Early union, ‘disgrasya’, and prior adversity and disadvantage: pathways to adolescent pregnancy among Filipino youth

Abstract

Background Few studies explore what it means to be an adolescent parent in the Philippines from the young parents’ perspective. This study sought to improve understanding of how adolescent mothers and young fathers experienced pregnancy in Palawan, Philippines. Methods We conducted narrative analysis of 27 semi-structured interviews with 15 Filipino young parents. Findings Our findings point to three pathways to adolescent pregnancy differentiated by life circumstances and perceived self-efficacy: through early unions, through ‘disgrasya’ (accident) in romantic relationships, and when pregnancy is directly related to adversity and disadvantage. Some young people adopted agentic narratives and had intended pregnancies within early unions. Young people who had unintended pregnancies in romantic relationships recounted constrained choice narratives, taking responsibility for their decisions while emphasising external factors’ influence on their decision-making. Other young mothers described the ways that prior adversity and disadvantage gave rise to unfavourable circumstances—including sexual violence—that led to unintended pregnancy but shared narratives showing how they had reclaimed agency in their lives. Conclusion Our findings highlight the need to (1) address underlying poverty and structural inequalities that limit Filipino young people’s life choices and contribute to their pathways to adolescent pregnancy; (2) provide Filipino young people with access to essential sexual and reproductive health information, services, and supplies; and (3) change social norms to rectify gender-based power imbalances and sexual violence.

From ‘Pen Sao’ to ‘Tue Pa’: Understanding diverse pathways to adolescent pregnancy in Lao People’s Democratic Republic through qualitative investigation with girls in Vientiane Capital, Vientiane Province, and Luang Namtha

“…In our study, about half of participants in the post-union pathways and most of the participants in the pre-union pathways experienced sexual debut before union, indicating discordance between social ideals disapproving of premarital sex and young people's lived realities. This aligns with similar research from the Philippines noting that even amid social disapproval of premarital sex, many young people engage in sexual relations before cohabitation or marriage [41,42]. Others have noted that while premarital sex is stigmatised and not socially accepted in Lao culture [12,17,34], in certain areas (i.e., rural, and rural-off-road) and ethnic minority communities, traditional values, beliefs, and practices are more permissive regarding adolescent premarital sexual relations [10,18,43].…”