Adolescent pregnancy in Sao Tome and Principe
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2022 |
| Outros Autores: | , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10362/148960 |
Resumo: | Funding Information: A special remark for the late Professor João Luís Baptista PhD MD - AV research co-supervisor - a great man that was a thinker and a fighter for the improvement of public health in Africa. We are indebted to all the women who participated in the study. The authors would like to thank the 1) medical team and nurses of Hospital Ayres de Menezes Maternity for their support specially to the chief-nurse Paulina Oliveira, 2) Marta Alves for statistical support and 3) Ana Sequeira, Rita Coelho, Ana Margalha, Ana Castro, Alexandra Coelho and Inês Gomes for field support. We would like to acknowledge Instituto Camões, I.P. for the logistic support in STP. Funding Information: AV was supported by the Fundação para a Ciência e Tecnologia (FCT) ( https://www.fct.pt/index.phtml.pt/ ), grant number SFRH/BD/117037/2016. The funder had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript. Publisher Copyright: © 2022, The Author(s). |
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Adolescent pregnancy in Sao Tome and Principea cross-sectional hospital-based studyAdolescent pregnancyFamily planningNewborns’ danger signsSao Tome and PrincipeHQ The family. Marriage. WomanRG Gynecology and obstetricsObstetrics and GynaecologyPediatrics, Perinatology, and Child HealthSDG 3 - Good Health and Well-beingSDG 4 - Quality EducationFunding Information: A special remark for the late Professor João Luís Baptista PhD MD - AV research co-supervisor - a great man that was a thinker and a fighter for the improvement of public health in Africa. We are indebted to all the women who participated in the study. The authors would like to thank the 1) medical team and nurses of Hospital Ayres de Menezes Maternity for their support specially to the chief-nurse Paulina Oliveira, 2) Marta Alves for statistical support and 3) Ana Sequeira, Rita Coelho, Ana Margalha, Ana Castro, Alexandra Coelho and Inês Gomes for field support. We would like to acknowledge Instituto Camões, I.P. for the logistic support in STP. Funding Information: AV was supported by the Fundação para a Ciência e Tecnologia (FCT) ( https://www.fct.pt/index.phtml.pt/ ), grant number SFRH/BD/117037/2016. The funder had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript. Publisher Copyright: © 2022, The Author(s).Background: Pregnancy starts early in Sao Tome and Principe (STP) and rates of adolescent pregnancy increased 16% in recent years reaching a 27.3% prevalence. This study aimed to understand the pregnant adolescents’ characteristics and factors associated to early childbearing in STP. Methods: A cross-sectional hospital-based study was undertaken in Hospital Dr. Ayres de Menezes between 2016 and 2018 with a randomly selected total sample size of 518 mothers. Mothers’ clinical records and interviews were used to collect relevant data. The results among adolescent girls 19 years of age and younger (n=104) were compared to adult mothers (n=414). A subgroup analysis of adolescent pregnant girls was also conducted. Statistically significance was considered at a p-value ≤0.05. Data were analysed using SPSS software. Results: The study revealed that 20.1% were adolescent mothers. Pregnancy at a very early age (≤15) was experienced by 7.7%. The characteristics founded to be positively associated with adolescent pregnancy were: 1) being single (OR 0.39, 95% CI=0.2–0.6, p≤0.001); 2) having a relationship with the baby´s father for a period of less than one year (OR 0.16, 95% CI=0.09-0.3, p≤0.001); 3) lack of the baby´s father support (OR 0.41, 95% CI=0.2–0.7, p=0.002); 4) not using a contraceptive method (OR 0.33, 95% CI=0.2–0.5, p≤0.001), and 5) inappropriate knowledge concerning the identification of the newborn’s danger signs (OR 15.7, 95% CI= 9–26, p≤0.001). Comparing pregnancy at very early age (≤15) to late (>18 and ≤19) adolescents, main differences were that previous contraceptives were not used at all in girls ≤15 years compared to 9.8% of late childbearing subgroup. Conclusions: Unfavourable factors linked to adolescent pregnancies were absence of a contraceptive method, getting pregnant in the early first months of one relationship and to be single. Gap age difference between adolescents’ partners, polygamous sexual relationships, previous abortion and having already other living children were also identified. Adolescents also had inappropriate knowledge of the identification of the newborns’ danger signs. Before being sexually active, adolescents critically need sexual and reproductive health information provided by a healthy community and through school programmes on sexual education. Schools should promote girl’s empowerment and awareness and, at the same