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Healthcare providers’ perspectives on pregnancy experiences among sexual and gender minority youth. SEXUAL & REPRODUCTIVE HEALTHCARE 2022; 32:100702. [DOI: 10.1016/j.srhc.2022.100702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Revised: 02/11/2022] [Accepted: 02/14/2022] [Indexed: 11/21/2022]
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Santos RLD, Oliveira AJO, de Sampaio YCO, Guedes NG, Lopes MVDO, da Silva VM. Diagnostic indicators of risk-prone health behaviors in pregnant adolescents. Int J Nurs Knowl 2021; 32:286-293. [PMID: 33620163 DOI: 10.1111/2047-3095.12322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2020] [Revised: 02/03/2021] [Accepted: 02/12/2021] [Indexed: 11/28/2022]
Abstract
PURPOSE This study aimed to identify diagnostic indicators associated with the nursing diagnosis risk-prone health behaviors in pregnant adolescents. METHODS We conducted a cross-sectional study. The sample consisted of 181 pregnant adolescents. A latent class analysis was conducted to verify associations between the defining characteristics of risk-prone health behaviors and diagnostic accuracy measures. Logistic regression was used to identify factors associated with the manifestation of risk-prone health behavior. FINDINGS The prevalence of risk-prone health behaviors in this sample was 31.04%. The defining characteristics failure to take action that prevents health problems and inappropriate eating habits achieved a high sensitivity. The related factors such as insufficient social support, stressors, low self-efficacy, social anxiety, isolated region of residence, and restricted access to health services presented significant associations with risk-prone health behavior. CONCLUSIONS The diagnostic indicators associated with the nursing diagnosis of risk-prone health behavior were failure to take action that prevents health problems inappropriate eating habits, insufficient social support, stressors, low self-efficacy, social anxiety, isolated region of residence, and restricted access to health services. IMPLICATIONS FOR NURSING PRACTICE This study contributes to knowledge about the diagnostic indicators of risk-prone health behavior, which may help nurses reach the proper diagnosis. This will facilitate the application of clinical judgment in nursing care to assist pregnant adolescents.
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Fernandes DER, Medeiros M, Santos WS, dos Santos MG. Nursing Scientific Production on Teenage Pregnancy: An Integrative Review. AQUICHAN 2020. [DOI: 10.5294/aqui.2020.20.2.5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objective: To identify, in the national and international scientific literature, the evidence produced by Nursing that provides subsidies to prevent teenage pregnancy.
Material and method: An integrative literature review study, based on papers available in the PubMed, BVS, Scopus and Web of Science metabases, and in the Lilacs and BDEnf databases, in Portuguese, English and Spanish languages, published from January 2013 to March 2020.
Results: According to the inclusion criteria, 13 articles were selected. The findings are presented in the categories “lower socio-economic conditions”, “knowledge, attitudes and cultural aspects” and “sexual education and specialized services”.
Conclusions: Teenage pregnancy is strongly associated with poverty and other socio-economic issues. Gender relations, communication about sex education in the family and other cultural aspects were found in the discussions, which indicates their impact on this phenomenon. Interventions involving sex education are shown as an alternative to cope. The presence of the nurse at the places that assist or concentrate adolescents can be a great element to reduce pregnancy rates in this phase.
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Tuitt NR, Asdigian NL, Whitesell NR, Mousseau A, Al-Tayyib A, Kaufman CE. Moving the prevention timeline: A scoping review of the literature on precursors to sexual risk in early adolescence among youth of color. J Adolesc 2020; 80:145-156. [PMID: 32126397 DOI: 10.1016/j.adolescence.2020.02.012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2019] [Revised: 02/13/2020] [Accepted: 02/22/2020] [Indexed: 12/28/2022]
Abstract
INTRODUCTION Sexual health disparities are leading causes of morbidity among youth of color in the United States. We conducted a scoping review of the literature on precursors to sexual risk-taking among young adolescents of color (ages 10-14) to assess precedents of sexual experience and their utility as measurable proximal constructs and behaviors gauging sexual risk and sexual risk prevention efforts. METHODS This study was conducted using the PRISMA extension for scoping reviews (PRISMA-ScR) guidelines. We searched for quantitative studies that assessed the relationships between precursors and subsequent sexual behaviors, incorporated youth of color, and specified young adolescents as the study sample. All articles were in English, however we explored both U.S. and International databases. RESULTS The database search yielded 11 studies published between 2000 and 2017. Most literature focused on youth in urban settings, and on Black and Latinx youth, while only two addressed the special circumstances of American Indian and Alaska Native youth. Sex expectancies outcomes for youth of color were likely to predict sexual risk taking and self-efficacy about sex was related to abstinence. CONCLUSIONS Etiologic studies that seek to understand precursors to sexual risk taking among youth of color are limited and this paucity truncates the ability to develop sexual risk prevention programs for the age group in which prevention is most needed.
