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Spatial analysis of the social vulnerability of adolescent pregnancy

Feliciano, Rosiane de Araujo Ferreira; Carvalho Ferriani, Maria das Gracas; Mello, Débora Falleiros de; de Carvalho, Ione Pinto; Cano, Maria Aparecida Tedeschi; de Oliveira, Luiz Antonio
Fonte: CADERNOS SAUDE PUBLICA; RIO DE JANIERO Publicador: CADERNOS SAUDE PUBLICA; RIO DE JANIERO
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
36.4%
The purpose of this study was to present a spatial analysis of the social vulnerability of teenage pregnancy by geoprocessing data on births and deaths present on the Brazilian Ministry of Health databases in order to support intersectoral management actions and strategies based on spatial analysis in neighborhood areas. The thematic maps of the educational, occupational, birth and marital status of mothers, from all births and deaths in the city, presented a spatial correlation with teenage pregnancy. These maps were superimposed to produce social vulnerability map of adolescent pregnancy and women in general. This process presents itself as a powerful tool for the study of social vulnerability.

Income inequality is associated with adolescent fertility in Brazil: a longitudinal multilevel analysis of 5,565 municipalities

Chiavegatto Filho, Alexandre Dias Porto; Kawachi, Ichiro
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
26.69%
Abstract Background Brazil has one of the highest adolescent fertility rates in the world. Income inequality has been frequently linked to overall adolescent health, but studies that analyzed its association with adolescent fertility have been performed only in developed countries. Brazil, in the past decade, has presented a rare combination of increasing per capita income and decreasing income inequality, which could influence future desirable pathways for other countries. Methods We analyzed every live birth from 2000 and from 2010 in each of the 5,565 municipalities of Brazil, a total of 6,049,864 births, which included 1,247,145 (20.6%) births from women aged 15 to 19. Income inequality was assessed by the Gini Coefficient and adolescent fertility by the ratio between the number of live births from women aged 15 to 19 and the number of women aged 15 to 19, calculated for each municipality. We first applied multilevel models separately for 2000 and 2010 to test the cross-sectional association between income inequality and adolescent fertility. We then fitted longitudinal first-differences multilevel models to control for time-invariant effects. We also performed a sensitivity analysis to include only municipality with satisfactory birth record coverage. Results Our results indicate a consistent and positive association between income inequality and adolescent fertility. After controlling for per capita income...

Análise espacial dos aglomerados de nascimentos ocorridos em hospitais SUS e não SUS no município de São Paulo, 2008; Spatial analysis of the clusters of births which occurred in hospitals of the Brazilian Unified Health System (SUS) and others (non-SUS) in the São Paulos city in 2008.

Santos, Patricia Carla dos
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 26/04/2012 PT
Relevância na Pesquisa
36.36%
Introdução: São Paulo é uma megacidade com ocupação espacial heterogênea e desigualdades em saúde. Objetivos: Verificar se há aglomerados de nascidos vivos em hospitais SUS e não SUS e estudar as distâncias entre as residências das mães até os hospitais de parto. Métodos: Foi realizado um estudo com nascidos vivos (NV) de mães residentes e ocorridos em oito hospitais (4 SUS e 4 não-SUS) de alta complexidade do município de SP, em 2008. As informações foram obtidas da base de dados das declarações de nascido vivo unificada SEADE/SES e as bases cartográficas do Centro de Estudos da Metrópole. Foi empregado estimador de intensidade de Kernel para identificar aglomerados espaciais. A distância teórica entre residências maternas até o hospital do parto foi obtida em linha reta. Resultados: Os NV estudados representaram 27,8 por cento do total do MSP. Os NV dos hospitais SUS formaram 3 aglomerados, situados em distritos periféricos. A distância média percorrida entre a residência materna e o hospital do parto foi de 9,2 km para os NV de hospitais SUS e de 9,9 km para os não-SUS. Verificou-se uma proporção maior de mães de alta escolaridade (12,8 vezes), com mais de 35 anos de idade (3,2 vezes), nascimentos com 7 ou mais consultas de pré-natal (1...

