likely to use SBAs (aOR = 5.73 (3.43-9.56)), while those who used full ANC were more likely to use SBA (aOR = 7.33 (4.76-11.29)). KEY CONCLUSIONS: Higher socioeconomic status mothers were more likely to use skilled birth attendance. IMPLICATIONS FOR PRACTICE: Interventions to increase SBA use among adolescent mothers in Nigeria must consider the continued preference for traditional and unskilled birth attendants and unassisted births, and design culturally sensitive programmes.


Assuntos
Comportamento do Adolescente/psicologia , Trabalho de Parto/psicologia , Gravidez na Adolescência/psicologia , Adolescente , Distribuição de Qui-Quadrado , Feminino , Humanos , Modelos Logísticos , Mães/psicologia , Nigéria , Razão de Chances , Gravidez , Gravidez na Adolescência/estatística & dados numéricos , Fatores Socioeconômicos , Adulto Jovem
16.
J Pediatr Adolesc Gynecol ; 33(1): 72-82, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31561033

RESUMO

STUDY OBJECTIVE: In the present study we investigated the association between receiving information on sexual literacy topics and likelihood of experiencing adolescent pregnancy. DESIGN: Cross-sectional analysis. SETTING: Colombia. PARTICIPANTS: Female Adolescents, 13-19 years old (N = 8525). MAIN OUTCOME MEASURES: Our primary outcome of interest was adolescent pregnancy. RESULTS: We created a gradation of public health impact variable that ranged from grade 1 (least impactful) to grade 4 (most impactful) to determine which sexuality-related topics were most strongly associated with teenage pregnancy. We found that not receiving information on grade 4 topics had the strongest association with adolescent pregnancy. These topics were: changes related to puberty (prevalence ratio [PR], 2.15; 95% confidence interval [CI], 1.40-3.30), how sex organs work (PR, 1.90; 95% CI, 1.37-2.66), and sexual orientation (PR, 1.84; 95% CI, 1.38-2.44). In fact, teenagers who did not receive information on any sexuality-related topic were approximately 75% more likely (PR, 1.73; 95% CI, 1.09-2.74) to experience pregnancy during adolescence. CONCLUSION: The gradation levels of this study could guide sexual education programs in Colombia to prioritize sexuality-related themes, especially when resources are limited.


Assuntos
Letramento em Saúde/estatística & dados numéricos , Gravidez na Adolescência/estatística & dados numéricos , Saúde Reprodutiva/educação , Educação Sexual/estatística & dados numéricos , Adolescente , Colômbia/epidemiologia , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Gravidez , Gravidez na Adolescência/psicologia , Comportamento Sexual/estatística & dados numéricos
17.
Arch Womens Ment Health ; 23(2): 155-166, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-30955087

RESUMO

Researchers agree that early marriage (EM) and adolescent pregnancy (AP) can form severe risks for women's somatic, mental, and reproductive health, as well as on educational and social status. Yet, less is known about factors that may moderate or mediate these associations. This study examined, first, retrospectively the impacts of EM and AP on self-reported mental and somatic health among multicultural group of women living in Eastern Anatolia, Turkey. Second task was to analyze whether and how the partner violence would mediate and/or moderate between EM and AP and mental health problems. The participants were 1569 women (16-72 years of age), who reported their age of being married, first pregnancy, and demographic characteristics. They described their mental health status through General Health Questionnaire (GHQ-28: depressive, anxiety, social dysfunction, and somatization symptoms) and symptoms of posttraumatic stress disorder (PTSD; DSM-5). Women's reports of somatic illnesses were classified according to WHO-ICD-10. The revised conflict tactics scale, short form was used as a proxy to partner violence. Women who gave birth at 13-19 years of age reported more anxiety and somatization symptoms than later delivered, and those married younger than 25 showed a higher level of depressive symptoms than later married. Both AP and EM formed a heightened risk for somatic illnesses. The partner violence functioned as a moderator; AP was associated with especially high levels of depressive and anxiety symptoms among women exposed to sexual coercion in their marriage. Non-significant mediation analysis indicates that partner violence did not explain the severe impacts of the AP and EM on women's mental health. Yet, the AP and EM were associated with heightened level of partner violence. Adolescent pregnancy forms a comprehensive mental health risk, and both AP and EM were risks for somatic illnesses, such as cardiovascular problems. The mental health risk of AP further intensified if women experienced sexual coercion in their partnership. Our fundamental work is to abolish these patriarchal phenomena.


