Adolescent pregnancy and transition to adulthood in young users of the SUS
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/130836 |
Resumo: | OBJECTIVE The objective of this study is to contextualize adolescent pregnancy from milestones associated with the process of transition from youth to adulthood. METHODS This is a cross-sectional study conducted with 200 adolescents, users of the Brazilian Unified Health System. The sample size for the estimation of proportions has been calculated assuming a population ratio of 0.50 and 95% confidence level. The dependent variables – planned pregnancy, living with a partner, and having left the parents’ house – have been considered as markers of transition from dependence to independence, from youth to adulthood. In the analysis of the associated factors, we have used the Poisson model with robust variance. RESULTS Average age was 17.3 years, and most adolescents lived with a partner; approximately half of the adolescents got pregnant from their first partner and the average age of first sexual intercourse was 14.6 years. Only 19% of the adolescents were studying and most dropped out of school before the beginning of the pregnancy. In the bivariate and multiple analysis, we could see that the relationship with a partner for more than two years was associated with the three dependent variables. CONCLUSIONS The path of transition to adulthood has been the establishment of a link with a partner and consequent pregnancy, suggesting a clear pattern of male guardianship. The changing role of women in society observed in recent decades, which means choosing a professional career, defining the number of children, and choosing their partner(s), has not reached these young persons. |
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Revista de Saúde Pública |
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Adolescent pregnancy and transition to adulthood in young users of the SUSGravidez na adolescência e transição para a vida adulta em jovens usuárias do SUSPregnancy in AdolescenceYoung AdultGender and HealthSocial SupportGravidez na AdolescênciaAdulto JovemGênero e SaúdeApoio SocialOBJECTIVE The objective of this study is to contextualize adolescent pregnancy from milestones associated with the process of transition from youth to adulthood. METHODS This is a cross-sectional study conducted with 200 adolescents, users of the Brazilian Unified Health System. The sample size for the estimation of proportions has been calculated assuming a population ratio of 0.50 and 95% confidence level. The dependent variables – planned pregnancy, living with a partner, and having left the parents’ house – have been considered as markers of transition from dependence to independence, from youth to adulthood. In the analysis of the associated factors, we have used the Poisson model with robust variance. RESULTS Average age was 17.3 years, and most adolescents lived with a partner; approximately half of the adolescents got pregnant from their first partner and the average age of first sexual intercourse was 14.6 years. Only 19% of the adolescents were studying and most dropped out of school before the beginning of the pregnancy. In the bivariate and multiple analysis, we could see that the relationship with a partner for more than two years was associated with the three dependent variables. CONCLUSIONS The path of transition to adulthood has been the establishment of a link with a partner and consequent pregnancy, suggesting a clear pattern of male guardianship. The changing role of women in society observed in recent decades, which means choosing a professional career, defining the number of children, and choosing their partner(s), has not reached these young persons.OBJETIVO Contextualizar a gestação em adolescentes a partir de marcos associados ao processo de transição da juventude para a vida adulta. MÉTODOS Estudo transversal realizado com 200 adolescentes usuárias do Sistema Único de Saúde. O tamanho da amostra para a estimação de proporções foi calculado considerando uma proporção populacional de 0,50, e nível de confiança de 95%. As variáveis dependentes – gestação planejada, morar com o parceiro e ter saído da casa dos pais – foram consideradas marcadores da transição da dependência para a independência, da juventude para a vida adulta. Na análise dos fatores associados, utilizou-se o modelo de Poisson com variância robusta. RESULTADOS A idade média foi 17,3 anos, a maioria coabitava com o companheiro; aproximadamente metade engravidou do primeiro parceiro e a idade média da primeira relação sexual foi 14,6 anos. Apenas 19% das jovens estudavam e o abandono escolar foi, na maior parte, anterior ao início da gestação. Nas análises bivariadas e na análise múltipla, observou-se que relacionar-se com o parceiro há mais de dois anos se associou às três variáveis dependentes. CONCLUSÕES O caminho de transição para a vida adulta foi o