Determinantes sociais da gravidez na adolescência em um município de porte no nordeste do Brasil : um estudo prospectivo
Year: 2010
Type: dissertation
Study design: Observational Study
Abstract: The aim of the study was to identify associations between teenage pregnancy and some social\ndeterminants on health related to socio-demographic, education, religion and labor in\nadolescents in the city of Sobral-CE, medium-sized municipality in northeast Brazil. This was\na prospective study, conducted with 903 adolescents belonging to an original sample of 1638\ngirls 5-9 years of research conducted in 2000 in the city. We tried to identify how many had\nbecome pregnant in the interim 10 years. Of those found, 19.5% had become pregnant as least\nonce in life, including abortion. The average age of those who became pregnant, the\npregnancy led to the term and remember the date of delivery (N = 159) was 17.2 years.\nAnalysis was performed, finding an association of teenage pregnancy with current age (OR\n1.6, 95% from 1.3 to 1.8), with the repetition of the series (OR = 2.0, 95% CI: 1.4 to 3.1) with\nperformance of work activity (even unpaid) (OR = 2.4, 95% CI 1.7 to 3.4) beyond the\nprotective character of the highest per capita income (OR = 0.6, 95% CI 0.5 to 0.8) and\neducation of the mother of a teenager (OR = 0.5, 95% CI: 0.4-0.7), especially those who\nstudied until high school or university graduate. After multivariate analysis, included the\nvariables age at present, only one of the individual determinants, indicating that the increase\nin the age of adolescent, 50% increase in the chances of pregnancy (OR = 1.5, 95% CI: 1.3 to\n1.8); live in the urban area of headquarters of the city, which increased by 90% the chance of\nbecoming pregnant (OR = 1.9, 95% CI 1.1-3.4) and the fact some work, an increase of 80%\n(OR = 1.8, 95% CI 1.2 to 2.6), examples of the intermediate determinants of health. Emerged\nas protective factors in family income, which decreased 30% chance of pregnancy in those\nwith higher income (OR = 0.7, 95% CI 0.6 to 0.8) and education of the mother of the\nteenager, who decreases by 40% this chance (OR = 0.6, 95% CI: 0.5-0.9), these\nrepresentatives of the determinants of macro-economic research. Thus, the pregnancy before\n20 years of age, adolescents between the village of Sobral (CE), was associated with\nindividual factors such as age, intermediaries such as child labor and area of residence, and\nstructural, such as family income and schooling of their mothers
Author: Olivan Silva Queiroz
Language: Portuguese
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2597812488