Assuntos
Casamento/estatística & dados numéricos , Transtornos Mentais/epidemiologia , Gravidez na Adolescência/estatística & dados numéricos , Maus-Tratos Conjugais/psicologia , Saúde da Mulher/estatística & dados numéricos , Adolescente , Adulto , Idoso , Feminino , Humanos , Casamento/psicologia , Pessoa de Meia-Idade , Gravidez , Gravidez na Adolescência/psicologia , Estudos Retrospectivos , Fatores de Risco , Delitos Sexuais/psicologia , Inquéritos e Questionários , Turquia/epidemiologia , Adulto Jovem
18.
Int J Public Health ; 65(2): 197-205, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31745616

RESUMO

OBJECTIVES: This study aimed to investigate the association between child maltreatment and depressive symptomatology during gestation in adolescents. METHODS: This was a cross-sectional study with pregnant adolescents aged 12 to 19 years. Data were collected with the Beck Depression Inventory, Childhood Trauma Questionnaire, and Mini International Neuropsychiatric Interview. RESULTS: Compared to adolescents who did not experience each type of neglect or abuse, experiencing them was associated with a higher proportion of depressive symptoms: emotional neglect PR = 1.4 (95% CI 1.1; 1.8); physical neglect PR = 1.7 (95% CI 1.3; 1.7); emotional abuse PR = 1.8 (95% CI 1.4; 2.2); and physical abuse PR = 1.3 (95% CI 1.1; 1.7). CONCLUSIONS: This study demonstrates the association between childhood experiences and mental health in adolescence, especially in vulnerable samples, such as pregnant adolescents. This finding reveals the importance of studying early trauma in life and enabling preventive help, especially in adolescents. High-quality evidence of perinatal mental health problems should be generated to make pregnancy safer for women in low- and middle-income countries.


Assuntos
Sobreviventes Adultos de Maus-Tratos Infantis/psicologia , Maus-Tratos Infantis/psicologia , Depressão/fisiopatologia , Gravidez na Adolescência/psicologia , Adolescente , Brasil , Criança , Estudos Transversais , Feminino , Humanos , Entrevistas como Assunto , Saúde Mental , Gravidez , Pesquisa Qualitativa , Inquéritos e Questionários , Adulto Jovem
19.
Compr Child Adolesc Nurs ; 43(3): 203-216, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31412216

RESUMO

Early motherhood may develop various stresses for the teen mothers and have adverse consequences. Current research aims at exploring experiences of teen mothers with stress and stressors of early motherhood. This qualitative study was conducted using conventional content analysis through in-depth semistructured interview. Eighteen Iranian teen mothers, who experienced parenting stress, with maximum variation in the age of first pregnancy, child's age, place of residence, and financial condition took part in this research. Data collection continued until saturation and were analyzed using MAXQDA10 software. Data analysis led to extraction of five categories including "storm of anxiety," "wander identity," "an unaccompanied way," "unarmed combat," and "a tired body." Teen mothers experienced tensions such as fear and worry, isolation and loneliness, regret, shame, depression, and doubt. These tensions originated from identity conflicts, inadequate social support, role inefficiencies, physical problems, and responsibilities. Teen mothers are influenced by various physical, psychological, social, and economic stressors which are in relation with the teenage, motherhood role, and the environment. Nurses are the major source of support for the teen mothers. Nurses should identify stress and stressors in teen mothers and strengthen well-being feeling in the teen mothers and their children through care, educational, consultative, and coordination interventions.


Assuntos
Mães/psicologia , Poder Familiar/psicologia , Gravidez na Adolescência/psicologia , Adolescente , Feminino , Humanos , Irã (Geográfico) , Acontecimentos que Mudam a Vida , Mães/estatística & dados numéricos , Poder Familiar/tendências , Gravidez , Pesquisa Qualitativa , Estresse Psicológico/etiologia , Estresse Psicológico/psicologia
20.
BMC Womens Health ; 19(1): 152, 2019 12 05.
Artigo em Inglês | MEDLINE | ID: mdl-31806005

RESUMO

BACKGROUND: Young mothers face mental health challenges during and after pregnancy including increased rates of depression compared to older mothers. While the prevention of teenage pregnancy in countries such as the United States and the United Kingdom has been a focus for policy and research in recent decades, the need to understand young women's own experiences has been highlighted. The aim of this meta-ethnography was to examine young women's perceptions of their mental health and wellbeing during and after pregnancy to provide new understandings of those experiences. METHODS: A systematic review and meta-ethnographic synthesis of qualitative research was conducted. Seven databases were systematically searched and forward and backward searching conducted. Papers were included if they were from Organisation for Economic Co-operation and Development countries and explored mental health and wellbeing experiences of young mothers (age under 20 in pregnancy; under 25 at time of research) as a primary research question - or where evidence about mental health and wellbeing from participants was foregrounded. Nineteen papers were identified and the Critical Appraisal Skills Programme checklist for qualitative research used to appraise the evidence. Following the seven-step process of meta-ethnography, key constructs were examined within each study and then translated into one another. RESULTS: Seven translated themes were identified forming a new line of argument wherein mental health and wellbeing was analysed as relating to individual bodily experiences; tied into past and present relationships; underpinned by economic insecurity and entangled with feelings of societal surveillance. There were 'no straight lines' in young women's experiences, which were more complex than dominant narratives around overcoming adversity suggest. CONCLUSIONS: The synthesis concludes that health and social care professionals need to reflect on the operation of power and stigma in young women's lives and its impact on wellbeing. It adds to understanding of young women's mental health and wellbeing during and after pregnancy as located in physical and structural factors rather than individual capacities alone.


Assuntos
Autoavaliação Diagnóstica , Transtornos Mentais/psicologia , Saúde Mental , Mães/psicologia , Gravidez na Adolescência/psicologia , Adolescente , Antropologia Cultural , Feminino , Humanos , Gravidez , Pesquisa Qualitativa , Reino Unido , Saúde da Mulher , Adulto Jovem
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