estabelecimento de um vínculo com um parceiro e consequente maternidade, sugerindo padrão claro de tutela masculina. A mudança do papel da mulher na sociedade observada nos últimas décadas, que implica optar por uma carreira profissional, definir número de filhos e escolher o(s) parceiro(s),não chegou a parcela dessas jovens.Universidade de São Paulo. Faculdade de Saúde Pública2017-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/13083610.1590/s1518-8787.2017051006528Revista de Saúde Pública; Vol. 51 (2017); 25Revista de Saúde Pública; Vol. 51 (2017); 25Revista de Saúde Pública; v. 51 (2017); 251518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/130836/127271https://www.revistas.usp.br/rsp/article/view/130836/127272Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessVieira, Elisabeth MeloniBousquat, AyleneBarros, Claudia Renata dos SantosAlves, Maria Cecilia Goi Porto2017-12-14T10:16:01Zoai:revistas.usp.br:article/130836Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2017-12-14T10:16:01Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Adolescent pregnancy and transition to adulthood in young users of the SUS Gravidez na adolescência e transição para a vida adulta em jovens usuárias do SUS |
title |
Adolescent pregnancy and transition to adulthood in young users of the SUS |
spellingShingle |
Adolescent pregnancy and transition to adulthood in young users of the SUS Vieira, Elisabeth Meloni Pregnancy in Adolescence Young Adult Gender and Health Social Support Gravidez na Adolescência Adulto Jovem Gênero e Saúde Apoio Social |
title_short |
Adolescent pregnancy and transition to adulthood in young users of the SUS |
title_full |
Adolescent pregnancy and transition to adulthood in young users of the SUS |
title_fullStr |
Adolescent pregnancy and transition to adulthood in young users of the SUS |
title_full_unstemmed |
Adolescent pregnancy and transition to adulthood in young users of the SUS |
title_sort |
Adolescent pregnancy and transition to adulthood in young users of the SUS |
author |
Vieira, Elisabeth Meloni |
author_facet |
Vieira, Elisabeth Meloni Bousquat, Aylene Barros, Claudia Renata dos Santos Alves, Maria Cecilia Goi Porto |
author_role |
author |
author2 |
Bousquat, Aylene Barros, Claudia Renata dos Santos Alves, Maria Cecilia Goi Porto |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Vieira, Elisabeth Meloni Bousquat, Aylene Barros, Claudia Renata dos Santos Alves, Maria Cecilia Goi Porto |
dc.subject.por.fl_str_mv |
Pregnancy in Adolescence Young Adult Gender and Health Social Support Gravidez na Adolescência Adulto Jovem Gênero e Saúde Apoio Social |
topic |
Pregnancy in Adolescence Young Adult Gender and Health Social Support Gravidez na Adolescência Adulto Jovem Gênero e Saúde Apoio Social |
description |
OBJECTIVE The objective of this study is to contextualize adolescent pregnancy from milestones associated with the process of transition from youth to adulthood. METHODS This is a cross-sectional study conducted with 200 adolescents, users of the Brazilian Unified Health System. The sample size for the estimation of proportions has been calculated assuming a population ratio of 0.50 and 95% confidence level. The dependent variables – planned pregnancy, living with a partner, and having left the parents’ house – have been considered as markers of transition from dependence to independence, from youth to adulthood. In the analysis of the associated factors, we have used the Poisson model with robust variance. RESULTS Average age was 17.3 years, and most adolescents lived with a partner; approximately half of the adolescents got pregnant from their first partner and the average age of first sexual intercourse was 14.6 years. Only 19% of the adolescents were studying and most dropped out of school before the beginning of the pregnancy. In the bivariate and multiple analysis, we could see that the relationship with a partner for more than two years was associated with the three dependent variables. CONCLUSIONS The path of transition to adulthood has been the establishment of a link with a partner and consequent pregnancy, suggesting a clear pattern of male guardianship. The changing role of women in society observed in recent decades, which means choosing a professional career, defining the number of children, and choosing their partner(s), has not reached these young persons. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/130836 10.1590/s1518-8787.2017051006528 |
url |
https://www.revistas.usp.br/rsp/article/view/130836 |
identifier_str_mv |
10.1590/s1518-8787.2017051006528 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/130836/127271 https://www.revistas.usp.br/rsp/article/view/130836/127272 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 51 (2017); 25 Revista de Saúde Pública; Vol. 51 (2017); 25 Revista de Saúde Pública; v. 51 (2017); 25 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221798317424640 |