Sexual abuse and neglect situations as risk factors for adolescent pregnancy

Martínez, Miguel Restrepo; Numa, Laura Trujillo; Restrepo, Diana; Gálvis, Yolanda Torres de; Sierra, Gloria

doi:10.1016/j.rcpeng.2017.05.003

Cited by 8 publications

(11 citation statements)

References 21 publications

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“…This study found that adolescent mothers are sexually and physically abused leading to pregnancies [ 66 ] and some Western studies found similar results [ 67 ]. This may be because male adolescents are more hostile and physically violent compared to females [ 68 ] but also due to patriarchy and the devaluing of women’s roles and stereotypical gender norms which state that girls should not get pregnant, and blame girls for doing so.…”

Section: Discussionsupporting

confidence: 57%

Maternal health challenges experienced by adolescents; could community score cards address them? A case study of Kibuku District– Uganda

Apolot

Tetui

Nyachwo

et al. 2020

Int J Equity Health

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Introduction Approximately 34.8% of the Ugandan population is adolescents. The national teenage pregnancy rate is 25% and in Kibuku district, 17.6% of adolescents aged 12–19 years have begun child bearing. Adolescents mothers are vulnerable to many maternal health challenges including; stigma, unfriendly services and early marriages. The community score card (CSC) is a social accountability tool that can be used to point out challenges faced by the community in service delivery and utilization and ultimately address them. In this paper we aimed to document the challenges faced by adolescents during pregnancy, delivery and postnatal period and the extent to which the community score card could address these challenges. Methods This qualitative study utilized in-depth interviews conducted in August 2018 among 15 purposively selected adolescent women who had given birth 2 years prior to the study and had attended CSC meetings. The study was conducted in six sub counties of Kibuku district where the CSC intervention was implemented. Research assistants transcribed the audio-recorded interviews verbatim, and data was analyzed manually using the framework analysis approach. Findings This study found five major maternal health challenges faced by adolescents during pregnancy namely; psychosocial challenges, physical abuse, denial of basic human rights, unfriendly adolescent services, lack of legal and cultural protection, and lack of birth preparedness. The CSC addressed general maternal and new born health issues of the community as a whole rather than specific adolescent health related maternal health challenges. Conclusion The maternal health challenges faced by adolescents in Kibuku have a cultural, legal, social and health service dimension. There is therefore need to look at a multi-faceted approach to holistically address them. CSCs that are targeted at the entire community are unlikely to address specific needs of vulnerable groups such as adolescents. To address the maternal health challenges of adolescents, there is need to have separate meetings with adolescents, targeted mobilization for adolescents to attend meetings and deliberate inclusion of their maternal health challenges into the CSC.

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Section: Discussionsupporting

confidence: 57%

Maternal health challenges experienced by adolescents; could community score cards address them? A case study of Kibuku District– Uganda

Apolot

Tetui

Nyachwo

et al. 2020

Int J Equity Health

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“…The flexibility gained in urban contexts is offset in violent environments, thus resulting in more concentrated distributions. While our definition of a violent environment is not formal and refers only to the adoption of physical punishment methods and exposure to parental violence, the results signal the detrimental effect of family violence on Colombian women life patterns, and provides quantitative support for psychosocial studies (Restrepo Martínez et al, 2017).…”

Section: Resultsmentioning

confidence: 99%

“…Thus, rather than focusing on a specific life event, as in previous relevant studies (e.g. Gimenez Duarte et al, 2015;Azevedo et al, 2012;Restrepo Martínez et al, 2017), we adopt a broader perspective, considering a collection of events describing transition to adulthood and their relation with a set of structural baseline characteristics of the women's environment and family. Besides some of the well known relevant factors, such as cohort, region, and area (urban or rural) of residence, we also study whether a violent family context contributes to shape transition to adulthood and possibly impairs women's agency.…”

Section: Introductionmentioning

confidence: 99%

Colombian Women’s Life Patterns: A Multivariate Density Regression Approach

Wade¹,

Piccarreta²,

Cremaschi³

et al. 2021

Bayesian Anal.

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Women in Colombia face difficulties related to the patriarchal traits of their societies and well-known conflict afflicting the country since 1948. In this critical context, our aim is to study the relationship between baseline sociodemographic factors and variables associated to fertility, partnership patterns, and work activity. To best exploit the explanatory structure, we propose a Bayesian multivariate density regression model, which can accommodate mixed responses with censored, constrained, and binary traits. The flexible nature of the models allows for nonlinear regression functions and non-standard features in the errors, such as asymmetry or multi-modality. The model has interpretable covariatedependent weights constructed through normalization, allowing for combinations of categorical and continuous covariates. Computational difficulties for inference are overcome through an adaptive truncation algorithm combining adaptive Metropolis-Hastings and sequential Monte Carlo to create a sequence of automatically truncated posterior mixtures. For our study on Colombian women's life patterns, a variety of quantities are visualised and described, and in particular, our findings highlight the detrimental impact of family violence on women's choices and behaviors.

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“…"Él tenía 16 años, yo estaba viajando yo estaba en Bogotá yo llegué acá a Bucaramanga me encontré otra vez con él, nosotros éramos como amigos pero él me quería mucho, él me molestaba yo lo molestaba entonces mi mamá me mandó pa' Bogotá, yo le conté a ella que a mí me gustaba él y entonces ella me dijo que no y yo me fui para Bogotá(…) ya iba a cumplir los 12(…)estuve allá con mi hermana llegué en enero a estudiar acá y nos encontramos otra vez y él tenía una novia una muchacha y él la dejó y empezamos nosotros, los dos, pero nos veíamos a escondidas". (E. Madres adolescentes E.B_11) La adolescencia es la edad de la andancia sexual, en la que ninguna fidelidad debería ser obligatoria y en la que no sería conveniente que él o la adolescente decidan precipitadamente de una vida en pareja (Restrepo Martínez, Trujillo Numa, Restrepo Bernal, Torres de Galvis, & Sierra, 2017). La idea de un tiempo tumultuoso en la adolescencia no es nueva, y se reconoce ya en Rousseau y los románticos alemanes, en los que dicha experiencia se describe a través de los desgarres entre los impulsos instintivos y las convenciones sociales (Coslin, 2013).…”

Section: Madres Adolescentes Eb_12)unclassified

Adolescencia, sexualidad y reproducción : tres dimensiones fundamentales para la comprensión del fenómeno del embarazo adolescente.

Avellaneda

Torres

2019

Palobra palabra obra

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Este estudio tiene como propósito analizar los significados alrededor del embarazo como una situación social de alto impacto individual, familiar y cultural, desde el punto de vista de las propias adolescentes. Con un enfoque cualitativo, se entrevistó a 16 mujeres adolescentes con una edad promedio de 15 años, de la ciudad de Bucaramanga, Colombia, en situación de embarazo. Se destaca el peso del embarazo como una representación conflictiva ligada a los procesos de inicio de la sexualidad, pero además como un dispositivo de autoafirmación y proyección de las mujeres en una sociedad que no ofrece oportunidades de desarrollo personal, especialmente para las adolescentes en condiciones económicas desfavorables.

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Sexual abuse and neglect situations as risk factors for adolescent pregnancy

Cited by 8 publications

References 21 publications

Maternal health challenges experienced by adolescents; could community score cards address them? A case study of Kibuku District– Uganda

Maternal health challenges experienced by adolescents; could community score cards address them? A case study of Kibuku District– Uganda

Colombian Women’s Life Patterns: A Multivariate Density Regression Approach

Adolescencia, sexualidad y reproducción : tres dimensiones fundamentales para la comprensión del fenómeno del embarazo adolescente.

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