Adolescent pregnancy and associated factors in South African youth

Mchunu, Gugu; Peltzer, Karl; Tutshana, Bomkazi; Seutlwadi, Lebogang

doi:10.4314/ahs.v12i4.5

Cited by 117 publications

(163 citation statements)

References 21 publications

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“…15 Several studies have reported that pregnancy restricts employment and educational opportunities among adolescent women and that women may have to interrupt their education due to pregnancy. [16][17][18][19] Higher levels of pregnancy have been observed among adolescent women who do not wish to go to school and who wish to be pregnant compared to those who continue in school and do not wish to be pregnant. 20 Additionally, pregnancy hinders education in this period and lack of education emerges as a cause of adolescent pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…16 Unwanted pregnancy can be harmful to both mother and baby, and also increases levels of depression and anxiety. 17 One study investigating the extent to which pregnancies in adolescence were desired determined that 24% of participants wanted their pregnancy or were uncertain about becoming pregnant in the following year, that the desire for pregnancy increased with age and that this desire decreased in the event of a relationship lasting less than 6 months or of an elevated perception of stress.…”

Section: Discussionmentioning

confidence: 99%

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An Evaluation of Sociodemographic Characteristics and Pregnancy-Related Psychological Problems in Pregnant Adolescents

Kara¹,

Doğan²,

Alyanak³

et al. 2017

Ankara Medical Journal

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Objectives: Pregnancy in adolescence may involve more psychological problems and socioeconomic difficulties compared to pregnancies in adulthood. The purpose of this study was to identify socioeconomic characteristics and psychological problems that may give rise to such difficulties. Materials and Methods: This case-control study was performed with pregnant women presented to the Istanbul Bakırköy Dr. Sadi Konuk Training and Research Hospital Gynecology and Obstetrics Department. The study group consisted of 85 pregnant adolescents aged 13-19 and the control group consisted of 50 pregnant adults aged 20 or over. Subjects were evaluated by face-to-face interviews using an information form prepared by specialist psychiatrists. Results:The study group and their partners had lower levels of education compared to the control group. The members of the study group had more siblings than the control group. Adolescent pregnants were found to be as ready for motherhood as adults and desire to become pregnant as much as adult pregnants. There was no significant difference between the control group and the study group in terms of suicidal ideation and suicide attempt. The study group described no increase in psychological problems and difficulties during pregnancy. Indeed, periods of intense unease and distress during pregnancy were significantly less than the control group. Conclusion: Adolescent pregnancies are affected by large families and lower levels of education. Contrary to expectation, pregnant adolescents in Turkey reported no greater incidence of psychological problems. This may be due to a sociocultural perception of the functional value of motherhood in the country and to a positive attitude towards adolescent pregnancies. Key words: Adolescent pregnancy, risk factors, family characteristics, education Öz Amaç: Adölesan dönemde yaşanan gebelik yetişkinlik dönemi gebeliklerine oranla daha çok ruhsal soruna ve sosyoekonomik zorluklara sahip olabilir. Çalışmamızın amacı, gebe adölesanlarda bu sorunlara neden olabilecek sosyodemografik özellikleri ve ruhsal sorunları tanımlamaktır. Materyal ve Metot: Çalışmamız İstanbul Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Kliniği'ne başvurmuş gebeliğe sahip hastalar ile yürütülen vaka-kontrol çalışmasıdır. Çalışma grubu 13-19 yaş aralığında gebeliğine sahip 85 adölesan gebeden, kontrol grubu 20 yaş ve üzeri gebeliğe sahip 50 yetişkin gebeden oluşmaktadır. Katılımcılar psikiyatri uzmanları tarafından hazırlanmış bilgi formu ile karşılıklı görüşmeler yapılarak değerlendirilmiştir. Bulgular: Çalışma grubunun ve eşlerinin kontrol grubuna kıyasla daha düşük eğitim düzeyine sahip olduğu görüldü. Çalışma grubunun kontrol grubundan daha fazla sayıda kardeşe sahip olduğu saptandı. Adölesan gebelerin kendilerini erişkin gebeler kadar anneliğe hazır hissettikleri ve erişkin gebeler kadar gebeliği arzu ettikleri saptandı. Kontrol grubu ile çalışma grubu arasında intihar düşüncesi ve intihar girişimi açısından anlamlı fark saptanmadı. Çalış...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

An Evaluation of Sociodemographic Characteristics and Pregnancy-Related Psychological Problems in Pregnant Adolescents

Kara¹,

Doğan²,

Alyanak³

et al. 2017

Ankara Medical Journal

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“…Reproduktiewe en neonatale gesondheid verteenwoordig nog 'n groot kommer onder hierdie jong vroue, met 19% Suid-Afrikaanse vroue wat 'n tienerswangerskap (10-19 jaar oud) gehad het, waarvan 16% ongewens was (Mchunu et al 2012). SOI's, soos Chlamydia, kan tot pelviese inflammatoriese siekte en onvrugbaarheid lei.…”

Section: Inleidingunclassified

Hoë voorkomskoers van bakteriële vaginose en Chlamydia in ’n lae-inkomste, hoë-bevolkingsdigtheid gemeenskap in Kaapstad

