Pregnancy Outcomes Among Girls Impacted by Commercial Sexual Exploitation

Barnert, Elizabeth S.; Godoy, Sarah M.; Hammond, Ivy; Kelly, Mikaela; Thompson, Lindsey R.; Mondal, Sangeeta; Bath, Eraka

doi:10.1016/j.acap.2019.12.005

Cited by 15 publications

(6 citation statements)

References 16 publications

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“…It is reasonable that teenage girls who engage in the sex trade for gift or money may lack the ability to negotiate for safer sex for fears of losing the gift or money which unfortunately put them at a higher risk of unwanted teenage pregnancy and sexually transmitted diseases. This study finding from Hoima district Uganda is in line with a study by Barnert and colleagues (2020) which found that commercially sex involved girls were more likely to get unwanted pregnancy compared to their counterparts [36]. The rampant sex trade among teenage girls (standing at 36.6%) coupled with high prevalence of unwanted teenage pregnancy found in western Uganda during the COVID-19 pandemic calls for national policies on adolescent friendly community distribution channels for antiretroviral drugs (ARVs) for preexposure prophylaxis (PrEP) and or post-exposure prophylaxis (PEP) as HIV prevention biomedical methods for high-risk populations such as teenage girls who engage in commercial sex.…”

Section: Plos Onesupporting

confidence: 91%

Prevalence and correlates of teenage pregnancy among in-school teenagers during the COVID-19 pandemic in Hoima district western Uganda–A cross sectional community-based study

Musinguzi

Kumakech²,

Auma³

et al. 2022

PLoS ONE

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Background The COVID-19 pandemic related restrictions and lockdown measures had compromised the routine delivery and access of sexual and reproductive health and rights services to the population including the teenage girls. However, the teenage pregnancy rates during COVID-19 pandemic period were poorly documented. This study aimed at determining the prevalence and the factors associated with teenage pregnancy among in-school teenage girls during the COVID-19 pandemic period in Hoima District Uganda. Methods This was a descriptive cross-sectional study that employed quantitative research methods. A total of 314 in-school teenage girls aged 13–19 years were selected using a multi-stage sampling techniques. Interviewer-administered questionnaires were used to collect the data from the participant’s homes during the period December 2021-January 2022. Data analysis was done using univariate, bi-variate, and multivariate. Results The prevalence of teenage pregnancy among the in-school teenage girls in Hoima district Uganda was 30.6% [96/314]. Higher teenage pregnancy rates were prevalent among the unmarried teenage girls [aOR: 9.6; 95%CI: 4.64–19.87; p = 0.000], teenage girls studying from boarding schools [aOR 2.83, 95%CI 1.36–5.86, p = 0.005], contraceptive non-users [aOR: 2.54; 95%CI: 1.12–5.4; p = 0.015] and teenage girls involved in sex trade [aOR 3.16, 95%CI 1.5–6.7, p = 0.003]. The factors associated with the reduced likelihood for teenage pregnancy included being an adult teenage girl aged 18–19 years [aOR: 0.15; 95%CI: 0.07–0.32; p = 0.000] and not receiving sex education during the period [aOR 0.36, 95%CI 0.13–0.62, p = 0.024]. Conclusion The results indicated that 3 out of 10 in-school teenage girls from Hoima district Uganda got pregnant during the COVID-19 pandemic period of 2021. Teenage pregnancy was prevalent among teenage girls who don’t use modern contraceptive methods and those involved in sex trade. Teenage pregnancy was however, less prevalent among adult teenage girls aged 18–19 years. The findings point to the need for health stakeholders to innovate creative policies, contingency plans and programmes aimed at delaying age for sexual activities, increasing contraceptive use and minimizing pregnancy risk from sex trade among in-school teenage girls during COVID-19 pandemics.

