“…Among these factors are macrosocial factors including (1) sociocultural norms, such as the increase in commonality of early sexual initiation, the need to have children to demonstrate femininity, low societal expectations for women, and the cultural perception that the basic role of women is reproduction and domestic work (Pantelides, 2004;Remez, 1989;Stern, 2004;Torres, 1998); (2) the characteristics of the neighborhood/community (Crane, 1991;Hogan and Kitagawa, 1985;Pantelides, 2004;Singh, Darroch, and Frost, 2001); and (3) public policies, particularly those related to the provision of health services, sexual education, and family planning (Flórez, 2005;Flórez and Núñez, 2001;Flórez et al, 2004;Pantelides, 2004). Other factors associated with adolescent fertility are exposure to the risk of pregnancy, such as age at first sexual intercourse, early marriage/union, knowledge and use of contraceptives, and availability/legality of abortion (Barrega and Higuera, 2004;Flórez, 2005;Flórez and Núñez, 2001;Flórez et al, 2004;Stern, 2004). Lastly, some authors have argued that there is social vulnerability to teenage pregnancies, meaning that adolescent pregnancy is more prevalent among the groups that are structurally or temporarily excluded (Singh, Darroch, and Frost, 2001;Stern, 2004).…”