Social determinants of teenage pregnancy in medium-sized municipality in northeastern Brazil: a prospective studyrtheast Brazil: a prospective study. / Determinantes sociais da gravidez na adolescÃncia em municÃpio de mÃdio porte no Nordeste do Brasil: um estudo prospectivo

AUTOR(ES)
FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

14/08/2010

RESUMO

The aim of the study was to identify associations between teenage pregnancy and some social determinants on health related to socio-demographic, education, religion and labor in adolescents in the city of Sobral-CE, medium-sized municipality in northeast Brazil. This was a prospective study, conducted with 903 adolescents belonging to an original sample of 1638 girls 5-9 years of research conducted in 2000 in the city. We tried to identify how many had become pregnant in the interim 10 years. Of those found, 19.5% had become pregnant as least once in life, including abortion. The average age of those who became pregnant, the pregnancy led to the term and remember the date of delivery (N = 159) was 17.2 years. Analysis was performed, finding an association of teenage pregnancy with current age (OR 1.6, 95% from 1.3 to 1.8), with the repetition of the series (OR = 2.0, 95% CI: 1.4 to 3.1) with performance of work activity (even unpaid) (OR = 2.4, 95% CI 1.7 to 3.4) beyond the protective character of the highest per capita income (OR = 0.6, 95% CI 0.5 to 0.8) and education of the mother of a teenager (OR = 0.5, 95% CI: 0.4-0.7), especially those who studied until high school or university graduate. After multivariate analysis, included the variables age at present, only one of the individual determinants, indicating that the increase in the age of adolescent, 50% increase in the chances of pregnancy (OR = 1.5, 95% CI: 1.3 to 1.8); live in the urban area of headquarters of the city, which increased by 90% the chance of becoming pregnant (OR = 1.9, 95% CI 1.1-3.4) and the fact some work, an increase of 80% (OR = 1.8, 95% CI 1.2 to 2.6), examples of the intermediate determinants of health. Emerged as protective factors in family income, which decreased 30% chance of pregnancy in those with higher income (OR = 0.7, 95% CI 0.6 to 0.8) and education of the mother of the teenager, who decreases by 40% this chance (OR = 0.6, 95% CI: 0.5-0.9), these representatives of the determinants of macro-economic research. Thus, the pregnancy before 20 years of age, adolescents between the village of Sobral (CE), was associated with individual factors such as age, intermediaries such as child labor and area of residence, and structural, such as family income and schooling of their mothers

ASSUNTO(S)

saude publica gravidez na adolescÃncia estudos prospectivos

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