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Section: Plos Onesupporting

confidence: 91%

Prevalence and correlates of teenage pregnancy among in-school teenagers during the COVID-19 pandemic in Hoima district western Uganda–A cross sectional community-based study

Musinguzi

Kumakech²,

Auma³

et al. 2022

PLoS ONE

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“…Other outcomes. One study examined the association between ACEs and pregnancy (Barnert et al, 2019) among females impacted by commercial sexual exploitation of children (CSEC) in a collaborative/specialty court (Intercept 3). Experiencing parental incarceration and maternal substance abuse were associated with pregnancy (Barnert et al, 2019).…”

Section: Results From Remaining Studiesmentioning

confidence: 99%

Adverse childhood experiences among justice-involved youth: Data-driven recommendations for action using the sequential intercept model.

Folk

Kemp

Yurasek

et al. 2021

American Psychologist

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Justice-involved youth experience high rates of Adverse Childhood Experiences (ACEs), placing them in great need of behavioral health treatment and risk for continued justice involvement. Policy makers, government agencies, and professionals working with justice-involved youth have called for trauma-informed juvenile justice reform. Yet, there is currently no available review of the literature on ACEs and their impact on justice-involved youths' psychological, legal and related (e.g., academic) outcomes to rigorously guide such reform efforts. The current systematic scoping review synthesizes existing literature related to the impact of ACEs on justice-involved youth and offers recommendations for data-driven intervention along the Sequential Intercept Model, which describes five different points of justice system contact (i.e., first arrest, court diversion, detention, community supervision) in which there is opportunity to intervene and improve youth behavioral health, legal and associated outcomes. Eight unique studies were included in 40 articles examining ACEs among justice-involved youth; 38% were longitudinal/ prospective analyses and none were intervention studies. Studies included delinquency (e.g., recidivism; n=5), psychiatric (n=4), substance use (n=3), and other (n=2; e.g., academic, pregnancy) outcomes, documenting high prevalence of ACEs and significant associations between ACEs and a variety of outcomes. Implications for clinical services (e.g., targeting youth dysregulation and aggression), agency context (e.g., training police officers in trauma-responsive practices), and system-level changes (e.g., intervening at the time of first ACE documentation such as parent's arrest) are discussed.

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“…The qualitative findings presented in this article are part of a larger, multi-year, mixed-methods study that took a community-engaged approach to seek perspectives from girls and young women affected by CSE and their multi-disciplinary service providers, including health care providers, case managers, and personnel related to foster care and judicial systems. [10][11][12]15,20,23 This article describes participants' views related to: (i) perception of utilizing mobile technology to improve service access and engagement; (ii) recommendations for developing and sustaining youth engagement in court-referred or mandated treatment and services through mHealth technology; and (iii) concerns associated with emergent technology. Pertinent findings were examined using iterative and inductive qualitative analytic techniques.…”

Section: Methodsmentioning

confidence: 99%

“…Youth experiencing CSE are at increased risk for emergent health needs resulting from forced sexual activity, violence, and abuse, such as sexually transmitted infections or unintended pregnancies. [10][11][12][13][14] Additionally, these youth may also experience elevated behavioral health needs, such as depression, anxiety, and suicidality. 5,14 The literature shows that individuals experiencing CSE are known to access health care treatment at public and private health offices, emergency departments, urgent care centers, and family planning clinics.…”

mentioning

confidence: 99%

Perspectives of Girls and Young Women Affected by Commercial Sexual Exploitation: mHealth as a Tool to Increase Engagement in Care

Bath¹,

Godoy²,

Perris³

et al. 2021

Journal of Health Care for the Poor and Underserved

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Pregnancy Outcomes Among Girls Impacted by Commercial Sexual Exploitation

Cited by 15 publications

References 16 publications

Prevalence and correlates of teenage pregnancy among in-school teenagers during the COVID-19 pandemic in Hoima district western Uganda–A cross sectional community-based study

Prevalence and correlates of teenage pregnancy among in-school teenagers during the COVID-19 pandemic in Hoima district western Uganda–A cross sectional community-based study

Adverse childhood experiences among justice-involved youth: Data-driven recommendations for action using the sequential intercept model.

Perspectives of Girls and Young Women Affected by Commercial Sexual Exploitation: mHealth as a Tool to Increase Engagement in Care

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