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      INFLUENCES OF THE AFFECTIVE-RELATIONAL SPHERE WITH PARTNERS ON ADOLESCENTS’ INTENDED PREGNANCY Translated title: INFLUÊNCIAS DA ESFERA AFETIVO-RELACIONAL COM O PARCEIRO NO ENGRAVIDAR INTENCIONADO DE ADOLESCENTES Translated title: INFLUENCIAS DEL ÁMBITO AFECTIVO-RELACIONAL CON LA PAREJA EN LA INTENCIÓN DE EMBARAZO DE ADOLESCENTES

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          Abstract

          ABSTRACT Objective: to understand interconnected influences on adolescents’ intended pregnancy based on particularities of the affective-relational sphere with partners. Method: this is a qualitative-interpretive study, carried out with 16 pregnant adolescents living in a neighborhood with a low socioeconomic level in a capital in the center-west of Brazil. Data were collected in 2019 through in-depth interviews, with complementary use of self-portrait, relational map and photo-elicitation resources, subjected to thematic content analysis. Results: adolescents’ intention-action towards becoming pregnant was based on status assessment and romantic relationship quality with their partners in terms of marriage/union, bond-commitment, partnership-financial protection and good interaction-love. They expressed needs for emotional bonding and material security, psychological particularities of their stage of development, in addition to social representations built on the conjugal and loving relationship and being a man and a woman in the family. Connectedly, it reflected on social conditions and family relationships experienced as well as absorptions of the cultural ideal of romantic and gender love. Conclusion: in adolescents’ reproductive health, it is essential to consider the affective influences on being pregnant, without detaching them from their social and family insertions as well as their ways of exercising agency over their affective-sexual trajectories.

          Translated abstract

          RESUMO Objetivo: compreender influências interconexas no engravidar intencionado de adolescentes a partir de particularidades da esfera afetivo-relacional com o parceiro. Método: estudo qualitativo-interpretativo, realizado com 16 adolescentes grávidas residentes em um bairro de baixo nível socioeconômico, em uma capital do centro-oeste brasileiro. Os dados foram coletados em 2019 mediante entrevistas em profundidade, com uso complementar dos recursos autorretrato, mapa relacional e foto-elicitação, submetidos à Análise de Conteúdo Temática. Resultados: a intenção-ação das adolescentes voltada ao engravidar sustentou-se na apreciação do status e da qualidade da relação amorosa com o parceiro quanto aos aspectos casamento/união, vínculo-compromisso, parceria-proteção financeira e boa interação-amor. Estas exprimiram necessidades de vínculo afetivo e de segurança material por elas vividas, particularidades psíquicas da sua fase de desenvolvimento, além de representações sociais construídas sobre a relação conjugal, amorosa e do ser homem e mulher na família. De forma conexa refletiram sobre condições sociais e relações em família vividas, além de absorções do ideal cultural do amor romântico e de gênero. Conclusão: na saúde reprodutiva de adolescentes, é indispensável considerar as influências afetivas no engravidar, sem descolá-las das inserções sociais e em família daquelas, bem como dos seus modos de exercer a agência de suas trajetórias afetivo-sexuais.

          Translated abstract

          RESUMEN Objetivo: comprender influencias interconectadas sobre la intención de embarazo de adolescentes a partir de particularidades del ámbito afectivo-relacional con la pareja. Método: se trata de un estudio cualitativo-interpretativo, realizado con 16 adolescentes embarazadas que viven en un barrio de bajo nivel socioeconómico, en una capital del centro-oeste de Brasil. Los datos fueron recolectados en 2019 a través de entrevistas en profundidad, con uso complementario de recursos de autorretrato, mapa relacional y fotoecitación, sometidos a análisis de contenido temático. Resultados: la intención-acción de las adolescentes para quedar embarazada se basó en la evaluación del estado y la calidad de la relación sentimental con sus parejas en términos de matrimonio/unión, vínculo-compromiso, sociedad-protección financiera y buena interacción-amor. Estos expresaron necesidades de vinculación afectiva y seguridad material que vivieron, particularidades psíquicas de su etapa de desarrollo, además de representaciones sociales construidas sobre la relación conyugal, amorosa y el ser hombre y mujer en la familia. De manera relacionada, reflexionaron sobre las condiciones sociales y las relaciones familiares vividas, así como sobre la absorción del ideal cultural del amor romántico y de género. Conclusión: en la salud reproductiva de las adolescentes, es fundamental considerar las influencias afectivas sobre el embarazo, sin desvincularlas de sus inserciones sociales y familiares, así como de sus formas de ejercer la agencia en sus trayectorias afectivo-sexuales.

