Las adolescentes frente a la decisión de interrumpir un embarazo en un contexto de aborto legal

Ituarte, María Luisa; López-Gómez, Alejandra

doi:10.1590/0102-311x00235219

Cited by 9 publications

(5 citation statements)

References 14 publications

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“…However, the latest available SIP data show that the share of unplanned pregnancies in adolescents' births remains stable despite the possibility of interrupting unwanted or mistimed pregnancies and the supply of free implants. We can envision at least two explanations for this paradoxical finding: (a) problems with the filling out of medical records because adolescent pregnancies are most often assumed to be unplanned; and (b) the gestational limit of 12 weeks rules out those women who recognize pregnancy later, which is common in adolescence because of psychological mechanisms of denial, difficulties in assessing future consequences, and poor sexual education (see for Uruguay Ituarte and López-Gómez, 2021; and for Mexico see Saavedra-Avendano et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…There is still scarce research on the effects of abortion reform, partly because it is very recent and also because access to information is limited. Most of the reviewed papers have analyzed the progress of the law from different perspectives, particularly from health sciences (Fiol et al 2016;Labandera, Gorgoroso, and Briozzo 2016), social sciences (Ituarte and López-Gómez 2021;López-Gómez and Couto 2017), and the implementation of legal abortion services (MYSU 2014(MYSU , 2015(MYSU , 2016a(MYSU , 2016b(MYSU , 2017. To our knowledge, Antón, Ferre, and Triunfo (2018) is the only previous study that has used impact evaluation techniques.…”

Section: Introductionmentioning

confidence: 99%

“…There is still scarce research on the effects of the abortion reform, partly because it is very recent and also because access to information is limited. Most of the reviewed papers have analyzed the progress of the law from different perspectives, particularly from health sciences (Fiol et al, 2016;Labandera et al, 2016); social sciences (Ituarte and López-Gómez, 2021;López-Gómez and Couto, 2017); and the implementation of legal abortion services (MYSU, 2014(MYSU, , 2015(MYSU, , 2016a(MYSU, , 2016b(MYSU, , 2017. To our knowledge, Antón et al (2018) is the only previous study that has used impact evaluation techniques.…”

Section: Introductionmentioning

confidence: 99%

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Abortion Legalization in Uruguay: Effects on Adolescent Fertility

Cabella

Velázquez

2022

Studies in Family Planning

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The Latin American and Caribbean adolescent fertility rates are among the highest in the world: about . million children are born to teen mothers every year, and most of them are declared unintended pregnancies. The region also has the highest rate of unintended pregnancy of any world region, and nearly half of such pregnancies end in abortion. However, fewer than  percent of the region's women live in countries where abortion is broadly legal. This paper estimates the causal effect of abortion legalization on adolescent fertility in Uruguay using official data on legal abortions provided after the  reform. We employed a difference-in-differences strategy, classifying states by whether they are responsive or unresponsive to the reform. The results suggest that abortion reform had a negative impact on the adolescent birth rate by .-. births per thousand adolescents aged - (a  percent decrease from the preintervention average). Additionally, we exploited variation in reform implementation intensity through the estimation of fixed-effect linear regression models and found consistent results. Our findings are robust to controlling for a concurrent large-scale program of contraceptive implants. We conclude that legislation aimed at enhancing rights and reducing avoidable deaths and complications from unsafe abortions may also have spillover effects that help reduce adolescent fertility.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Abortion Legalization in Uruguay: Effects on Adolescent Fertility

Cabella

Velázquez

2022

Studies in Family Planning

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“…Ituarte et al, 2021 [92] The article is not in English Chainok L. et al, 2022 [93] The aim of study was different (i.e., search of undergoing legal abortion)…”

Section: Institutional Review Board Statement: Not Applicable In Reviewsmentioning

confidence: 99%

Factors Influencing Abortion Decision-Making of Adolescents and Young Women: A Narrative Scoping Review

