Pregnancy recurrence in adolescents in Southern Brazil

Zanchi, Mariza; Mendoza-Sassi, Raúl Andrés; Silva, Marilyn Rita da; Almeida, S; Teixeira, Lisiane Ortiz; Gonçalves, Carla Vitola

doi:10.1590/1806-9282.63.07.628

Cited by 7 publications

(8 citation statements)

References 17 publications

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“…Adolescent mothers with secondary education and above had a lower prevalence of repeated pregnancies compared to those with no education. Our findings are similar to previous studies in South Africa and Brazil [ 4 , 10 , 13 , 16 ]. Policies and strategies that mandate the expulsion of pregnant schoolgirls and limit their continued access to education are likely to further contribute to the increase in adolescent fertility rates.…”

Section: Discussionsupporting

confidence: 93%

“…The prevalence and trends of repeated adolescent pregnancies vary around the world. In Thailand and Brazil, 20.0% and 53.5% respectively of adolescents have been reported to have experienced two or more pregnancies before the age of 19 years [ 9 , 10 ]. In the Philippines, the prevalence of repeated adolescent pregnancy declined from 20.4% in 1993 to 18.1% in 2013 [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…Different factors have been reported to be associated with the occurrence of repeated adolescent pregnancy which includes: young age at first birth, low income, low education level and low use of contraceptives [ 4 , 10 ], inadequate knowledge about contraception, history of abortion and depression [ 6 , 15 ], and history of spontaneous abortion [ 3 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

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Trends and factors associated with repeated adolescent pregnancies in Tanzania from 2004-2016: evidence from Tanzania demographic and health surveys

Ngoda¹,

Mboya²,

Mahande³

et al. 2021

Pan Afr Med J

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Introduction a repeated pregnancy represents a failure of health and social systems to educate and provide the necessary services and skills to ensure adolescent girls do not experience any further unwanted pregnancies during this young age. We aimed to determine trends and factors associated with repeated adolescent pregnancies in Tanzania 2004-2016. Methods an analytical cross-sectional study was conducted using secondary data from Tanzania demographic and health surveys of the years 2004-2005, 2010 and 2015-2016 among adolescent mothers aged 15 to 19 years. Data analysis was performed using STATA version 15 and considered the complex survey design. The Poisson regression model was used to estimate prevalence ratios (PR) and 95% confidence intervals for factors associated with repeated adolescent pregnancy. Results the proportion of repeated adolescent pregnancies increased from 15.8% in 2004/2005 to 18.6% in 2010, then to 18.8% in 2015/2016. Adolescents who delivered their first pregnancy at home (APR: 1.36, 95% CI: 1.03, 1.78) and who started sexual activity before 15 years of age (APR: 1.80, 95% CI: 1.40, 2.31) were likely repeated adolescent pregnancy. In contrast, adolescents who used contraception (APR: 0.52, 95% CI: 0.34, 0.81) had a lower prevalence of repeated adolescent pregnancies. Conclusion the prevalence of repeated adolescent pregnancies has increased and remains unacceptably high. Adolescents who had low education delivered their first pregnancy at home and were non-contraceptive users need to be targeted in policies and programs for the prevention of repeated adolescent pregnancies.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Trends and factors associated with repeated adolescent pregnancies in Tanzania from 2004-2016: evidence from Tanzania demographic and health surveys

Ngoda¹,

Mboya²,

Mahande³

et al. 2021

Pan Afr Med J

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“…Corroborando de maneira perpetuadora com a baixa escolaridade e outros problemas socioeconômicos, um estudo demonstrou que as proles de mães adolescentes podem ter um desenvolvimento cognitivo mais deficitário, inclusive com redução significativa do quociente de inteligência, o que leva a maior necessidade de estímulos adequados para o desenvolvimento neurológico e educacional (32). Além disso, a recorrência da GA na população também mostra-se associada com abandono escolar, baixa escolaridade e baixa renda (33,34).…”