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          Prevalence of first adolescent pregnancy and its associated factors in sub-Saharan Africa: A multi-country analysis

          Introduction In low-and middle-income countries, pregnancy-related complications are major causes of death for young women. This study aimed to determine the prevalence of first adolescent pregnancy and its associated factors in sub-Saharan Africa. Methods We undertook a secondary analysis of cross-sectional data from Demographic and Health Surveys conducted in 32 sub-Saharan African countries between 2010 and 2018. We calculated the prevalence of first adolescent (aged 15 to 19 years) pregnancy in each country and examined associations between individual and contextual level factors and first adolescent pregnancy. Results Among all adolescents, Congo experienced the highest prevalence of first adolescent pregnancy (44.3%) and Rwanda the lowest (7.2%). However, among adolescents who had ever had sex, the prevalence ranged from 36.5% in Rwanda to 75.6% in Chad. The odds of first adolescent pregnancy was higher with increasing age, working, being married/cohabiting, having primary education only, early sexual initiation, knowledge of contraceptives, no unmet need for contraception and poorest wealth quintile. By contrast, adolescents who lived in rural areas and in the West African sub-region had lower odds of first adolescent pregnancy. Conclusion The prevalence of adolescent pregnancy in sub-Saharan African countries is high. Understanding the predictors of first adolescent pregnancy can facilitate the development of effective social policies such as family planning and comprehensive sex and relationship education in sub-Saharan Africa and can help ensure healthy lives and promotion of well-being for adolescents and their families and communities.
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            Comprehensive understanding of risk and protective factors related to adolescent pregnancy in low- and middle-income countries: A systematic review

            Introduction Adolescent pregnancy causes serious problems not only for girls, but also for their family, and society. This study aimed to understand factors related to adolescent pregnancy in low- and middle-income countries using a multilevel approach adopted by Bronfenbrenner's ecological model. Methods A total of 11,933 studies published in between 2000 and 2015 were identified in 4 databases. Based on inclusion criteria and risk of bias assessment, a total of 67 articles were retrieved for analysis. Results Thematic analysis revealed that early marriage, sexual risk behaviors, substance use, family experience of adolescent birth, peer pressure, and lack of sex education and health service increased the hazards of adolescent pregnancy. Communication with parents, school activities, community meetings, laws, and government policies protected adolescents from pregnancy. Conclusions Results of this study suggests that the background of adolescents and complex interactions among various factors should be considered for pregnancy. In future research, mixed-method that supplements the methodological weaknesses of previous studies is also recommended.
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                Author and article information

                Journal
                tce
                Texto & Contexto - Enfermagem
                Texto contexto - enferm.
                Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem (, SC, Brazil )
                0104-0707
                1980-265X
                2023
                : 32
                : e20230109
                Affiliations
                [2] Campo Grande Mato Grosso do Sul orgnameUniversidade Federal de Mato Grosso do Sul orgdiv1Programa de Pós-Graduação em Enfermagem Brazil
                [1] Cuiabá Mato Grosso orgnameUniversidade Federal de Mato Grosso orgdiv1Programa de Pós-Graduação em Enfermagem Brazil
                [3] Maringá Paraná orgnameUniversidade Estadual de Maringá orgdiv1Programa de Pós-Graduação em Enfermagem Brazil
                Article
                S0104-07072023000100382 S0104-0707(23)03200000382
                10.1590/1980-265x-tce-2023-0109en
                0315a6d0-711b-43e6-9c5b-18c8c1e81135

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 15 September 2023
                : 17 May 2023
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 27, Pages: 0
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                SciELO Brazil

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                Original Article

                Esposos,Affect,Pregnancy,Family Development Planning,Pregnancy in Adolescence,Afecto,Embarazo,Planificación Familiar,Embarazo en Adolescencia,Cônjuges,Afeto,Gravidez,Planejamento familiar,Gravidez na adolescência,Spouses

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