Evaluation of the Consensus Health Status Indicator for assessing adolescent pregnancies and births.

McKenna, M T; Wiesner, P J
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em //1994 EN
Relevância na Pesquisa
26.6%
The authors used vital statistics and population data for DeKalb County, GA, in an evaluation of the accuracy of the Consensus Health Status Indicator for assessing adolescent pregnancies and births. The indicator used was the number of births to females 10-17 years of age, expressed as a percentage of all births in the population. The investigators found no significant changes in the proportions of births to adolescents for the period 1982-90. Births to adolescents were 5.3 percent of all births during 1982-84 and 5.2 percent during 1988-90. However, the pregnancy rate for adolescents in those years increased significantly, from 27.9 per 1,000 births for 1982-84 to 33.1 per 1,000 for 1988-90. The results indicate that, in localities with substantial changes in the age distribution of the population, the health status indicator does not adequately reflect trends in pregnancies among those 10-17 years of age.

The impact of legalized abortion on adolescent childbearing in New York City.

Joyce, T J; Mocan, N H
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /03/1990 EN
Relevância na Pesquisa
26.61%
In this paper we estimate the impact on adolescent childbearing of the liberalization of the New York State abortion law in 1970. Using Box-Jenkins time series techniques to analyze monthly data on the number of births to White and Black adolescents from January 1963 to December 1987, we found that the level of births to Black adolescents living in New York City fell 18.7 percent, approximately 142 fewer births per month, after the law became effective; the level of White births fell 14.1 percent, approximately 111 fewer births per month. Projections based on the fitted model suggest that a ban on legalized abortion today would have a major impact on adolescent childbearing in New York City as well as other parts of the country, although the magnitude of the change would vary according to local conditions.

“I Managed It Pretty Good”: Birth Narratives of Adolescent Mothers

Nichols, Tracy R.; Brown, Margaret; Coley, Sheryl L.; Kelley, Allyson; Mauceri, Kelly
Fonte: Springer Publishing Company Publicador: Springer Publishing Company
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
Relevância na Pesquisa
26.62%
The aim of this study was to understand adolescent mothers’ childbirth experiences. Semistructured interviews were conducted with participants recruited from a community-based program for adolescent mothers. Fourteen mothers described their birth experiences. Using a narrative analytic approach, responses were reconstructed into birth stories. Stories, condensed into poetic form, were compared and contrasted. Four unique categories emerged: connected births, surreal births, disconnected births, and disempowered births. Categories differed by agency, support, and emotional tone. Positive support was found in stories that portrayed high agency and positive affect, whereas problematic support was apparent in stories that conveyed passivity, frustration, and disappointment. This study has implications for tailoring childbirth education for adolescent mothers and can inform health-care professionals working with this population.

The Economic Participation of Adolescent Girls and Young Women : Why Does It Matter?

Morrison, Andrew; Sabarwal, Shwetlena
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Relevância na Pesquisa
36.26%
This note summarizes available research on the impact of schooling and employment of adolescent girls and young women on earnings and poverty reduction, demographic outcomes, child development outcomes, and female empowerment. It identifies key implications of this research for the formulation of public policy.

Adolescent Sexual and Reproductive Health in Burkina Faso

Cortez, Rafael; Bowser, Diana; Quinlan-Davidson, Meaghen; Ousmane Diadie, Haidara
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
Relevância na Pesquisa
36.39%
Today s adolescents and youth face substantial physical, social, legal, and economic barriers to meeting their SRH potential. Key factors underlying these issues are a lack of adolescent SRH (ASRH) policies and access to accessible, affordable, and appropriate health services. The impact that these factors have on adolescent health and development is clearly seen in Burkina Faso. Burkinabè adolescent girls face high adolescent fertility rates, early and forced marriage, an increased risk of maternal mortality, and a high unmet need for contraception, among others. Adding to this issue is a lack of access to education, basic health information, and SRH services, contributing to a lack of awareness and knowledge about SRH and traditional and harmful gender stereotypes. The objectives of the study were to understand the impact that structural and proximal determinants have on access to ASRH services and health outcomes; and the impact that recently implemented policies and programs have on ASRH.

