Sexual Initiation, Contraceptive Use, and Pregnancy Among Young Adolescents

Finer, Lawrence B.; Philbin, Jesse

doi:10.1542/peds.2012-3495

Cited by 211 publications

(151 citation statements)

References 8 publications

(4 reference statements)

Supporting

Mentioning

129

Contrasting

Unclassified

Order By: Relevance

“…This is particularly worrisome, as some people argue that young people's decisions about contraceptive practices are taken at the onset of sexual life, since those who used some method at first intercourse are less likely to have an unwanted pregnancy and therefore more likely to be using CM in the last sexual relationship 25 . In addition, research conducted in the United States with secondary data from the National Survey of Family Growth for the period 1984-2010 showed that girls who had their first sexual intercourse at age 14 or younger are less likely to have used contraception at first sexual intercourse and tend to take more time to start using it 26 . The decision to postpone or anticipate sexual life is not always the result of own will; many young women build on prevailing social norms that advocate sexual initiative as a masculine prerogative, and it is up to women to resist for as long as possible and then to give in 27 .…”

Section: Discussionmentioning

confidence: 99%

Repercussão da iniciação sexual na vida sexual e reprodutiva de jovens de capital do Nordeste brasileiro

Maranhão

Gomes

Oliveira

et al. 2017

Ciênc. saúde coletiva

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Repercussão da iniciação sexual na vida sexual e reprodutiva de jovens de capital do Nordeste brasileiro

Maranhão

Gomes

Oliveira

et al. 2017

Ciênc. saúde coletiva

View full text Add to dashboard Cite

show abstract

“…Specifically, in a study examining the reproductive health and behaviors of urban AI/AN girls through data gathered from the 2002 National Survey of Family Growth (Rutman, Taualii, Ned, & Tetrick, 2012), findings revealed that approximately 33% of urban AI/AN girls were 15 years or younger at first intercourse compared with 14% of girls overall (Finer & Philbin, 2013). Of those urban AI/AN youth engaging in sex, 38% report having unprotected sex at first intercourse and 61% reported not using any method of contraception at the time they were interviewed (Rutman et al, 2012).…”

Section: American Indian/alaska Native Sexual Risk Behaviorsmentioning

confidence: 99%

Teen Pregnancy Prevention Program Recommendations from Urban and Reservation Northern Plains American Indian Community Members

McMahon

Hanson

Griese

et al. 2015

American Journal of Sexuality Education

View full text Add to dashboard Cite

Despite declines over the past few decades, the United States has one of the highest rates of teen pregnancy compared to other industrialized nations. American Indian youth have experienced higher rates of teen pregnancy compared to the overall population for decades. Although it's known that community and cultural adaptation enhance program effectiveness, few teen pregnancy prevention programs have published on recommendations for adapting these programs to address the specific needs of Northern Plains American Indian youth. We employed a mixed-methods analysis of 24 focus groups and 20 interviews with a combined total of 185 urban and reservation-based American Indian youth and elders, local health care providers, and local school personnel to detail recommendations for the cultural adaptation, content, and implementation of a teen pregnancy prevention program specific to this population.Gender differences and urban /reservation site differences in the types of recommendations offered and the potential reasons for these differences are discussed. This is an Open Access article. Non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly attributed, cited, and is not altered, transformed, or built upon in any way, is permitted. The moral rights of the named author(s) have been asserted. KEYWORDS American Indian, teen pregnancy prevention, program recommendations 218 Teen Pregnancy Prevention Program Recommendations 219 INTRODUCTIONAlthough adolescents of all races and ethnicities engage in behaviors such as unprotected sex and substance use that increase their risk for sexually transmitted infections (STIs) and teen pregnancies (Eaton et al., 2012), American Indian/Alaska Native (AI/AN) youth experience disproportionately higher rates of teen pregnancy compared with the overall population (de Ravello, Jones, Tulloch, Taylor, & Doshi, 2014). Furthermore, while the birth rate for U.S. teens aged 15-19 has dropped in 18 of the past 20 years, changes in the annual birth rates for AI/AN teens have been less consistent over the past two decades and have remained notably higher than those of non-Hispanic Whites and Asian/Pacific Islanders (Solomon-Fears, 2013). For example, in 2012, the birth rates for AI/AN teens was 34.9 per 1,000 live births while the national rate reached a historic low of 29.4 and the rate for non-Hispanic White teens was lower yet at 20.5 (Martin, Hamilton, Osterman, Curtin, & Mathew, 2013). AMERICAN INDIAN/ALASKA NATIVE SEXUAL RISK BEHAVIORSPrevious findings regarding adolescent sexual behavior also reveal that a greater proportion of urban AI/AN youth engage in sex at younger ages and are less often using any method of contraception compared to the overall population (de Ravello et al., 2014). Specifically, in a study examining the reproductive health and behaviors of urban AI/AN girls through data gathered from the 2002 National Survey of Family Growth (Rutman, Taualii, Ned, & Tetrick, 2012), findings revealed that approximately 33% of urban AI/...