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Affiliation(s)
- Nicole R Tuitt
- School of Public Health, University of California Berkeley, 2150 Shattuck, Suite 601, Berkeley, CA, 94704-1365, USA; Prevention Research Center-Pacific Institute for Research and Evaluation, Berkeley, CA, USA.
| | - Nancy L Asdigian
- Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, 13001 E. 17th Place, Mail Stop B119, Aurora, CO, 80045, USA.
| | - Nancy Rumbaugh Whitesell
- Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, 13001 E. 17th Place, Mail Stop B119, Aurora, CO, 80045, USA.
| | - Alicia Mousseau
- National Native Youth Trauma Center, University of Montana, 32 Campus Drive, 028 McGill Hall, Missoula, MT, 59812, USA
| | - Alia Al-Tayyib
- Denver Public Health, 605 Bannock St, Denver, CO, 80204, USA
| | - Carol E Kaufman
- Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, 13001 E. 17th Place, Mail Stop B119, Aurora, CO, 80045, USA.
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Morrison-Beedy D, Martin CH, Pow J, Elliott L. Adolescents in Scotland: Challenges and Opportunities for Sexual Risk Reduction. J Assoc Nurses AIDS Care 2019; 30:619-629. [PMID: 31633630 DOI: 10.1097/jnc.0000000000000095] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Sexually transmitted infections, HIV, and unplanned pregnancy challenge the health of Scottish teens. We conducted focus groups with teens (ages 16-19 years) recruited from an urban youth cafe in Edinburgh and assessed sexual risk-taking and protective behaviors. A trained facilitator, using a semi-structured interview guide, led the groups. We taped and transcribed data verbatim for coding and theming. The teens revealed similar concerns despite differences in gender and/or sexual histories. Despite school-based sex education, sex was rarely discussed with peers or adults outside classrooms; the ability to practice communication and negotiation skills was minimal. Much risky behavior occurred in public spaces and was often linked to drug or alcohol intake. There was a glaring lack of teen planning for, or contemplating, future adult lives. Findings highlight the challenges these teens faced in practicing safer sex and limited opportunities to tailor intervention strategies to address the cultural realities of their lives.
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Peterson AJ, Bonell C. School experiences and young women's pregnancy and parenthood decisions: A systematic review and synthesis of qualitative research. Health Place 2018; 53:52-61. [PMID: 30055468 DOI: 10.1016/j.healthplace.2018.07.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/14/2017] [Revised: 06/26/2018] [Accepted: 07/12/2018] [Indexed: 11/28/2022]
Abstract
Schools are considered high-potential environments for promoting adolescent sexual and reproductive health outcomes among young women. Qualitative studies provide context and meaning to how school experiences and systems contribute to pregnancy and parenthood decisions from the perspectives of youth. This systematic review screened 24,711 references from 8 databases, yielding 28 qualitative studies. Included studies were assessed for quality and synthesised using meta-ethnographic approaches. Reciprocal translation revealed that young women's education and life trajectories were at least partially shaped by a commitment to school values and expectations for academic achievement, influenced by structural and relational factors within the school. These findings resonate with Markham and Aveyard's theory of human functioning and school organisation. Future policy and practices might seek to improve teacher-student interactions, leverage young women's developing autonomy, and ensure physically and psychologically safe spaces for students.
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Affiliation(s)
- Amy J Peterson
- Department of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK.
| | - Chris Bonell
- Department of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK.
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Sychareun V, Vongxay V, Houaboun S, Thammavongsa V, Phummavongsa P, Chaleunvong K, Durham J. Determinants of adolescent pregnancy and access to reproductive and sexual health services for married and unmarried adolescents in rural Lao PDR: a qualitative study. BMC Pregnancy Childbirth 2018; 18:219. [PMID: 29884139 PMCID: PMC5994100 DOI: 10.1186/s12884-018-1859-1] [Citation(s) in RCA: 36] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2016] [Accepted: 05/25/2018] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Early marriage and pregnancy is a risk factor for poor maternal and child health and socio-economic outcomes. Bokeo and Luang Namtha provinces in northern Lao People's Democratic Republic (PDR) has high rates of teenage pregnancy. The purpose of this research was firstly to explore factors contributing to teenage pregnancy in rural Lao. Secondly, to understand the specific challenges adolescent mothers face in accessing maternal health services. METHODS Qualitative interviews were undertaken with adolescent mothers and unmarried adolescents aged 12 to 19 years, living in rural areas, and from different ethnic groups. In total, we undertook six focus group discussions with adolescents aged 13-19 years, twenty in-depth interviews with unmarried/married adolescents aged 12-19 years. In addition, we interviewed husbands of the adolescent mothers (N = 8) and mothers-in-law of both male and female adolescents (N = 9), community leaders and healthcare providers (health providers N = 17 and community leaders N = 12). Thematic analysis was used to analyze the data, based on a conceptual framework identified at the outset of the study. RESULTS The findings suggest that pre-marital sex, early marriage and pregnancy are the norm in these settings. Determinants of teenage pregnancy included liberal attitudes to teen pre-marital sexual intercourse, early marriage and pregnancy, incomplete knowledge of sexual and reproductive health and limited access to appropriate services. CONCLUSION The determinants of teenage pregnancy in this setting are multi-dimensional, and require a range of responses. As some of the determinants are deeply embedded in the system of local values, beliefs and practices, and form part of the logic of what it is to become a healthy woman, these practices are deeply entrenched and may be resistant to new knowledge. The challenge therefore is to find culturally responsive strategies that enable individual and collectively agency.