Socioeconomic Differences in Adolescent Sexual and Reproductive Health

Yarger, Jennifer; Lara, Diana; Decker, Mara; Brindis, Claire
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Brief
EN_US
Relevância na Pesquisa
36.4%
Adolescent Sexual and Reproductive Health (ASRH) is one of five areas of focus of the World Banks Reproductive Health Action Plan 2010 - 2015 (RHAP), which recognizes the importance of addressing ASRH as a development issue with important implications for poverty reduction. Delaying childbearing and preventing unplanned pregnancies during adolescence has been shown to improve health outcomes and increase opportunities for schooling, future employment, and earnings (Greene and Merrick, 2005). Delaying childbearing and preventing unplanned pregnancies improves health outcomes and increases opportunities for schooling, future employment, and earnings. A couple of key messages were relayed in this brief. An analysis of data from six countries showed that adolescent childbearing is closely tied to marital status. Around half (ranging from 42 percent in Nepal to 55 percent in Nigeria) of ever-married adolescent women have given birth. In comparison, non-marital adolescent childbearing is rare in all countries studied. In Bangladesh and Burkina Faso...

The Effects of Resilience and Social Influences on Preventing Repeat Adolescent Pregnancies in Parenting Adolescent Mothers

Holness, Nola A
Fonte: FIU Digital Commons Publicador: FIU Digital Commons
Tipo: Artigo de Revista Científica Formato: application/pdf
Relevância na Pesquisa
46.62%
Every year, 16 million women aged 15 to 19 years give birth globally. Adolescent births account for 11% of all births globally and 23% of the overall burden of disability and diseases due to pregnancy and childbirth. In the United States, 750,000 adolescents (15-19 years) become pregnant each year, making the United States the developed country with the highest rates of adolescent pregnancy. The economic burden of adolescent pregnancy in the U. S. is $7-15 billion per year. Adolescent pregnancy brings risks associated with pregnancy induced hypertension, preterm infants, maternal and neonatal mortality. Social factors include poverty, low educational levels, alcohol, and drug use. Between 30-50% of adolescent mothers who have a first birth before age 18 years will have a second child within 12 to 24 months. Subsequent adolescent pregnancies compound fetal and maternal risks. Many vulnerable adolescent mothers succumb to external pressures and have a repeat adolescent pregnancy while others are able to overcome the challenges of an adolescent pregnancy and prevent a repeat adolescent pregnancy. This cross sectional survey designed study investigated the effects of resilience and social influences on contraceptive use or abstinence by Black and Hispanic adolescent parenting mothers to prevent a repeat adolescent pregnancy. 140 adolescent mothers were recruited from three postpartum units of a tertiary hospital system in Miami...

Adolescent Pregnancies in Central Gabon: A Description of Epidemiology and Birth Outcomes

Schipulle, Ulla
Fonte: Universität Tübingen Publicador: Universität Tübingen
Tipo: Dissertation; info:eu-repo/semantics/doctoralThesis
EN
Relevância na Pesquisa
36.74%
Sub-Saharan Africa suffers high rates of maternal and neonatal mortality and morbidity. Adolescent mothers (age ≤ 19 years at time of delivery) are often considered to be particularly prone to adverse pregnancy outcomes, such as low birth weight (LBW, birth weight < 2,500 grams) and prematurity. Various risk factors have been identified so far to contribute to adverse pregnancy outcome, but available data remains insufficient for low income countries. The considerably high rate of adolescent mothers in many regions of sub-Saharan Africa reflects the need for assessing the prevalence of adolescent pregnancies in this area as well as their influence on obstetric outcomes and the necessity of analyzing further associated risk factors. The present study assesses the prevalence of adolescent pregnancies in a semi-urban and rural region in the Central African country Gabon. Furthermore, it analyzes maternal adolescence among other parameters as a potential risk factor for adverse pregnancy outcome, focusing on LBW. A retrospective cohort study was performed. Data from birth registers from three different health centers in Gabon were entered in a purpose built database. A total of 1,972 births were registered in the database, the registered births took place between December 15th 2009 and August 29th 2011. Adolescent pregnancy had a prevalence of 23.7% (N=453/1910) and 251 out of 1...

