Adolescent Pregnancy

Leftwich, Heidi; Alves, Marcus V. Ortega

doi:10.1016/j.pcl.2016.11.007

Cited by 111 publications

(104 citation statements)

References 22 publications

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“…They reported the prevalence of rapid repeat pregnancy of 37% and 74% within 12 and 24 months, respectively. A study from South Africa evaluated prevalence of repeat pregnancies, as an end point, among [13][14][15][16][17][18][19] year old black adolescents who were pregnant, recently delivered or had terminated a pregnancy [29]. The authors found a repeat pregnancy prevalence of 17.6% in the first 24 months of observation.…”

Section: Plos Onementioning

confidence: 99%

“…Approximately 1 in 8 of the 140 million births annually occurs to adolescent women with 95% of these occurring in LMIC, and 23% in sub-Sahara Africa [1][2][3][4]. Uganda has a high adolescent childbearing rate with estimates at 25% of [15][16][17][18][19] year old having begun childbearing [5]. These levels have remained high in the last 15 years despite a decline in the age specific fertility rate for Uganda among women 15-19 years, 195 births per 1,000 women per year in the 1990 Uganda Demographic and Health Survey (UDHS) to 132 births per 1,000 women per year at the 2016 survey.…”

Section: Introductionmentioning

confidence: 99%

“…Socially, adolescent women often face violence from family and community, discrimination and stigma with a high risk of economic disadvantages compounded by premature cessation of schooling and early marriage [10][11][12]. The younger the adolescent mother, the more vulnerable she is both socio-economically and medically to poor outcomes, including repeat pregnancies [13][14][15]. Not seldomly, adolescent pregnancies are result of sexual and gender based violence [16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

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Time trends in and factors associated with repeat adolescent birth in Uganda: Analysis of six demographic and health surveys

et al. 2020

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BackgroundInformation on repeat adolescent birth remains scarce in sub-Sahara Africa. We investigated the prevalence and time trends in repeat adolescent birth in Uganda, and associated factors. MethodsWe analyzed Uganda Demographic and Health Survey data of women age 20-24 years collected on 6 surveys (1988/89-2016) to estimate repeat adolescent birth (first live birth <18 years of age followed by another live birth(s) <20 years). Further, we estimated the wantedness of the second order birth and the prevalence of short birth intervals birth (<13 months) between the first and second such birth. On the 2016 survey, we examined factors associated with repeat adolescent birth using bivariate and multivariate modified Poisson regression. ResultsAt the 1988/89 survey, 58.9% of women with first birth <18 years reported a repeat adolescent birth. This percentage increased to 66.8% in 2006 (+7.9 percentage points [pp], p = 0.010) and thereafter declined to 55.6% by 2016 (-11.2 pp, p<0.001), nevertheless, no change occurred between 1988/89 and 2016 (-3.3pp, p = 0.251). Among women with repeat adolescent births, the mean number of live births by exact age 20 years (2.2 births) and prevalence of short birth intervals (3.5% in 1988/89, 5.4% in 2016) (+1.9pp, p = 0.245) did not change. Increasingly more women with repeat adolescent births preferred to have had PLOS ONE

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Section: Plos Onementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Time trends in and factors associated with repeat adolescent birth in Uganda: Analysis of six demographic and health surveys

et al. 2020

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“…Otro de los problemas relacionados con los comportamientos sexuales de riesgo es el embarazo precoz, que ocurre entre los 13 y 19 años. Los embarazos se presentan en 25% de las adolescentes a nivel mundial y en un 13% en Estados Unidos; y de estos el 80% no planeados (22) . En la Región de las Américas, la mitad de los países presentan tasas de fecundidad entre adolescentes de 15 a 19 años superiores a 72 por 1000 y el 20% de los partos correspondió a mujeres menores de 20 años (14) .…”

Section: Salud Sexualunclassified

“…Salud. 22 (1): [58][59][60][61][62][63][64][65][66][67][68][69]2020 (Ene -Abr) [59] Introducción La adolescencia es una etapa crítica del desarrollo por cuanto la vulnerabilidad y los múltiples cambios a los que se somete el individuo afectan su personalidad y sus actos de la vida cotidiana. En esta época se consolidan los hábitos relacionados con el cuidado de la salud y el bienestar que dependen de las oportunidades con que dispone el individuo, como acceso a la educación y lazos familiares, entre otros (1) .…”

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Comportamientos de riesgo para la salud en los adolescentes