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Affiliation(s)
- Vanphanom Sychareun
- Faculty of Postgraduate Studies, University of Health Sciences, Ministry of Health, Lao PDR, Laos
| | - Viengnakhone Vongxay
- Faculty of Postgraduate Studies, University of Health Sciences, Ministry of Health, Lao PDR, Laos
| | - Souphaphone Houaboun
- Faculty of Postgraduate Studies, University of Health Sciences, Ministry of Health, Lao PDR, Laos
| | - Vassana Thammavongsa
- Faculty of Postgraduate Studies, University of Health Sciences, Ministry of Health, Lao PDR, Laos
| | - Phouthong Phummavongsa
- Faculty of Postgraduate Studies, University of Health Sciences, Ministry of Health, Lao PDR, Laos
| | - Kongmany Chaleunvong
- Faculty of Basic Sciences, University of Health Sciences, Ministry of Health, P.O. Box 7444, Vientiane, Lao PDR Laos
| | - Jo Durham
- School of Public Health, University of Queensland, Herston Road, Hesrston, Brisbane, QLD 4006 Australia
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Maly C, McClendon KA, Baumgartner JN, Nakyanjo N, Ddaaki WG, Serwadda D, Nalugoda FK, Wawer MJ, Bonnevie E, Wagman JA. Perceptions of Adolescent Pregnancy Among Teenage Girls in Rakai, Uganda. Glob Qual Nurs Res 2017; 4:2333393617720555. [PMID: 28835911 PMCID: PMC5555492 DOI: 10.1177/2333393617720555] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2017] [Revised: 06/05/2017] [Accepted: 06/15/2017] [Indexed: 11/24/2022] Open
Abstract
The leading causes of death and disability among Ugandan female adolescents aged 15 to 19 years are pregnancy complications, unsafe abortions, and childbirth. Despite these statistics, our understanding of how girls perceive adolescent pregnancy is limited. This qualitative study explored the social and contextual factors shaping the perceptions of adolescent pregnancy and childbirth among a sample of 12 currently pregnant and 14 never pregnant girls living in the rural Rakai District of Uganda. Interviews were conducted to elicit perceived risk factors for pregnancy, associated community attitudes, and personal opinions on adolescent pregnancy. Findings indicate that notions of adolescent pregnancy are primarily influenced by perceptions of control over getting pregnant and readiness for childbearing. Premarital pregnancy was perceived as negative whereas postmarital pregnancy was regarded as positive. Greater understanding of the individual and contextual factors influencing perceptions can aid in development of salient, culturally appropriate policies and programs to mitigate unintended adolescent pregnancies.
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Affiliation(s)
- Christina Maly
- Jhpiego, an affiliate of Johns Hopkins University, Baltimore, Maryland, USA
| | - Katherine A McClendon
- University of California, Los Angeles School of Nursing, Los Angeles, California, USA
| | | | | | | | - David Serwadda
- Makerere University, College of Health Sciences, Kampala, Uganda
| | | | - Maria J Wawer
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Erika Bonnevie
- University of California, San Diego, La Jolla, California, USA
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Saftner MA. Family and Friend Influence on Urban-Dwelling American Indian Adolescent Girl's Sexual Risk Behavior. QUALITATIVE HEALTH RESEARCH 2016; 26:1561-1573. [PMID: 26612887 PMCID: PMC4882274 DOI: 10.1177/1049732315616627] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Previous research with American Indian (AI) adolescent sexual risk behavior primarily focused on reservation-dwelling youth despite 70% of AIs living off Native lands. Using grounded theory methodology, I sampled 20 adolescent AI girls via talking circles and interviews to explore the perceptions of AI adolescent girls living in an urban, Midwest area about the influence of family and friends on their sexual behavior. Similar to research with other racial groups, participants cited their family and friends as a major influence. Five unique themes emerged related to family and friend influence. Urban-dwelling AI girls rely on their female family members and peers for information related to sex and receive varying messages from their networks of family and friends, which often overlap. AI youth have unique family groups yet have some similarities to other ethnic groups with regard to family and friend relationships that may allow for enhanced intervention development.
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Translational research: innovative intervention strategies for promoting child and adolescent health and improving the quality of pediatric nursing practice. J Pediatr Nurs 2015; 30:410-3. [PMID: 25749395 DOI: 10.1016/j.pedn.2015.02.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2015] [Accepted: 02/09/2015] [Indexed: 11/21/2022]
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