The effects of resilience and social influences on preventing repeat adolescent pregnancies in parenting adolescent mothers

Holness, Nola
Fonte: FIU Digital Commons Publicador: FIU Digital Commons
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.62%
Every year, 16 million women aged 15 to 19 years give birth globally. Adolescent births account for 11% of all births globally and 23% of the overall burden of disability and diseases due to pregnancy and childbirth. In the United States, 750,000 adolescents (15-19 years) become pregnant each year, making the United States the developed country with the highest rates of adolescent pregnancy. The economic burden of adolescent pregnancy in the U. S. is $7-15 billion per year. ^ Adolescent pregnancy brings risks associated with pregnancy induced hypertension, preterm infants, maternal and neonatal mortality. Social factors include poverty, low educational levels, alcohol, and drug use. Between 30-50% of adolescent mothers who have a first birth before age 18 years will have a second child within 12 to 24 months. Subsequent adolescent pregnancies compound fetal and maternal risks. Many vulnerable adolescent mothers succumb to external pressures and have a repeat adolescent pregnancy while others are able to overcome the challenges of an adolescent pregnancy and prevent a repeat adolescent pregnancy. ^ This cross sectional survey designed study investigated the effects of resilience and social influences on contraceptive use or abstinence by Black and Hispanic adolescent parenting mothers to prevent a repeat adolescent pregnancy. 140 adolescent mothers were recruited from three postpartum units of a tertiary hospital system in Miami...

Measuring the economic gain of investing in girls : the girl effect dividend

Chaaban, Jad; Cunningham, Wendy
Fonte: Banco Mundial Publicador: Banco Mundial
Tipo: Publications & Research :: Policy Research Working Paper
ENGLISH
Relevância na Pesquisa
36.59%
Although girls are approximately half the youth population in developing countries, they contribute less than their potential to the economy. The objective of this paper is to quantify the opportunity cost of girls' exclusion from productive employment with the hope that stark figures will lead policymakers to reconsider the current underinvestment in girls. The paper explores the linkages between investing in girls and potential increases in national income by examining three widely prevalent aspects of adolescent girls' lives: early school dropout, teenage pregnancy and joblessness. The countries included in the analysis are: Bangladesh, Brazil, Burundi, China, Ethiopia, India, Kenya, Malawi, Nigeria, Paraguay, Senegal, South Africa, Tanzania, and Uganda. The authors use secondary data to allow for some comparability across countries. They find that investing in girls so that they would complete the next level of education would lead to lifetime earnings of today's cohort of girls that is equivalent to up to 68 percent of annual gross domestic product. When adjusting for ability bias and labor demand elasticities...

Adolescent Health and Development (AHD) : A Resource Guide for World Bank Operations Staff and Government Counterparts

Rosen, James E.
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
36.21%
This resource guide begins with an overview of AHD issues, laying out the case for governments to direct attention and resources to AHD. It discusses good practices to improve a range of youth health outcomes. The next section focuses on the relationship between poverty and young people's health and outlines strategies to provide health services to poor youth. The final section of the guide examines the current efforts of the World Bank to promote AHD. Technical appendixes provide further examples and concrete information for use in project design and analysis. More information will be found on the Bank's AHD website, which is currently under development. The guide supports the effort to better integrate adolescent health and development (AHD) concerns into the analytic and lending work of the World Bank. It also has been created to give Bank staff members essential information with which to engage their counterparts in policy dialogue on AHD and to advocate for greater government attention to the needs of youth. Increasing the effectiveness of Bank efforts directed at AHD will help the Bank to improve the health and well-being of youth in developing countries. The main audience for the guide is Bank operations staff members and government counterparts associated with poverty reduction strategies and human development sector projects. External Bank partners and other organizations interested in youth may also find the guide useful.