time, reinforce boy’s role in fatherhood and shared responsibilities. The government should work on the prevention of early sexual initiation, as well as on improving family planning programmes to protect them from pregnancy with special focus for the very early adolescent girls. None of these goals can be achieved if the government doesn’t, simultaneously, improve educational and economic opportunities for girls.Global Health and Tropical Medicine (GHTM)Instituto de Higiene e Medicina Tropical (IHMT)Population health, policies and services (PPS)RUNVasconcelos, AlexandraBandeira, NelsonSousa, SwasilannePereira, FilomenaMachado, Maria do Ceu2023-02-09T22:21:46Z2022-122022-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article15application/pdfhttp://hdl.handle.net/10362/148960eng1471-2393PURE: 49713103https://doi.org/10.1186/s12884-022-04632-zinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:30:43Zoai:run.unl.pt:10362/148960Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:53:33.923004Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Adolescent pregnancy in Sao Tome and Principe a cross-sectional hospital-based study |
| title |
Adolescent pregnancy in Sao Tome and Principe |
| spellingShingle |
Adolescent pregnancy in Sao Tome and Principe Vasconcelos, Alexandra Adolescent pregnancy Family planning Newborns’ danger signs Sao Tome and Principe HQ The family. Marriage. Woman RG Gynecology and obstetrics Obstetrics and Gynaecology Pediatrics, Perinatology, and Child Health SDG 3 - Good Health and Well-being SDG 4 - Quality Education |
| title_short |
Adolescent pregnancy in Sao Tome and Principe |
| title_full |
Adolescent pregnancy in Sao Tome and Principe |
| title_fullStr |
Adolescent pregnancy in Sao Tome and Principe |
| title_full_unstemmed |
Adolescent pregnancy in Sao Tome and Principe |
| title_sort |
Adolescent pregnancy in Sao Tome and Principe |
| author |
Vasconcelos, Alexandra |
| author_facet |
Vasconcelos, Alexandra Bandeira, Nelson Sousa, Swasilanne Pereira, Filomena Machado, Maria do Ceu |
| author_role |
author |
| author2 |
Bandeira, Nelson Sousa, Swasilanne Pereira, Filomena Machado, Maria do Ceu |
| author2_role |
author author author author |
| dc.contributor.none.fl_str_mv |
Global Health and Tropical Medicine (GHTM) Instituto de Higiene e Medicina Tropical (IHMT) Population health, policies and services (PPS) RUN |
| dc.contributor.author.fl_str_mv |
Vasconcelos, Alexandra Bandeira, Nelson Sousa, Swasilanne Pereira, Filomena Machado, Maria do Ceu |
| dc.subject.por.fl_str_mv |
Adolescent pregnancy Family planning Newborns’ danger signs Sao Tome and Principe HQ The family. Marriage. Woman RG Gynecology and obstetrics Obstetrics and Gynaecology Pediatrics, Perinatology, and Child Health SDG 3 - Good Health and Well-being SDG 4 - Quality Education |
| topic |
Adolescent pregnancy Family planning Newborns’ danger signs Sao Tome and Principe HQ The family. Marriage. Woman RG Gynecology and obstetrics Obstetrics and Gynaecology Pediatrics, Perinatology, and Child Health SDG 3 - Good Health and Well-being SDG 4 - Quality Education |
| description |
Funding Information: A special remark for the late Professor João Luís Baptista PhD MD - AV research co-supervisor - a great man that was a thinker and a fighter for the improvement of public health in Africa. We are indebted to all the women who participated in the study. The authors would like to thank the 1) medical team and nurses of Hospital Ayres de Menezes Maternity for their support specially to the chief-nurse Paulina Oliveira, 2) Marta Alves for statistical support and 3) Ana Sequeira, Rita Coelho, Ana Margalha, Ana Castro, Alexandra Coelho and Inês Gomes for field support. We would like to acknowledge Instituto Camões, I.P. for the logistic support in STP. Funding Information: AV was supported by the Fundação para a Ciência e Tecnologia (FCT) ( https://www.fct.pt/index.phtml.pt/ ), grant number SFRH/BD/117037/2016. The funder had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript. Publisher Copyright: © 2022, The Author(s). |
| publishDate |
2022 |
| dc.date.none.fl_str_mv |
2022-12 2022-12-01T00:00:00Z 2023-02-09T22:21:46Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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http://hdl.handle.net/10362/148960 |
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http://hdl.handle.net/10362/148960 |
| dc.language.iso.fl_str_mv |
eng |
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eng |
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1471-2393 PURE: 49713103 https://doi.org/10.1186/s12884-022-04632-z |
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info:eu-repo/semantics/openAccess |
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openAccess |
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15 application/pdf |
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