For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
9
views
54
references
 Top references
cited by
34
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      130
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Comprehensive understanding of risk and protective factors related to adolescent pregnancy in low- and middle-income countries: A systematic review

      research-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          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.

          Related collections

          Most cited references54

          • Record: found
          • Abstract: found
          • Article: not found

          Childbearing in adolescents aged 12-15 years in low resource countries: a neglected issue. New estimates from demographic and household surveys in 42 countries.

          Sarah Neal, Zoe Matthews, Melanie Frost … (2012)
          There is strong evidence that the health risks associated with adolescent pregnancy are concentrated among the youngest girls (e.g. those under 16 years). Fertility rates in this age group have not previously been comprehensively estimated and published. By drawing data from 42 large, nationally representative household surveys in low resource countries carried out since 2003 this article presents estimates of age-specific birth rates for girls aged 12-15, and the percentage of girls who give birth at age 15 or younger. From these we estimate that approximately 2.5 million births occur to girls aged under 16 in low resource countries each year. The highest rates are found in Sub-Saharan Africa, where in Chad, Guinea, Mali, Mozambique, Niger and Sierra Leone more than 10% of girls become mothers before they are 16. Strategies to reduce these high levels are vital if we are to alleviate poor reproductive health. © 2012 The Authors  Acta Obstetricia et Gynecologica Scandinavica© 2012 Nordic Federation of Societies of Obstetrics and Gynecology.
          Article 0 comments Cited 106 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Ecologial models of human development

            U. BRONFENBRENNER, U. BronfenbrenNer, U Bronfenbrenner … (1994)
            Article 0 comments Cited 65 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Relationship dynamics and teenage pregnancy in South Africa.

              C Vundule, F Maforah, E R Jordaan … (2001)
              Teenage pregnancy is extremely common in South Africa. Whilst its 'problematic' nature is a subject of debate, it reflects a pattern of sexual activity which puts teenagers at risk of HIV. Currently one in five pregnant teenagers is infected with the virus. This creates a new imperative to understand teenage pregnancy and the pattern of high risk sexual activity of which it is one consequence. This was an exploratory study undertaken to investigate factors associated with teenage pregnancy amongst sexually active adolescents in an urban and peri-urban context. The study used a matched case control design, with 191 cases and 353 school or neighbourhood, age-matched controls. Subjects were under 19 years and recruited from township areas of Cape Town. A structured questionnaire was used to obtain information on socio-economic factors, contraceptive knowledge and use, and sexual behaviour. Conditional logistic regression was used to analyse the relationship between teenage pregnancy and the factors investigated. The results presented focus on relationship dynamics and their association with the risk of pregnancy. Both groups of teenagers had been dating for a mean of two and a half years and about half were still with their first sexual partner. The partners of the pregnant teenagers were significantly older, less likely to be in school and less likely to have other girlfriends. The pregnant teenagers were significantly more likely to have experienced forced sexual initiation and were beaten more often. They were much less likely to have confronted their boyfriend when they discovered he had other girlfriends. Multiple modelling shows that both forced sexual initiation and unwillingness to confront an unfaithful partner are strongly associated with pregnancy and also related to each other. We argue that the associations are mediated through unequal power relations within the relationship which are reinforced by violence. We further discuss indicators of greater intimacy within relationships of the pregnant teenagers which may suggest that more of the pregnancies were wanted than was suggested. Both of these conclusions pose critical challenges for health promoters.
              Article 0 comments Cited 47 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Contributors
                Ji-Eun Lee
                Journal
                Journal ID (nlm-ta): J Adolesc
                Journal ID (iso-abbrev): J Adolesc
                Title: Journal of Adolescence
                Publisher: Elsevier
                ISSN (Print): 0140-1971
                ISSN (Electronic): 1095-9254
                Publication date PMC-release: 1 December 2018
                Publication date (Print): December 2018
                Volume: 69
                Pages: 180-188
                Affiliations
                [a ]Department of Obstetrics and Gynecology, School of Medicine, Ewha Womans University, Seoul, South Korea
                [b ]Department of International Studies, Graduate School of International Studies, Ewha Womans University, Seoul, South Korea
                Author notes
                [∗ ]Corresponding author. Ewha Womans University, 52, Ewhayeodae-gil, Seodaemun-gu, Seoul, 03760, South Korea. jeleev@ 123456ewhain.net
                [1]

                Hye Won Chung and Eun Mee Kim equally contribute to this work.

                Article
                Publisher ID: S0140-1971(18)30190-8
                DOI: 10.1016/j.adolescence.2018.10.007
                PMC ID: 6284104
                PubMed ID: 30390598
                SO-VID: e6ff20a2-b6d9-4bba-b77b-62b585012317
                Copyright © © 2018 The Authors
                License:

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

                History
                Date received : 4 March 2018
                Date revision received : 30 September 2018
                Date accepted : 19 October 2018
                Categories
                Subject: Article

                ScienceOpen disciplines: Sociology
                Keywords: low and middle-income countries,systematic review,adolescent pregnancy,adolescent birth,risk and protective factors
                Data availability:
                ScienceOpen disciplines: Sociology
                Keywords: low and middle-income countries, systematic review, adolescent pregnancy, adolescent birth, risk and protective factors

                Comments

                Comment on this article

                scite_

                Similar content130

                See all similar

                Cited by34

                See all cited by

                Most referenced authors679

                See all reference authors