Fatores associados à recorrência da gravidez na adolescência em uma maternidade escola: estudo caso-controle

Silva, Andréa de Albuquerque Arruda; Coutinho, Isabela; Katz, Leila; Souza, Alex Sandro Rolland

doi:10.1590/s0102-311x2013000300008

Cited by 26 publications

(37 citation statements)

References 15 publications

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“…Silva et al 20 describe as the main factors associated with recurrence of teenage pregnancy: first sexual intercourse before the age of 15 years, first pregnancy before the age of 16, stable relationship with a same partner, not taking care of the children, and family income below the minimum wage, demonstrating a special association between reproductive and socioeconomic factors. 18 This concern is even more relevant considering that at each new pregnancy, the likelihood of that the adolescent will finish school, have a stable job and become economically self-sufficient decreases. 19 In Rio de Janeiro, the rate of repeated pregnancy in the second half of adolescence (between 15 and 19 years) was 13.5%, while in São Paulo 15.3% of pregnant women were multigest.…”

Section: Resultsmentioning

confidence: 99%

Trends of teenage pregnancy in Brazil, 2000-2011

Vaz

Monteiro

Rodrigues

2016

Rev. Assoc. Med. Bras.

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Summary Objective: To evaluate the frequency of teenage pregnancy in Brazil, from 2000 to 2011, in all five Brazilian macroregions and age groups (10-14 and 15-19 years), correlating it with the human development index (HDI). Method: Descriptive epidemiological study, with cross-sectional design, performed by searching the database of the National Health System (Datasus), using information from the Information System (Sinasc). Results: There was a decrease in the percentage of live births (LB) from teenage mothers (10-19 years) in Brazil (23.5 % in 2000 to 19.2 % in 2011). This reduction was observed in all Brazilian macroregions in the group of mothers aged 15 to 19 years. The number of LB increased by 5.0% among mothers aged 10-14 years (increase in the North and Northeast and decline in the other macroregions). The proportion of LB shows an inversely proportional trend to HDI score, with the Southeast having the highest HDI and the lowest proportion of LB to teenage mothers in the country. Conclusion: Brazil shows a decline in the percentage of LB to adolescent mothers, tending to be inversely related to HDI score. It is important to empower strategies to address the problem, so that teenage pregnancy is seen as a personal decision rather than the result of a lack of policies targeting adolescent health.

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Section: Resultsmentioning

confidence: 99%

Trends of teenage pregnancy in Brazil, 2000-2011

Vaz

Monteiro

Rodrigues

2016

Rev. Assoc. Med. Bras.

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“…Policy documents from the UK were also used to explore elements of the theory areas under investigation, applying the criteria of relevance and rigor. Identified quantitative studies that were not synthesised in any 'pooled' analysis Twenty-one additional quantitative studies [112][113][114][115][123][124][125][126][127][128][143][144][145][146][147][148][149][150][151][152][153] were identified as included studies, but were not synthesised in any 'pooled' analysis as they did not report on or contain data relevant to the outcomes under investigation. We extracted data on other risk factors but had insufficient data to perform metaregression with any statistical integrity.…”

Section: Realist Synthesismentioning

confidence: 99%

Intervention Now to Eliminate Repeat Unintended Pregnancy in Teenagers (INTERUPT): a systematic review of intervention effectiveness and cost-effectiveness, and qualitative and realist synthesis of implementation factors and user engagement