Adolescent Sexual and Reproductive Health in Nigeria

Cortez, Rafael; Saadat, Seemeen; Marinda, Edmore; Oluwole, Odutolu
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research; Publications & Research :: Brief
ENGLISH; EN_US
Relevância na Pesquisa
36.59%
Nigeria is the most populous country in sub-Saharan Africa. It also has a very young population. The majority of the population is below the age of 25 years, with 22 percent of the country s population between the ages of 10-19 years. Data on sexual and reproductive health (SRH) outcomes in Nigeria highlight the importance of focusing on adolescents. At 576 maternal deaths per 100,000 live births, Nigeria accounts for roughly 14 percent of the global burden of maternal mortality (DHS 2013/WHO 2014). Global evidence shows that young girls bear a higher burden of maternal mortality and morbidity. Data show that the average age at sexual debut is roughly 15 years of age among adolescent mothers in Nigeria (DHS 2003, 2008, 2013). This note presents the findings of a recent study on Nigeria that examines determinants of adolescent sexual behavior and fertility, with a narrower focus on knowledge, attitudes and behaviors of adolescents aged 10-19 years old in Karu Local Government Authority (LGA), a peri-urban area near the capital city of Abuja.

The ages of fathers in California adolescent births, 1993.

Males, M; Chew, K S
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /04/1996 EN
Relevância na Pesquisa
36.15%
Officals, media coverage and prevention programs have assumed that fathers of infants born to US school-age (10-18 years old) mothers are school-age peers. This study analyzes fathers' ages in 46 500 California births to school-age mothers in 1993, for which 85% of the fathers' ages were stated and whose distribution is similar to that of less complete national samples. Adult, postschool men father two thirds of the infants born to school-age mothers and average 4.2 years older than the senior-high mothers and 6.7 years older than the junior-high mothers. The extensive involvement of adult males in both school-age motherhood and its precursors represents a significant, undiscussed factor deserving greater attention.

Decreased Births Among Black Female Adolescents Following School Desegregation

Liu, Sze Yan; Linkletter, Crystal D.; Loucks, Eric B.; Glymour, M. Maria; Buka, Stephen L.
Fonte: PubMed Publicador: PubMed
Tipo: Text
EN
Relevância na Pesquisa
36.48%
Although the socioeconomic impact of school desegregation in the U.S. has been well documented, little is known about the health consequences of this policy. The purpose of this study was to quantify the associations between school desegregation and adolescent births among black and white females. We compared the change in prevalence of adolescent births in areas that implemented school desegregation plans in the 1970s with areas that implemented school desegregation plans in other decades, using difference-in-difference methods with 1970 and 1980 Census microdata. School desegregation policy in the U.S. in the 1970s was associated with a significant reduction of 3.2 percentage points in the prevalence of births among black female adolescents between 1970 and 1980. This association was specific to black female adolescents and was not observed among white adolescents.

Características da gravidez na adolescência em São Luís, Maranhão; Characteristics of adolescent pregnancy, Brazil

