Teenage pregnancy in the first year of the COVID-19 pandemic in Brazil

Monteiro, Denise Leite Maia; Monteiro, Ida Peréa; Machado, Márcia Sacramento Cunha; Bruno, Zenilda Vieira; Silveira, Filomena Aste; Rehme, Marta Francis Benevides; Takiuti, Albertina Duarte; Rodrigues, Nádia Cristina Pinheiro

doi:10.1590/1806-9282.20221465

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…17 Conversely, Latin America, particularly Brazil, experienced a decrease in unplanned adolescent pregnancies during the first year of the pandemic likely due to enforced social distancing measures. 18 These data, however, may not have fully captured the long-term risks of AP due to COVID-19 mitigation efforts, did not differentiate between high-risk groups and were not representative of all Latin American countries. 19 In Peru, there was a slight increase in AP in 2021, especially in the selva or jungle region, although it is unclear if this was a result of the pandemic as the study used live birth certificate data.…”

Section: Bmj Global Healthmentioning

confidence: 99%

“…A systematic review examining the effect of COVID-19 on adolescent health, education, and other social and economic factors in low-income and middle-income countries found that increased AP rates were influenced by school closures, peer pressure, lack of family planning and economic pressures 17. Conversely, Latin America, particularly Brazil, experienced a decrease in unplanned adolescent pregnancies during the first year of the pandemic likely due to enforced social distancing measures 18. These data, however, may not have fully captured the long-term risks of AP due to COVID-19 mitigation efforts, did not differentiate between high-risk groups and were not representative of all Latin American countries 19…”

Section: Introductionmentioning

confidence: 99%

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The downstream effects of COVID-19 on adolescent girls in the Peruvian Amazon: qualitative findings on how the pandemic affected education and reproductive health

Woodson,

Garcia Saldivar,

Brown

et al. 2024

BMJ Glob Health

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Due to COVID-19, schools were closed to mitigate disease spread. Past studies have shown that disruptions in education have unintended consequences for adolescents, including increasing their risk of school dropout, exploitation, gender-based violence, pregnancy and early unions. In Peru, the government closed schools from March 2020 to March 2022, declaring a national emergency that affected an estimated 8 million children. These closures may have unintended consequences, including increased adolescent pregnancy, particularly in Peru’s rural, largely indigenous regions. Loreto, located in the Peruvian Amazon, has one of the highest adolescent pregnancy rates in the country and poor maternal and child health outcomes. The underlying causes may not be fully understood as data are limited, especially as we transition out of the pandemic. This qualitative study investigated the downstream effects of COVID-19 on adolescent education and reproductive health in Loreto’s districts of Nauta and Parinari. In-depth interviews (n=41) were conducted with adolescents and community leaders. These were held in June 2022, 3 months after the reinstitution of in-person classes throughout Peru. Focus group discussions (FGDs) were also completed with community health workers and educators from the same study area in October 2022 to supplement our findings (3 FGDs, n=15). We observed that the economic, educational and health effects of the COVID-19 pandemic contributed to reduced contraceptive use, and increased school abandonment, early unions and adolescent pregnancy. The interplay between adolescent pregnancy and both early unions and school abandonment was bidirectional, with each acting as both a cause and consequence of the other.

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Section: Bmj Global Healthmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The downstream effects of COVID-19 on adolescent girls in the Peruvian Amazon: qualitative findings on how the pandemic affected education and reproductive health

Woodson,

Garcia Saldivar,

Brown

et al. 2024

BMJ Glob Health

View full text Add to dashboard Cite

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Impact of COVID-19 Lockdowns on Rates of Adolescent Pregnancies: A Systematic Review

Hookham,

Alger,

Endler

et al. 2024

Preprint

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Background: Education is known to protect adolescent girls from unplanned pregnancy. School closures were component of COVID-19 “lockdown measures”. The impact of these measures on adolescent pregnancy worldwideis unknown. Methods: We performed a systematic review to find evidence of the impact of “lockdowns” and school closures on adolescent pregnancy events during the COVID-19 pandemic. Databases including Pubmed, EMBASE, CINAHL, WHO Index Medicus, and Literatura Latinoamericana y Caribe en Ciencias de la Salud (LILACS) were searched. Studies that provided data on pregnancy rates in girls aged 10-19 before, during, and after the onset of the COVID-19 pandemic (defined as March 2020) were eligible for inclusion. Extracted data included study design, study location, age of participants, exposure period, and percentage or pregnancy rate data. Findings: On August 21st, 2023, 3049 studies were screened, with 79 eligible for full-text review. Ten studies were included in the final review: Seven performed in Africa (Uganda, Kenya, South Africa, and Ethiopia), and three in the Americas (USA and Brazil). Adolescent pregnancy increased in six out of the seven African studies while a decrease or no change was noted in USA and Brazil.All studies were at a high risk of bias. Interpretation: Adolescent pregnancy rates during the COVID-19 pandemic may have substantially increased in sub-Saharan Africa. Data scarcity and low-quality evidence are significant limitations. The dynamic relationship between lockdown measures and adolescent pregnancies warrants ongoing multifaceted research and adaptive policies to safeguard adolescent sexual and reproductive health during health crisis. Systematic Review Registration: PROSPERO registration number CRD42022308354.

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Teenage pregnancy in the first year of the COVID-19 pandemic in Brazil

Cited by 2 publications

References 2 publications

The downstream effects of COVID-19 on adolescent girls in the Peruvian Amazon: qualitative findings on how the pandemic affected education and reproductive health

The downstream effects of COVID-19 on adolescent girls in the Peruvian Amazon: qualitative findings on how the pandemic affected education and reproductive health

Impact of COVID-19 Lockdowns on Rates of Adolescent Pregnancies: A Systematic Review

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