Koiwa,

Shishido,

Horiuchi

2024

IJERPH

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Introduction: Globally, about half of all induced abortions have been estimated to be unsafe, which results in 13% of maternal deaths yearly. Of these induced abortions, 41% of unsafe abortions have been reported in young women who are dependent on their parents for their livelihood. They are often left in a vulnerable position and may have difficulty in making a decision regarding abortion. This study aimed to (1) characterize and map factors that influence abortion decision-making of adolescents and young women, and (2) identify the care and support that they need in their decision-making process. Methods: We conducted a scoping review following the JBI method and PRISMA-ScR checklist. We comprehensively searched MEDLINE (PubMed), Embase, Cochrane Library, CINAHL, and PsycInfo, and hand searched publications in the Google Scholar database between November 2021 and October 2023. The search included all English language qualitative and mixed methods research articles published on the database up to October 2023 that included participants aged 10–24 years. The CASP checklist was used as a guide for the qualitative analysis. NVivo was used to synthesize the findings. Results: There were 18 studies from 14 countries (N = 1543 young women) that met the inclusion criteria. Three domains and eleven categories were included as follows: personal (desire for self-realization and unwanted pregnancy), interpersonal (parental impact, reaction of partner, roles of peers and friends, existence of own child, and lack of support), and social circumstances (sexual crime, financial problem, limitation of choice, and underutilized healthcare services). Decision-making factors regarding abortions were also found across all three domains. Conclusion: The abortion decision-making of young women is influenced by various external factors regardless of country. Parents are especially influential and tend to force their daughters to make a decision. Young women experienced suffering, frustration, and lack of autonomy in making decisions based on their preference. This emphasizes the importance of autonomous decision-making. In this regard, healthcare services should be used. However, there are barriers to accessing these services. To improve such access, the following are required: staff training to provide adolescent and youth-friendly health services, counseling based on women’s needs, counseling including the parents or guardians that is confidential and ethical, promotion of decision aids, and affordable accessible care.

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“…En adolescentes, existen escasos reportes nacionales e internacionales. En Uruguay, durante el 2013 y 2017, las adolescentes entre 15 -19 años representaban un 16% del total de abortos anuales 8 . La Investigación Nacional sobre aborto en Brasil del 2016, respecto del último aborto, reporta una frecuencia de 29% en adolescentes de 12 -19 años 9 .…”

Section: Perfil Sociodemográfico Y Abortounclassified

Caracterización sociodemográfica de adolescentes que tuvieron acceso a las prestaciones vinculadas con la interrupción voluntaria del embarazo por violación. Chile: 2018 - 2020

Montero Vega,

Ramírez-Pereira,

Molina González

et al. 2023

Andes pediatr

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La causal 3 de la Ley 21.030 autoriza interrumpir el embarazo por violación, mediando la voluntad de la mujer, estableciendo un límite en la edad gestacional de 14 semanas en menores de 14 años y 12 semanas en mayores de 14 años.Objetivo: Describir en el período 2018-2020 las principales variables sociodemográficas y otras vinculadas con la causal 3 en menores de 14 años, adolescentes de 14 años o más y menores de 18 años y mujeres de 18 años o más. Pacientes y Método: Diseño transversal, descriptivo y poblacional. Datos nacionales obtenidos del registro oficial del Ministerio de Salud y por Ley de Transparencia. Se utilizaron medidas de tendencia central (Mediana), de dispersión (Rango Intercuartílico), frecuencias absolutas y porcentajes.Resultados: El 31,6% de las mujeres con embarazo por violación eran menores de 18 años. Las menores de 14 viven principalmente en regiones, presentan mayor edad gestacional al constituir causal y deciden continuar el embarazo en un 31,2%. Las adolescentes de 14 años o más y menores de 18 años presentan mayor índice de pobreza multidimensional. Las mujeres de 18 años o más, concentran mayor frecuencia de extranjeras, mayor residencia en la Región Metropolitana y mayoritariamente deciden interrumpir la gestación. El 57,4% de quienes denunciaron y el 11,1% que no logró constituir causal eran menores de 18 años. Conclusiones: La violencia sexual es un problema de salud pública. El embarazo por violación en adolescentes constituye una realidad social. Debe existirevaluación y seguimiento permanente de la implementación de la Ley 21.030, garantizando el acceso oportuno, eficiente y sin discriminación a las prestaciones.

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Las adolescentes frente a la decisión de interrumpir un embarazo en un contexto de aborto legal

Cited by 9 publications

References 14 publications

Abortion Legalization in Uruguay: Effects on Adolescent Fertility

Abortion Legalization in Uruguay: Effects on Adolescent Fertility

Factors Influencing Abortion Decision-Making of Adolescents and Young Women: A Narrative Scoping Review

Caracterización sociodemográfica de adolescentes que tuvieron acceso a las prestaciones vinculadas con la interrupción voluntaria del embarazo por violación. Chile: 2018 - 2020

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