Las adolescentes frente a la decisión de interrumpir un embarazo en un contexto de aborto legal

Detalhes bibliográficos
Autor(a) principal: Maria Luisa Ituarte
Data de Publicação: 2021
Outros Autores: Alejandra López-Gómez
Tipo de documento: Artigo
Idioma: spa
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7709
Resumo: The article presents the results of a study on the experiences of adolescents that decided to terminate a pregnancy in the context of legal abortion services in Montevideo, Uruguay, from 2016 to 2018. The main objective was to examine the decision-making process and access to legal abortion from the perspective of the adolescent girls themselves. This involved analyzing circumstances, motives, and persons that influenced the decision and the ways this was handled in the health services. A cross-sectional, exploratory, and descriptive study was designed, based on a qualitative methodology. The main technique used for collecting the information was a semi-structured interview with 14 adolescents 17 to 19 years of age who had voluntarily terminated a pregnancy in public healthcare services. The motives for the abortion reveal the weight of socially accepted reasons, incorporated as their own. The interviews showed that the adolescent’s mother plays an important role as the reference for the decision. The adolescents reported that they had made the decision to have the abortion before going to the health service. The results highlight the positive role of a legal framework that enables voluntary abortion services. The results help understand the experiences of adolescents facing a difficult life decision, the family’s role, particularly that of the adolescent’s mother, the legal framework’s place in the decision, the weight of stigma and moral sanctions, and expectations towards care in health services.
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spelling Las adolescentes frente a la decisión de interrumpir un embarazo en un contexto de aborto legalAdolescenciaAbortoToma de DecisionesServicios de SaludThe article presents the results of a study on the experiences of adolescents that decided to terminate a pregnancy in the context of legal abortion services in Montevideo, Uruguay, from 2016 to 2018. The main objective was to examine the decision-making process and access to legal abortion from the perspective of the adolescent girls themselves. This involved analyzing circumstances, motives, and persons that influenced the decision and the ways this was handled in the health services. A cross-sectional, exploratory, and descriptive study was designed, based on a qualitative methodology. The main technique used for collecting the information was a semi-structured interview with 14 adolescents 17 to 19 years of age who had voluntarily terminated a pregnancy in public healthcare services. The motives for the abortion reveal the weight of socially accepted reasons, incorporated as their own. The interviews showed that the adolescent’s mother plays an important role as the reference for the decision. The adolescents reported that they had made the decision to have the abortion before going to the health service. The results highlight the positive role of a legal framework that enables voluntary abortion services. The results help understand the experiences of adolescents facing a difficult life decision, the family’s role, particularly that of the adolescent’s mother, the legal framework’s place in the decision, the weight of stigma and moral sanctions, and expectations towards care in health services.El artículo presenta resultados de una investigación sobre las experiencias de las adolescentes que decidieron interrumpir su embarazo en el marco de los servicios legales de aborto en Montevideo (Uruguay), realizada entre los años 2016 y 2018. Su objetivo principal fue examinar el proceso de toma de decisión y el acceso al aborto legal, desde la perspectiva de las propias adolescentes. Ello implicó analizar circunstancias, motivaciones y personajes que influenciaron en la toma de la decisión y cómo ésta se tramitó en el servicio de salud. Se diseñó un estudio transversal de tipo exploratorio y descriptivo, basado en metodología cualitativa. La técnica principal que se utilizó para la recolección de la información fue la entrevista semidirigida, se entrevistó a 14 adolescentes entre 17 y 19 años de edad que interrumpieron voluntariamente un embarazo en los servicios públicos de salud. Los motivos para abortar dan cuenta del peso que tienen las razones socialmente aceptadas, incorporadas como motivos propios. Se observó que la madre juega un papel importante como referente en la decisión. Las adolescentes manifestaron tomar la decisión de abortar antes de haber concurrido al servicio de salud. Se destaca el papel positivo de la existencia de un marco legal que habilita servicios de aborto voluntario. Los resultados contribuyen a comprender los procesos que viven las adolescentes frente a una decisión vital difícil, el rol de la familia, en particular de la figura materna, el lugar que tiene el marco legal en la toma de la decisión, el peso del estigma y la sanción moral, y las expectativas respecto de la atención en servicios de salud.O artigo apresenta os resultados de uma pesquisa, desenvolvida entre 2016 e 2018, sobre as experiências de adolescentes que decidiram interromper a sua gravidez nas unidades de saúde para aborto legal em Montevidéu (Uruguai). Tinha como objetivo principal analisar o processo de tomada de decisão e o acesso ao aborto