Lennard

Dabee

Barnabas

et al. 2017

Suid-Afrikaanse Tydskr Natuurwetenskap Tegnol

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Jong Suid-Afrikaanse vroue uit hulpbron-arm gemeenskappe staar verskeie uitdagings in die gesig in terme van hulle seksuele en reproduktiewe gesondheid. Hier beskryf ons die voorkoms van vaginale mikrobiota en seksueel oordraagbare infeksies (SOI's) onder 102; 16-22-jarige MIVnegatiewe Suid-Afrikaanse vroue uit 'n lae-inkomste, hoë-bevolkingsdigtheid gemeenskap in Kaapstad. Vaginale mikrobiota is met behulp van 16S rRNA amplikon volgorde-bepaling geprofileer; bakteriese vaginose (BV) status is met behulp van 'n Nugent-telling vasgestel; en SOI's is deur middel van 'n multipleks polimerase kettingreaksie bepaal. SOI's was algemeen, met 55% van die vroue wat ten minste een SOI gehad het; 41% wat met hoë-risiko menslike papillomavirus (MPV) besmet was, en 'n verdere 28% wat met laerisiko-MPV besmet was; 44% van die vroue was met Chlamydia besmet waarvan 16% een of meer addisionele SOI gehad het. BV persentasies was ook baie hoog met 55% van die vroue wat as BV-positief (Nugent-telling ≥7) geklassifiseer is, 7% as BVintermediêr (Nugent-telling 3-6), en 38% as BV-negatief (Nugent-telling 0-2). Streptococcus (Streptococcus agalactiae), die grootste oorsaak van neonatale sepsis, was teenwoordig in 25% van die BV-positiewe vroue en 28% van die BV-negatiewe vroue, en was dus meer onder BV-negatiewe vroue. Chlamydia-infeksie sowel as BV kan reproduktiewe gesondheid nadelig beïnvloed en verhoog hierdie vroue se risiko vir die verkryging van MIV. Die voorkoms van veral Prevotella amnii kan die MIV-risiko verhoog as gevolg van sy inflammatoriese kapasiteit. Laboratoriumgebaseerde toetsing vir SOI's (veral Chlamydia en Gonorrhoeae) blyk in hierdie gemeenskap geregverdig te wees, tesame met verdere monitering en/of behandeling van BV. High rates of bacterial vaginosis and Chlamydia in a low-income, high-population-density community in Cape Town. Young South African women, from resource-poor communities, face several sexual and reproductive health challenges. Here we describe the vaginal microbiota and sexually transmitted infection (STI) prevalence of 102; 16-22-year-old, HIV-negative South African women from a low-income, high-population-density community in Cape Town (CPT). Vaginal microbiota were profiled using 16S rRNA amplicon sequencing; bacterial vaginosis (BV) status was established using Nugent scoring; and STIs were determined by multiplex polymerase chain reaction. STIs were common, with 55% of women having at least one STI; 41% were infected with high-risk human papilloma virus (HPV) and a further 28% with low-risk HPV; 44% were infected with Chlamydia, 16% of whom had at least one additional STI. Similarly, BV rates were very high, with 55% of women classified as BV-positive (Nugent score ≥7); 7% as BV-intermediate (Nugent score 3-6) and 38% as BV-negative (Nugent 0-2). Group B Streptococcus (Streptococcus agalactiae), the leading cause of neonatal sepsis, was present in 25% of BV-positive women and 28% of BV-negative women, and was significantly more abundant among BV-negative women. Both Chlamydia infection and ...

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“…Sin embargo, ha sido limitado el estudio y sobre todo la comprensión de los factores que poseen en particular los adolescentes para tener un embarazo en la adolescencia. Igualmente, en la literatura académica se indica la necesidad de llevar a cabo mayor cantidad de estudios en dicho sentido 18 . A su vez, se ha publicado que las investigaciones en el tema de embarazo adolescente ofrecen algunas limitaciones como la baja validez de los datos y la escasa disposición de bases estadísticas sólidas y específicas, las cuales no ofrecen una herramienta importante para realizar inferencia y generalización de los resultados 7 .…”

Section: Introducción Embarazo Adolescente Situación Y Consecuenciasunclassified

Factores asociados al embarazo en adolescentes de 13 a 19 años en el municipio de Buenaventura, Colombia

Barona

Oliveros

Amaya

2017

revsal

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Adolescent pregnancy and associated factors in South African youth

Abstract: Background: Adolescent pregnancy, occurring in girls aged 10-19 years, remains a serious health and social problem worldwide, and has been associated with numerous risk factors evident in the young people's family, peer, school, and neighbourhood contexts.

Cited by 117 publications

References 21 publications

An Evaluation of Sociodemographic Characteristics and Pregnancy-Related Psychological Problems in Pregnant Adolescents

An Evaluation of Sociodemographic Characteristics and Pregnancy-Related Psychological Problems in Pregnant Adolescents

Hoë voorkomskoers van bakteriële vaginose en Chlamydia in ’n lae-inkomste, hoë-bevolkingsdigtheid gemeenskap in Kaapstad

Factores asociados al embarazo en adolescentes de 13 a 19 años en el municipio de Buenaventura, Colombia

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