Simões, Vanda Maria Ferreira; Silva, Antônio Augusto Moura da; Bettiol, Heloisa; Lamy-Filho, Fernando; Tonial, Sueli Rosina; Mochel, Elba Gomide
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf
Publicado em 01/10/2003 POR
Relevância na Pesquisa
36.21%
OBJETIVO: Identificar as principais características socioeconômicas, demográficas, antropométricas e comportamentais, bem como os resultados perinatais da gravidez na adolescência. Conhecer os tipos de serviços de saúde utilizados pelas gestantes adolescentes. MÉTODOS: A amostra de 2.429 partos de mulheres residentes em São Luís, MA, abrangeu 94% dos nascimentos hospitalares. As mulheres foram separadas em seis grupos de idade para melhor avaliação do comportamento das variáveis entre os dois grupos de adolescentes (abaixo de 18 anos; 18 a 19 anos) e entre as adolescentes e as demais mulheres. O teste do qui-quadrado foi utilizado para a comparação de proporções e a razão de prevalências foi empregada como medida de efeito. RESULTADOS: Das 2.429 mulheres, 714 eram adolescentes (29,4%). Seu coeficiente específico de fecundidade, 72,2 por mil, foi mais elevado que em outras regiões do País. As adolescentes apresentaram piores condições socioeconômicas e reprodutivas que as demais mulheres, maior proporção de pré-natal inadequado (39,2%) e muitas não tinham companheiro (34,5%). Por outro lado, tiveram menor proporção de parto cesáreo (23,0%) e de fumantes (3.5%). CONCLUSÕES: Apesar da situação socioeconômica igualmente desfavorável...

Trends in the prevalence of adolescent births in Antigua and Barbuda over 35 years

Martin,TC; Doyle,B; Raphael,J
Fonte: West Indian Medical Journal Publicador: West Indian Medical Journal
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2008 EN
Relevância na Pesquisa
36.47%
A retrospective study was undertaken to determine trends in teenage births in Antigua and Barbuda from 1969 to 2003. Maternity Ward records were reviewed at Holberton Hospital, site of over 90% of deliveries in Antigua and Barbuda. Maternal age for all births were included. The estimated population in Antigua and Barbuda increased from 60 159 in 1969 to 69 866 in 1998, with no suspected change in age-group or gender distribution. Births to mothers 12-13, 14-15, 16-17 and 18-19 years old were analyzed separately. Yearly birth totals for the 10-year period from 1969 to 1973 and 1999 to 2003 were compared using student t test analysis. The total number of births averaged 1075 per year with no change in trend. For females aged 12 and 13 years, there was no change in births from 1969 to 1978 compared with 1994 to 2003. For females aged 14 years, there was a 54% drop; for females aged 15 years, a 59% drop; for females aged 16 years, a 53% drop; for females aged 17 years, a 51% drop; for females 18 years, a 37% drop and for females aged 19 years, a 30% drop, while births to mothers $ 20 years increased 25%. The decrease for all teen births was 42% from 1969-1978 to 1994-2003. Teen births accounted for 29% of all births at Holberton in 1969 to 1973 but only 16% of births in 1999 to 2003. In conclusion...

Soccer and sexual health education: a promising approach for reducing adolescent births in Haiti

Kaplan,Kathryn C; Lewis,Judy; Gebrian,Bette; Theall,Katherine
Fonte: Organización Panamericana de la Salud Publicador: Organización Panamericana de la Salud
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/05/2015 EN
Relevância na Pesquisa
46.61%
OBJECTIVE: To explore the effect of an innovative, integrative program in female sexual reproductive health (SRH) and soccer (or fútbol, in Haitian Creole) in rural Haiti by measuring the rate of births among program participants 15-19 years old and their nonparticipant peers. METHODS: A retrospective cohort study using 2006-2009 data from the computerized data-tracking system of the Haitian Health Foundation (HHF), a U.S.-based nongovernmental organization serving urban and rural populations in Haiti, was used to assess births among girls 15-19 years old who participated in HHF's GenNext program, a combination education-soccer program for youth, based on SRH classes HHF nurses and community workers had been conducting in Haiti for mothers, fathers, and youth; girl-centered health screenings; and an all-female summer soccer league, during 2006-2009 (n = 4 251). Bivariate and multiple logistic regression analyses were carried out to assess differences in the rate of births among program participants according to their level of participation (SRH component only ("EDU") versus both the SRH and soccer components ("SO") compared to their village peers who did not participate. Hazard ratios (HRs) of birth rates were estimated using Cox regression analysis of childbearing data for the three different groups. RESULTS: In the multiple logistic regression analysis...