Whitaker¹,

Hendry

Aslam

et al. 2016

Health Technol Assess

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BackgroundThe UK has one of the highest rates of teenage pregnancies in Western Europe. One-fifth of these are repeat pregnancies. Unintended conceptions can cause substantial emotional, psychological and educational harm to teenagers, often with enduring implications for life chances. Babies of teenage mothers have increased mortality and are at a significantly increased risk of poverty, educational underachievement and unemployment later in life, with associated costs to society. It is important to identify effective, cost-effective and acceptable interventions.ObjectivesTo identify who is at the greatest risk of repeat unintended pregnancies; which interventions are effective and cost-effective; and what the barriers to and facilitators of the uptake of these interventions are.Data sourcesWe conducted a multistreamed, mixed-methods systematic review informed by service user and provider consultation to examine worldwide peer-reviewed evidence and UK-generated grey literature to find and evaluate interventions to reduce repeat unintended teenage pregnancies. We searched the following electronic databases: MEDLINE and MEDLINE In-Process & Other Non-Indexed Citations, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, The Cochrane Library (Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects and the Health Technology Assessment Database), EMBASE (Excerpta Medicadatabase), British Nursing Index, Educational Resources Information Center, Sociological Abstracts, Applied Social Sciences Index and Abstracts, BiblioMap (the Evidence for Policy and Practice Information and Co-ordinating Centre register of health promotion and public health research), Social Sciences Citation Index (supported by Web of Knowledge), Research Papers in Economics, EconLit (American Economic Association’s electronic bibliography), OpenGrey, Scopus, Scirus, Social Care Online, National Research Register, National Institute for Health Research Clinical Research Network Portfolio and Index to THESES. Searches were conducted in May 2013 and updated in June 2014. In addition, we conducted a systematic search of Google (Google Inc., Mountain View, CA, USA) in January 2014. Database searches were guided by an advisory group of stakeholders.Review methodsTo address the topic’s complexities, we used a structured, innovative and iterative approach combining methods tailored to each evidence stream. Quantitative data (effectiveness, cost-effectiveness, risk factors and effect modifiers) were synthesised with reference to Cochrane guidelines for evaluating evidence on public health interventions. Qualitative evidence addressing facilitators of and barriers to the uptake of interventions, experience and acceptability of interventions was synthesised thematically. We applied the principles of realist synthesis to uncover theories and mechanisms underpinning interventions (what works, for whom and in what context). Finally, we conducted an overarching narrative of synthesis of evidence and gathered service user feedback.ResultsWe identified 8664 documents initially, and 816 in repeat searches. We filtered these to 12 randomised controlled trials (RCTs), four quasi-RCTs, 10 qualitative studies and 53 other quantitative studies published between 1996 and 2012. None of the RCTs was based in the UK. The RCTs evaluated an emergency contraception programme and psychosocial interventions. We found no evidence for effectiveness with regard to condom use, contraceptive use or rates of unprotected sex or use of birth control. Our primary outcome was repeat conception rate: the event rate was 132 of 308 (43%) in the intervention group versus 140 of 289 (48%) for the control goup, with a non-significant risk ratio (RR) of 0.92 [95% confidence interval (CI) 0.78 to 1.08]. Four studies reported subsequent birth rates: 29 of 237 (12%) events for the intervention arm versus 46 out of 224 (21%) for the control arm, with a RR of 0.60 (95% CI 0.39 to 0.93). Many repeat conceptions occurred in the context of poverty, low expectations and aspirations, and negligible opportunities. Service user feedback suggested that there were specific motivations for many repeat conceptions, for example to replace loss or to please a partner. Realist synthesis highlighted that context, motivation, planning for the future and letting young women take control with connectedness and tailoring provide a conceptual framework for future research.LimitationsIncluded studies rarely characterised adolescent pregnancy as intended or unintended, that is interventions to reduce repeat conceptions rarely addressed whether or not pregnancies were intended. Furthermore, interventions were often not clearly defined, had multiple aims and did not indicate which elements were intended to address which aims. Nearly all of the studies were conducted in the USA and focused largely on African American or Hispanic and Latina American populations.ConclusionsWe found no evidence to indicate that existing interventions to reduce repeat teenage pregnancy were effective; however, subsequent births were reduced by home-based interventions. Qualitative and realist evidence helped to explain gaps in intervention design that should be addressed. More theory-based, rigorously evaluated programmes need to be developed to reduce repeat teenage pregnancy in the UK.Study registrationThis study is registered as PROSPERO CRD42012003168. Cochrane registration number: i=fertility/0068.FundingThe National Institute for Health Research Health Technology Assessment programme.

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“…Várias pesquisas tem sido realizadas no Brasil e no exterior com o objetivo de determinar fatores de risco associados à gravidez precoce, além de relatos de programas de intervenção para prevenção deste problema (ALMEIDA; ROCHA, 2017; ALVARENGA; WEBER; BOLSONI-SILVA, 2016;AMORIM et al, 2009;GUIMARÃES;WITTER, 2007;SILVA et al, 2013).…”

Section: Fatores De Risco E Proteção Para a Gravidez Na Adolescênciaunclassified

Estilo Parental E Variáveis Psicossociais Como Fatores De Risco Ou Proteção Para a Gravidez Na Adolescência

Silva

2017

Rev. CESUMAR

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RESUMO: O presente estudo de revisão trata da gravidez precoce, que relacionase a problemas psicossociais e econômicos, tais como evasão escolar, conflitos interpessoais e problemas econômicos e emocionais, sendo considerada problema de saúde pública em vários países. O objetivo deste artigo é discutir algumas variáveis psicossociais que atuam como fatores de risco ou proteção para a gravidez na adolescência: os estilos parentais de educação, a educação sexual e história de aprendizagem, bem como a influência exercida pelo grupo de pares e a coexistência de técnicas conflitivas de controle sexual. A partir da análise das pesquisas sobre o tema e do referencial da Análise do Comportamento, entende-se que os estilos parentais negligente, autoritário e permissivo podem favorecer a ocorrência da gravidez na adolescência ao promoverem ambientes coercitivos ou falta de limites, ou ainda dificuldades de autocontrole e baixa autoestima. As agências governamentais, educacionais, religiosas e familiares adotam técnicas e posturas conflitivas, que competem entre si, adotando em alguns casos um padrão mais severo, e em outros posturas liberais, sem o esclarecimento e a coerência necessários para o desenvolvimento da autonomia responsável. Conclui-se que se faz necessária a instrumentalização do adolescente para reagir, de forma assertiva, diante de grupos, parceiros e ambientes coercitivos, a promoção de ambientes familiares respeitosos nas relações afetivas e o desenvolvimento do comportamento responsável por meio de uma educação sexual clara, que evita posturas ambivalentes ou conflituosas no desenvolvimento do autocontrole sexual. PALAVRAS-CHAVE:Gravidez na adolescência; Práticas educativas; Autocontrole. PARENTS´ ST YLE AND PSYCHO-SOCIAL VARIABLES AS RISK FACTORS OR PROTECTION IN PREGNANCY DURING ADOLESCENCEABSTRACT: Current assay deals with pregnancy at an early age and its relationship to psycho-social and economic issues, such as truancy, interpersonal conflict and * Psicóloga. Mestre em Análise do Comportamento. Docente

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Fatores associados à recorrência da gravidez na adolescência em uma maternidade escola: estudo caso-controle

Cited by 26 publications

References 15 publications

Trends of teenage pregnancy in Brazil, 2000-2011

Trends of teenage pregnancy in Brazil, 2000-2011

Intervention Now to Eliminate Repeat Unintended Pregnancy in Teenagers (INTERUPT): a systematic review of intervention effectiveness and cost-effectiveness, and qualitative and realist synthesis of implementation factors and user engagement

Estilo Parental E Variáveis Psicossociais Como Fatores De Risco Ou Proteção Para a Gravidez Na Adolescência

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