Predictors of Inconsistent Contraceptive Use among Adolescent Girls: Findings from a Prospective Study

Davies, Susan L.; DiClemente, Ralph J.; Wingood, Gina M.; Person, Sharina D.; Dix, Emily S.; Harrington, Kathy; Crosby, Richard A.; Oh, Kim

doi:10.1016/j.jadohealth.2005.10.011

Cited by 65 publications

(52 citation statements)

References 35 publications

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“…Ignorance, aggravated by cultural taboos to discuss sex with one's parents, combined with real or perceived peer group pressure to engage in sexual activities, cause unnecessary heartache for many young women. The study by Davies et al (2006) indicated that the use of contraceptives has increased amongst adolescents in recent years. Whereas Manlove, Terry, Gitelson, Pappilo and Russel (2000) said that the consistent reliance on effective forms of contraception remains low.…”

Section: Introduction Problem Statementmentioning

confidence: 99%

“…Whereas Manlove, Terry, Gitelson, Pappilo and Russel (2000) said that the consistent reliance on effective forms of contraception remains low. Reasons for inconsistent contraceptive use are not easily characterised as they are diverse and complex (Davies et al 2006). Understanding teenage pregnancy involves recognising the complexities surrounding teenagers' attitudes and knowledge about the use of contraceptives (Phipps et al 2008).…”

Section: Introduction Problem Statementmentioning

confidence: 99%

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Factors contributing to teenage pregnancy in the Capricorn district of the Limpopo Province

Mothiba

Maputle

2012

curationis

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Teenage pregnancy refers to pregnancy of a woman of less than 19 years. It is found commonly amongst young people who have been disadvantaged and have poor expectations with regard to either their education or job market. Adolescents may lack knowledge of access to conventional methods of preventing pregnancy, as they may be afraid to seek such information. The study purpose was to identify factors contributing to teenage pregnancy in one village in the Capricorn District of the Limpopo Province.

A quantitative descriptive research approach was chosen. Population consisted of all pregnant teenagers attending antenatal care during June to August 2007 at one clinic in the Capricorn District of the Limpopo Province. Simple random probability sampling was used to include 100 pregnant teenagers who satisfied the inclusion criteria. Data were collected through structured self-administered questionnaires. Descriptive statistical data analysis was used. Ethical considerations were ensured.

Findings were classified as demographic data where 24% of the respondents were aged between 15–16 years and 76% were aged between 17–19 years. Findings further revealed that 60% of the respondents started to engage in sex at 13–15 years; 48% of the teenagers’ partners were 21 years and above, 44% depended on a single parents’ income; 20% father’s income, 16% received a social grant and 8% lived on the pension fund of the grandparents.

Pregnancy prevention strategies were recommended based on the results. The strategies focused on reproductive health services, male involvement and adult-teenager communication programmes.

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Section: Introduction Problem Statementmentioning

confidence: 99%

Section: Introduction Problem Statementmentioning

confidence: 99%

Factors contributing to teenage pregnancy in the Capricorn district of the Limpopo Province

Mothiba

Maputle

2012

curationis

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Pregnancy prevention strategies were recommended based on the results. The strategies focused on reproductive health services, male involvement and adult-teenager communication programmes.

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“…26 No entanto, diversos autores têm chamado a atenção para a necessidade de avaliar a decisão de engravidar nas investigações com adolescentes. 22,[27][28][29] Segundo Sheeder, Tocce e Stevens-Simon, 29 por exemplo, contrariamente ao que se verifica em mulheres adultas, o planeamento da gravidez em adolescentes não se associa a melhores cuidados pré-natais nem a melhores resultados obstétricos, devendo constituir motivo de preocupação. Em Portugal, apesar da escassez de dados nacionais posteriores a 1997, 26 investigações regionalmente circunscritas revelam que 30% das grávidas adolescentes estudadas nos Açores 4 e 15% e 27% das inquiridas no Norte e no Sul do país planearam a gravidez.…”

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“…Relativamente aos contextos relacionais subjacentes a estes acontecimentos e decisões, o envolvimento com múl-tiplos parceiros sexuais tem sido considerado de risco para comportamentos contracetivos desadequados, 28 assim como as relações ocasionais, quando comparadas com as relações de namoro. 36 No entanto, estudos nacionais revelam a inexistência de diferenças no número de parceiros entre adolescentes grávidas e sem história de gravidez residentes em Portugal continental 30 e concluem que apenas 2% das gravidezes ocorreram numa relação ocasional.…”