show abstract

“…Nos países com maior nível educacional, os quais possuem mídia educativa e programas de ensino que incluem a educação sexual nas escolas, a iniciação sexual ocorre mais tarde 16 . Entre adolescentes americanos, a atividade sexual é rara antes dos 12 anos, ocorre em 30% dos adolescentes entre 15 e 16 anos e a maioria deles, entre 17 e 19 anos, é sexualmente ativa 17 .…”

Section: Introductionunclassified

Aspectos da atividade sexual precoce

Lara

Abdo

2015

Rev. Bras. Ginecol. Obstet.

View full text Add to dashboard Cite

IntroduçãoA adolescência é caracterizada por acentuadas mudanças corporais e psíquicas devidas à crescente produção hormonal que influencia o desenvolvimento emocional e o comportamento. A Organização Mundial da Saúde (OMS) considera adolescência o período entre 10 e 19 anos de idade. No Brasil, o Estatuto da Criança e do Adolescente (Lei nº 8.069/1990) a define como a faixa etária entre 12 e 18 anos 1 . As implicações jurídicas dessas definições são, às vezes, contrárias ao direito da população adolescente e podem interferir na prestação de cuidado à saúde física e emocional dessa população. O Ministério da Saúde do Brasil adverte que os adolescentes podem ser atendidos sozinhos, caso o desejem, e que devem ter a garantia de que as informações oferecidas nesse atendimento não serão repassadas aos seus pais e/ou responsáveis, bem como aos seus pares, sem concordância explícita 2 .A expressão afetiva, emocional e erótica do adolescente reflete a expressão do seu comportamento sexual, que é construído no seio familiar desde a mais tenra idade. Nesse processo, os pais têm um papel fundamental, pois são eles os primeiros a auxiliar a criança a interpretar o ambiente em que vivem, e são a primeira referência para a criança que passa a mimetizar suas ações. A partir do convívio social, a aprendizagem da criança se amplia, incorporando diferentes parâmetros conceituais advindos do meio. O comportamento adotado resultará da interpretação desses diferentes ambientes, refletindo na expressão da sexualidade, ou seja, na forma com que o adolescente expressa a sua feminilidade, masculinidade ou ambas 3 . Um ambiente de violência física, emocional, sexual ou de negligência pode repercutir sobre o comportamento sexual do adolescente 4,5 . Por outro lado, um relacionamento assertivo com os pais tem reflexo positivo sobre sua sexualidade e saúde geral 6 .O médico, especialmente o ginecologista, tem um papel importante na orientação sexual do adolescente visando sua saúde sexual 7 , mas a formação desse profissional para a abordagem da sexualidade é insipiente em nosso meio 8 . Isso contribui para que as orientações oferecidas por esse profissional sejam mais direcionadas para os riscos de doenças sexualmente transmissíveis (DSTs) e da gravidez não planejada em detrimento da abordagem do sexo como forma de prazer e informações sobre os riscos relacionados com a iniciação

show abstract

Sexual Initiation, Contraceptive Use, and Pregnancy Among Young Adolescents

Cited by 211 publications

References 8 publications

Repercussão da iniciação sexual na vida sexual e reprodutiva de jovens de capital do Nordeste brasileiro

Repercussão da iniciação sexual na vida sexual e reprodutiva de jovens de capital do Nordeste brasileiro

Teen Pregnancy Prevention Program Recommendations from Urban and Reservation Northern Plains American Indian Community Members

Aspectos da atividade sexual precoce

Contact Info

Product

Resources

About