Paredes-Iragorri

Patiño-Guerrero

2019

Univ. Salud

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ResumenIntroducción: Los adolescentes experimentan cambios físicos y psicosociales que los hacen vulnerables a múltiples comportamientos de riesgo, evidenciando la necesidad de generar políticas de prevención. Objetivo: Identificar los principales comportamientos de riesgo de los adolescentes, su prevalencia, factores predisponentes; así como las guías y escalas validadas que existen para su detección. Materiales y métodos: Se realizó una búsqueda bibliográfica en diferentes bases de datos y páginas oficiales de las principales organizaciones de salud. Se seleccionaron 45 artículos completos en español e inglés, publicados entre los años 2003 y 2017. Resultados: Se agruparon los comportamientos de riesgo en cinco dominios de los cuales se identificó su prevalencia se describieron las guías y escalas validadas existentes para su detección. Conclusiones: Al identificar los comportamientos de riesgo en los adolescentes se disminuye su morbimortalidad si se intervienen de forma precoz. Se recomienda a los profesionales de salud utilizar las mejores herramientas de tamizaje disponibles, que evalúan de manera rápida y simultánea múltiples comportamientos tales como las guías: Education/employment, peer Activities, Drugs, Sexuality and Suicide/depression, Rapid Assessment for Adolescent Preventive Services, Global school-based student health survey, de fácil aplicación en atención primaria y permiten realizar un adecuado abordaje y manejo de esta población. Palabras clave:Adolescente; comportamiento del adolescente; conductas de riesgo para la salud; prevalencia; factores protectores; evaluación de riesgo. (Fuente: DeCS, Bireme). AbstractIntroduction: Adolescents experience physical and psychosocial changes that make them vulnerable to multiple risk behaviors, highlighting the need to generate prevention policies. Objective: To identify main risk behaviors of adolescents and their prevalence, as well as the validated guides and scales for their detection. Materials and methods: A bibliographic search was carried out in different databases and official pages of main health organizations. 45 complete articles published in Spanish and English from 2013 to 2017 were selected. Results: Risk behaviors were grouped into five domains, identifying their prevalence and describing the validated guides and scales that exist for their detection. Conclusions: The identification of risk behaviors and early intervention in adolescents decrease their morbidity and mortality. It is recommended that health professionals use the best available screening tools such as Home/environment, Education/employment, peer Activities, Drugs, Sexuality and Suicide/depression (HEADDS); Rapid Assessment for Adolescent Preventive Services (RAAPS); and Global school-based student health survey (GSHS). These guides quickly and simultaneously assess multiple behaviors, are easily applied in primary care, and facilitate the approach and management of this population.

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Associations between early marriage and preterm delivery: Evidence from lowland Nepal

Miller

Marphatia

Wells

et al. 2021

American J Hum Biol

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Objectives: Preterm delivery (<37 weeks gestation) is the largest cause of child mortality worldwide. Marriage and pregnancy during adolescence have been associated with an increased risk of preterm delivery. We investigate independent associations of age at marriage and age at first pregnancy with preterm delivery in a cohort of women from rural lowland Nepal. Methods:We analyzed data from 17 974 women in the Low Birth Weight South Asia Trial. Logistic regression models tested associations of age at marriage and age at first pregnancy with preterm delivery, for primigravida (n = 6 243) and multigravida (n = 11 731) women. Models were adjusted for maternal education, maternal caste, and household asset score.Results: Ninety percent of participants had married at <18 years and 58% had their first pregnancy at <18 years. 20% of participants delivered preterm.Primigravida participants married at ≤14 years had higher odds of preterm delivery than those married ≥18 years, when adjusting for study design (adjusted odds ratio (aOR) 1.45, 95% CI: 1.15-1.83), confounders (aOR 1.28:1.01-1.62) and confounders + age at pregnancy (aOR 1.29: 1.00-1.68). Associations were insignificant for multigravida women. No significant associations were observed between age at first pregnancy and preterm delivery. Discussion: In this population, early marriage, rather than pregnancy, is a risk factor for preterm delivery. We hypothesize that psychological stress, a driver of preterm delivery which is increased among those marrying young, rather than physiological immaturity, drives this association. Further research into the psychological consequences of child marriage in Nepal is needed.

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Adolescent Pregnancy

Cited by 111 publications

References 22 publications

Time trends in and factors associated with repeat adolescent birth in Uganda: Analysis of six demographic and health surveys

Time trends in and factors associated with repeat adolescent birth in Uganda: Analysis of six demographic and health surveys

Comportamientos de riesgo para la salud en los adolescentes

Associations between early marriage and preterm delivery: Evidence from lowland Nepal

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