Section: Condições Socioeconômicas Desfavoráveisunclassified

Nursing Scientific Production on Teenage Pregnancy: An Integrative Review

et al. 2020

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Objective: To identify, in the national and international scientific literature, the evidence produced by Nursing that provides subsidies to prevent teenage pregnancy. Material and method: An integrative literature review study, based on papers available in the PubMed, BVS, Scopus and Web of Science metabases, and in the Lilacs and BDEnf databases, in Portuguese, English and Spanish languages, published from January 2013 to March 2020. Results: According to the inclusion criteria, 13 articles were selected. The findings are presented in the categories “lower socio-economic conditions”, “knowledge, attitudes and cultural aspects” and “sexual education and specialized services”. Conclusions: Teenage pregnancy is strongly associated with poverty and other socio-economic issues. Gender relations, communication about sex education in the family and other cultural aspects were found in the discussions, which indicates their impact on this phenomenon. Interventions involving sex education are shown as an alternative to cope. The presence of the nurse at the places that assist or concentrate adolescents can be a great element to reduce pregnancy rates in this phase.

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“…If on one hand pregnancies are a natural event linked to unprotected sex, when unintended (especially amongst young and adolescent individuals) they can be an obstacle to entry into the labour market, contributing to sustain the vicious cycle of social inequality 10 .…”

Section: Introductionmentioning

confidence: 99%

Birth control knowledge among freshmen of four Italian universities

Cegolon

Bortolotto

Bellizzi³

et al. 2020

Sci Rep

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Since sexual health education (SHE) is not mandatory in Italian schools, we conducted a survey on freshmen of four Italian university campuses in 2012 to investigate the respective level of sexual health knowledge (SHK) in relation to birth control, with the aim to inform public health policy makers. A convenience strategy was employed to sample 4,552 freshmen registered with various undergraduate courses at four Italian universities: Padua university (Veneto Region); university of Milan (Lombardy Region); university of Bergamo (Lombardy Region); university of Palermo (Sicily Region). We investigated the level of SHK on birth control using 6 proxy indicators: (1) the average length of a woman’s period [outcome with 3 levels: wrong (base) vs. acceptable vs. correct]; (2) the most fertile interval within a woman’s period (binary outcome: correct vs. wrong answer); (3) the event between the end of a period and the beginning of the next cycle (binary outcome: correct vs. wrong answer); (4) the average survival of spermatozoa in the womb (binary outcome: correct vs. wrong answer); (5) the concept of contraception (binary outcome: correct vs. wrong answer); (6) the efficacy of various contraceptives to prevent unintended pregnancies (linear score: 0–17). We fitted 6 separate models of multiple regression: multinomial for outcome 1; logistic for outcomes 2, 3, 4, 6; linear for outcome 6. Statistical estimates were adjusted for a number of socio-demographic factors. Results were expressed as odds ratios (OR) for the 4 multiple logistic regression models, linear coefficients (RC) for the linear regression model and relative risk ratio (RRR) for the multinomial logistic regression model. The level of significance of each risk estimate was set at 0.05. The level of SHK of freshmen sampled was rather low, as 60% interviewees did not know the average length of a woman’s period, the average survival of spermatozoa in the womb and the concept of contraception, whilst the most fertile interval within a woman’s period was known only to 55% of interviewees. The mean score of SHK on the efficacy of various contraceptive methods was only 5 (scale 0–17). Some categories of students were consistently and significantly less knowledgeable on birth control at multivariable analysis: males; students from the university of Palermo; those with vocational secondary school education and those not in a romantic relationship at the time the survey was conducted. The results of this survey clearly call for the introduction of SHE programs in Italian schools, as already done in several European countries. School SHE should start as early as possible, ideally even before secondary school. SHE should be holistic and delivered with a multiple agency coordinated approach involving the Ministry of Health, the Ministry of Education, University and Scientific Research (MIUR), families, schools, public health departments, primary health care providers, pharmacists, media, other.

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Pregnancy recurrence in adolescents in Southern Brazil

Cited by 7 publications

References 17 publications

Trends and factors associated with repeated adolescent pregnancies in Tanzania from 2004-2016: evidence from Tanzania demographic and health surveys

Trends and factors associated with repeated adolescent pregnancies in Tanzania from 2004-2016: evidence from Tanzania demographic and health surveys

Nursing Scientific Production on Teenage Pregnancy: An Integrative Review

Birth control knowledge among freshmen of four Italian universities

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