legal, do ponto de vista das próprias adolescentes. Isso envolvia avaliar as circunstancias, motivações e personagens que influenciaram a tomada de decisão e a forma como se deu no sistema de saúde. Foi construído um estudo transversal do tipo exploratório e descritivo baseado numa metodologia qualitativa. A técnica principal utilizada para a coleta de informação era a entrevista semiestruturada; foram entrevistadas 14 adolescentes entre 17 e 19 anos de idade, que tinham interrompido voluntariamente uma gravidez no sistema público de saúde. Os motivos para abortar refletem o peso das razões socialmente aceitas, incorporadas como motivos próprios. Observou-se que a mãe desempenha um papel relevante, como referente na decisão. As adolescentes afirmaram ter tomado a decisão de abortar antes de se dirigir à unidade de saúde. Destaca-se o papel positivo da existência de um marco legal que habilita serviços de aborto voluntário. Os resultados contribuem para o entendimento dos processos vivenciados pelas adolescentes diante de uma decisão vital difícil, o papel da família, em especial da figura materna, o lugar ocupado pelo marco legal na tomada da decisão, o peso do estigma e da sanção moral, além das expectativas sobre o atendimento nas unidades de saúde.Reports in Public HealthCadernos de Saúde Pública2021-03-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7709Reports in Public Health; Vol. 37 No. 2 (2021): FebruaryCadernos de Saúde Pública; v. 37 n. 2 (2021): Fevereiro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZspahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7709/17214https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7709/17215Maria Luisa ItuarteAlejandra López-Gómezinfo:eu-repo/semantics/openAccess2024-03-06T15:30:08Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/7709Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:08:51.818373Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Las adolescentes frente a la decisión de interrumpir un embarazo en un contexto de aborto legal
title Las adolescentes frente a la decisión de interrumpir un embarazo en un contexto de aborto legal
spellingShingle Las adolescentes frente a la decisión de interrumpir un embarazo en un contexto de aborto legal
Maria Luisa Ituarte
Adolescencia
Aborto
Toma de Decisiones
Servicios de Salud
title_short Las adolescentes frente a la decisión de interrumpir un embarazo en un contexto de aborto legal
title_full Las adolescentes frente a la decisión de interrumpir un embarazo en un contexto de aborto legal
title_fullStr Las adolescentes frente a la decisión de interrumpir un embarazo en un contexto de aborto legal
title_full_unstemmed Las adolescentes frente a la decisión de interrumpir un embarazo en un contexto de aborto legal
title_sort Las adolescentes frente a la decisión de interrumpir un embarazo en un contexto de aborto legal
author Maria Luisa Ituarte
author_facet Maria Luisa Ituarte
Alejandra López-Gómez
author_role author
author2 Alejandra López-Gómez
author2_role author
dc.contributor.author.fl_str_mv Maria Luisa Ituarte
Alejandra López-Gómez
dc.subject.por.fl_str_mv Adolescencia
Aborto
Toma de Decisiones
Servicios de Salud
topic Adolescencia
Aborto
Toma de Decisiones
Servicios de Salud
description The article presents the results of a study on the experiences of adolescents that decided to terminate a pregnancy in the context of legal abortion services in Montevideo, Uruguay, from 2016 to 2018. The main objective was to examine the decision-making process and access to legal abortion from the perspective of the adolescent girls themselves. This involved analyzing circumstances, motives, and persons that influenced the decision and the ways this was handled in the health services. A cross-sectional, exploratory, and descriptive study was designed, based on a qualitative methodology. The main technique used for collecting the information was a semi-structured interview with 14 adolescents 17 to 19 years of age who had voluntarily terminated a pregnancy in public healthcare services. The motives for the abortion reveal the weight of socially accepted reasons, incorporated as their own. The interviews showed that the adolescent’s mother plays an important role as the reference for the decision. The adolescents reported that they had made the decision to have the abortion before going to the health service. The results highlight the positive role of a legal framework that enables voluntary abortion services. The results help understand the experiences of adolescents facing a difficult life decision, the family’s role, particularly that of the adolescent’s mother, the legal framework’s place in the decision, the weight of stigma and moral sanctions, and expectations towards care in health services.
publishDate 2021
dc.date.none.fl_str_mv 2021-03-12
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dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7709
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7709
dc.language.iso.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7709/17214
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7709/17215
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eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
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dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 37 No. 2 (2021): February
Cadernos de Saúde Pública; v. 37 n. 2 (2021): Fevereiro
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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