Browsing by Title
Adolescents and Long-Acting Reversible Contraception: Lessons from Mexico
Saavedra-Avendano, Biani; Darney, Blair G; Andrade-Romo, Zafiro; Rodriguez, Maria I ( 2016-05-05 )
Objectives We describe current use of long acting reversible contraception LARC (tier 1), hormonal (tier 2), barrier and traditional contraceptive methods (tier 3) by adolescent women in Mexico. We test whether knowledge of contraceptive methods is associated with current use of LARC. Methods We used the 1992, 1997, 2006, 2009 and 2014 waves of a nationally representative survey (ENADID). We used information from n = 10,376 (N = 3,635,558) adolescents (15-19 years) who reported ever using any contraceptive method. We used descriptive statistics and logistic regression models to test the association of knowledge of method tiers with use of tier 1 (LARC) versus tier 2, tier 3, and no contraceptive use. Results Over time, LARC use in the overall sample was flat (21 % in 1992, 23 % in 2014; p = 0.130). Among adolescents who have had a pregnancy, LARC use has increased (24 % in 1992 to 37 % in 2014). Among adolescents who did not report a pregnancy, current LARC use has remained low (1 % in 1992 and 2 % in 2014). We found positive association between LARC use and knowledge of tier 1 methods. In the overall sample LARC use is strongly correlated with exposure to marriage compared to use of tier 2 or tier 3 methods. Discussion Among adolescents in Mexico who are currently using modern methods, LARC use is relatively high, but remains primarily tied to having had a pregnancy. Our study highlights the need to expand access to LARC methods outside the post-partum hospital setting.
Pan American Health Organization ( 1997 )
Adolescents' attitudes toward gender roles and women's empowerment in Oman
Bint Ahmad Jaffer, Y.; Afifi, M. ( 2005 )
This study investigated the attitudes of Omani adolescents towards gender roles and women's empowerment in taking household decisions, and the determinants of their positive attitudes. A national representative secondary school-based sample of 1670 boys and 1675 girls completed a self-administrated questionnaire with 2 indices: Adolescents' Attitudes Towards Gender Roles and Adolescents' Attitudes Towards Women's Empowerment. Other questions included demographic data, risk behaviour lifestyle, proxies to mental health and social environments expected to predict attitudes towards gender role. Eight variables predicted higher scores in both indices: sex, age, socioeconomic class, sleep problems, self-esteem, current smoking, history of indulging in violent behaviour and parental relations
Adolescents' responses to an unintended pregnancy in Ghana: A qualitative study
Manu, Abubakar; Amuasi, Susan Ama; Aziato, Lydia; Hindin, Michelle J; Lawerh, Rachel Mahoe; Maya, Ernest Tei; Ankomah, Augustine ( 2016-06-23 )
This study sought to investigate the experiences and perceptions of adolescents who have experienced a recent pregnancy and undergone a termination of pregnancy.A vignette-based focus group approach was utilized to have adolescents reflect on scenarios that happen to others during an unwanted pregnancy.The study was conducted in public health facilities in the three major urban areas of Ghana - Accra, Kumasi and Tamale.and data collection procedure: Adolescents, ages 10-19, who had a recent termination of pregnancy were recruited from public health facilities in the 3 sites. Fifteen focus groups were conducted and digitally recorded in English, Twi, Ga and Dagbani. Transcripts were transcribed and translated, and thematic analysis was used for the analysis.Adolescents reported that the characters in the vignettes would feel sadness, depression and regret from an unintended pregnancy and some male partners would "deny" the pregnancy or suggest an abortion. They suggested some parents would "be angry" and "sack" their children for becoming pregnant while others would "support" them. Parents may send the pregnant girl to a distant friend or grandparents until she delivers to avoid shame and gossip. Health professionals may encourage the pregnant girl or insult/gossip about the girl.Adolescent unintended pregnancies in Ghana are met with a range of reactions and these reactions influence the pregnancy choices young women make for continuation or termination of pregnancy.
Adolescents' use of health services in Alexandria, Egypt: association with mental health problems
Afifi, M. ( 2004 )
The study assessed patterns of health service use by adolescents and the association with mental health problems in Alexandria, Egypt. A systematic stratified r and om sample of 1577 school students aged 14-19 years completed a self-report questionnaire about demographic and health status, use of health services in the previous year, and the Children's Depression Inventory and the Adolescent Self-Report Aggression Scale. Overall, 97.1% of students reported using school health clinics once or more in the year before the study, 93.7% primary health centres, 16.8% mental health services and 13.6% other health services. A history of organic illness in the previous year [OR = 1.80], having depressive symptoms [OR = 2.93] and having aggressive symptoms [OR = 5.53] were significantly associated with frequent use of health services [= 4 visits/year]