Determinant factors in Ecuador related to pregnancy among adolescents aged 15 or less

Verfasser / Beitragende:
[P.A. Chedraui, L.A. Hidalgo, M.J. Chávez, G. San Miguel]
Ort, Verlag, Jahr:
2004
Enthalten in:
Journal of Perinatal Medicine, 32/4(2004-07-09), 337-341
Format:
Artikel (online)
ID: 378938088
LEADER caa a22 4500
001 378938088
003 CHVBK
005 20180305123645.0
007 cr unu---uuuuu
008 161128e20040709xx s 000 0 eng
024 7 0 |a 10.1515/JPM.2004.063  |2 doi 
035 |a (NATIONALLICENCE)gruyter-10.1515/JPM.2004.063 
245 0 0 |a Determinant factors in Ecuador related to pregnancy among adolescents aged 15 or less  |h [Elektronische Daten]  |c [P.A. Chedraui, L.A. Hidalgo, M.J. Chávez, G. San Miguel] 
520 3 |a Objective: Determine social factors related to pregnancy among young adolescents. Methods: We obtained socio-demographic data from early adolescent nulliparas aged ≤15 years. Results: During the study period at the Enrique C. Sotomayor Obstetrics and Gynecology Hospital, Guayaquil-Ecuador 201 early adolescent nulliparous patients of low socio-economic status were surveyed and compared with 201 low socio-economic nulliparous controls aged 20 to 30. Mean age of adolescents was 14±0.6 years, 58.7% of them were aged 14. Age of menarche and sexual initiation was lower among adolescents (11.8±0.9 vs 12.8±2 years and 12.6±1.1 vs 16.2±5 years, respectively, p<0.05). A higher rate of adolescents initiated sexually before menarche onset (18.4% vs 5%, p<0.05). The rate of those who wanted to become pregnant, had adequate prenatal care and had knowledge of conception, used contraception or had knowledge of any contraceptive method prior to pregnancy was significantly lower in adolescents (16.9% vs 86.5%; 37.3% vs 94.5%; 18% vs 70.1%; 6.5% vs 89.5%; 42.8% vs 84.5%, respectively, p<0.05). Age of sexual partner was lower in the adolescent group (20.4±3.4 vs 30±8 years, p<0.05). Compared to controls, higher rates of adolescents were school dropouts, had problems with the law and were involved in domestic violence (87% vs 9.9%, 7.5% vs 0.5%, 44.7% vs 2.5%, respectively, p<0.05). None of the adolescents were living with mother and father in a complete family structure. Parental illiteracy was higher among adolescents (9% vs 3.5%, p<0.05). Conclusion: In this low socio-economic population, early sexual initiation, poor reproductive health knowledge and the disruption of family structure 
540 |a Copyright © 2004 by Walter de Gruyter GmbH & Co. KG 
690 7 |a Human reproduction, growth & development  |2 nationallicence 
690 7 |a Gynaecology & obstetrics  |2 nationallicence 
690 7 |a Paediatric medicine  |2 nationallicence 
700 1 |a Chedraui  |D P.A.  |4 aut 
700 1 |a Hidalgo  |D L.A.  |4 aut 
700 1 |a Chávez  |D M.J.  |4 aut 
700 1 |a Miguel  |D G. San  |4 aut 
773 0 |t Journal of Perinatal Medicine  |d Walter de Gruyter  |g 32/4(2004-07-09), 337-341  |x 0300-5577  |q 32:4<337  |1 2004  |2 32  |o jpme 
856 4 0 |u https://doi.org/10.1515/JPM.2004.063  |q text/html  |z Onlinezugriff via DOI 
908 |D 1  |a research article  |2 jats 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1515/JPM.2004.063  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chedraui  |D P.A.  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hidalgo  |D L.A.  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chávez  |D M.J.  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Miguel  |D G. San  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Perinatal Medicine  |d Walter de Gruyter  |g 32/4(2004-07-09), 337-341  |x 0300-5577  |q 32:4<337  |1 2004  |2 32  |o jpme 
900 7 |b CC0  |u http://creativecommons.org/publicdomain/zero/1.0  |2 nationallicence 
898 |a BK010053  |b XK010053  |c XK010000 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-gruyter