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Trajetórias Relacionais e Reprodutivas Conducentes à Gravidez na Adolescência: a Realidade Nacional e Regional Portuguesa

et al. 2014

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Introduction:The current study aimed to describe the relational and reproductive trajectories leading to adolescent pregnancy in Portugal, and to explore whether there were differences in this process according to adolescents' place of residence. Material and Methods: Data were collected between 2008 and 2013 in 42 public health services using a self-report questionnaire developed by the researchers. The sample consisted of a nationally representative group of pregnant adolescents (n = 459). Results: Regardless of having had one (59.91%) or multiple sexual partners (40.09%), the majority of adolescents became pregnant in a romantic relationship, using contraception at the time of the conception and knowing the contraceptive failure which led to pregnancy (39.22%). In some regions other trajectories were highly prevalent, reflecting options such as planning the pregnancy (Alentejo Region/ Azores Islands), not using contraception (Centro Region/Madeira Islands) or using it incorrectly, without identifying the contraceptive failure (Madeira Islands). On average, romantic relationships were longer than 19 months and adolescents' partners were older than themselves (> 4 years) and no longer in school (75.16%); these results were particularly significant when the pregnancy was planned. Discussion: The knowledge gained in this study shows that prevention efforts must be targeted according to the adolescents' needs in each region and should include high-risk male groups. Conclusion: Our results may enable more efficient health policies to prevent adolescent pregnancy in different country regions and support educators and health care providers on sexual education and family planning efforts.

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“…The mean age at menarche is 12 years; most adolescents engage in first sexual intercourse, on average, 3 years later and have multiple sexual partners. Non-nuclear family structures have been related to low parental supervision, which increases adolescents' likelihood of engaging in risky behaviours (Brauner-Otto & Axinn, 2010), as well as having multiple sexual partners (Davies et al, 2006).…”

Section: Relationship Characteristicsmentioning

confidence: 99%

Sociodemographic, sexual, reproductive and relationship characteristics of adolescents having an abortion in Portugal: a homogeneous or a heterogeneous group?

Pereira

Pires

Pedrosa

et al. 2016

The European Journal of Contraception & Reproductive Health

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Objectives: The aims of the study were to describe the sociodemographic, sexual, reproductive and relational characteristics of adolescents having an abortion in Portugal and to explore the differences between three adolescent age groups. Methods: We recruited a nationally representative sample of 224 adolescents (<16 years, n = 18; 16-17 years, n = 103; 18-19 years, n = 103) who had an abortion. Data were collected from 16 health care services that provide abortion. Results: The adolescents were predominantly single, were from non-nuclear families, had low-socioeconomic status and were students. Mean age at first sexual intercourse was 15 years and mean gynaecological age was 5 years. Most had had multiple sexual partners, and for most it was their first pregnancy. At conception, the majority were involved in a long-term romantic relationship, were using contraception but did not identify the contraceptive failure that led to the pregnancy.Significant age group differences were found. Compared with the younger age groups, the 18-19 years age group was more frequently married or living with a partner, had finished school, had attained a higher educational level (as had their partner), intended to go to university, and had a greater number of sexual partners. Compared with the other groups, those under 16 years of age reported earlier age at menarche and at first sexual intercourse, and had a lower gynaecological age. Conclusions: Our study characterises the life contexts of Portuguese adolescents who had an abortion. It highlights the need to recognise the heterogeneity of this group according to age.The findings have important implications for the development of age-appropriate guidelines to prevent unplanned pregnancy.

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Predictors of Inconsistent Contraceptive Use among Adolescent Girls: Findings from a Prospective Study

Cited by 65 publications

References 35 publications

Factors contributing to teenage pregnancy in the Capricorn district of the Limpopo Province

Factors contributing to teenage pregnancy in the Capricorn district of the Limpopo Province

Trajetórias Relacionais e Reprodutivas Conducentes à Gravidez na Adolescência: a Realidade Nacional e Regional Portuguesa

Sociodemographic, sexual, reproductive and relationship characteristics of adolescents having an abortion in Portugal: a homogeneous or a heterogeneous group?

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