Risk Factors and Social Consequences of Early Pregnancy: A Systematic Review

  1. Raya-Diez, Esther 1
  2. Serrano-Martínez, Cecilia 1
  3. Domínguez San Pedro, Elena 1
  4. Montañés-Muro, Pilar 1
  1. 1 University of La Rioja, Spain
Revista:
Sage Open

ISSN: 2158-2440 2158-2440

Año de publicación: 2024

Volumen: 14

Número: 3

Tipo: Artículo

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DOI: 10.1177/21582440241271324 GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Sage Open

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Resumen

Early or teenage pregnancy is a worldwide phenomenon, considered both a social problem and a public health issue. This study analyzes the risk factors and consequences for the social development of young mothers based on a bibliographical review of research studies. A bibliographical search was conducted for studies published in Scopus and Dialnet between 2015 and 2022 that deal with the social aspects of teenage pregnancy rather than exclusively health-related issues. Two hundred twenty-seven articles were identified, and after a second review, 113 articles were selected. While rates of teenage pregnancy display divergences between geographic regions, the studies reveal common risk factors and consequences. Reproductive health programs should consider the problem from an intersectional perspective and, rather than relying exclusively on health-related policies, preventing early pregnancy requires comprehensive policies that incorporate cultural factors and seek out the underlying structural causes of inequality and poverty. This research is based on the results of the study Analysis of Teenage Pregnancy from a Human Rights and Gender-based Perspective in El Salvador and Spain, undertaken by the Medicus Mundi in collaboration with the El Salvador Intersectoral Alliance for Teenagers and Young Adults and the Ministry of Health of El Salvador.

Información de financiación

Financiadores

  • Research contract signed between Médicus Mundi La Rioja and the Foundation of the University of La Rioja in 2021 to carry out research on pregnancy in young women.

Referencias bibliográficas

  • Akella D., Jordan M. (2014). Impact of social and cultural factors on teen pregnancy. Journal of Health Disparities Research & Practice, 8(1), 3. https://digitalscholarship.unlv.edu/jhdrp/vol8/iss1/3
  • 10.1016/j.jpubeco.2010.11.006
  • Alvarado Thimeos J., (2015), Educación sexual preventiva en adolescentes
  • 10.1016/j.childyouth.2019.104509
  • Araúz-Ledezma A. B., Massar K., Kok G. (2020). Behavioural and environmental influences on adolescent decision making in personal relationships: a qualitative multi-stakeholder exploration in Panama. Health Education Research, 35(1), 1–14, https://doi.org/10.1093/her/cyz033
  • 10.1016/j.worlddev.2012.03.010
  • Arnold E. M., (2000), Adolescence, 35, pp. 485
  • 10.1111/sifp.12100
  • Azevedo J. P., Favara M., Haddock S. E., et al. (2012). Embarazo adolescente y oportunidades en América Latina y el Caribe. Sobre maternidad temprana, pobreza y logros económicos. Estados Unidos, Banco Mundial. https://dds.cepal.org/redesoc/publicacion?id=3202
  • Basilio C. I. S., (2016), NURE Investigación: Revista Científica de Enfermería, 13, pp. 3
  • Blum R. W., (2015), Girlhood, not motherhood: Preventing adolescent pregnancy
  • Bonilla Y. A. T., (2018), Cooperativismo & Desarrollo, 26
  • 10.1363/44e5518
  • 10.1177/0739986317709429
  • 10.1002/jcop.22364
  • 10.1016/j.rprh.2015.05.004
  • Carrillo Soto J., (2018), JONNPR, 3, pp. 268
  • 10.18273/revsal.v49n2-2017002
  • Colomer Revuelta J. (2013). Prevención del embarazo no deseado y de las infecciones de transmisión sexual en adolescentes. Grupo PrevInfad. https://previnfad.aepap.org/monografia/embarazo-its
  • Cook S. M., Cameron S. T. (2015). Social issues of teenage pregnancy. Obstetrics, Gynaecology & Reproductive Medicine, 25(9), 243–248. https://doi.org/10.1016/j.ogrm.2015.06.001
  • Chung H. W., (2018), Journal of Adolescence, 69
  • Copeland R. J. (2017). Experiences of adolescent mothers in Costa Rica and the role of parental support. Journal of Family Social Work, 20(5), 416–432. https://doi.org/10.1080/10522158.2017.1300114
  • 10.59588/2350-8329.1147
  • Crooks R., Bedwell C., Lavender T. (2022). Adolescent experiences of pregnancy in low-and middle-income countries: A meta-synthesis of qualitative studies. BMC Pregnancy Childbirth, 22(1), 702. https://doi.org/10.1186/s12884-022-05022-1
  • Cuberos de Quintero M. A., Vivas García M., Carreño Paredes M. T., Albornoz Arias N. C., Mazuera Arias R., García Navarro J. I. (2019). cubSchool dropout of adolescent mothers in a Colombian-Venezuelan border context. Italian Sociological Review, 9(1), 1. https://doi.org/10.13136/isr.v9i1.212
  • 10.12804/revsalud14.01.2016.11
  • De la Rubia J. M., (2017), Perspectivas sociales, 19
  • 10.1016/j.healthplace.2018.09.001
  • 10.1016/j.jpag.2021.03.003
  • 10.1007/s13178-020-00480-8
  • Escobar J. C., Ariza Navarrete S., Keller V. (2019). Embarazo y maternidad en niñas y adolescentes menores de 15 años: Aportes de evidencia socio-sanitaria y jurídica en la región. [Pregnancy and maternity in teenage girls under 15 years of age: contribution of socio-sanitary and legal evidence in the region.]
  • 10.21149/7959
  • Ezer P., (2016), Rural and Remote Health, 16, pp. 1
  • Family Care International (2008). Buenas prácticas en materia de prevención del embarazo adolescente [Good practices in terms of the prevention of teenage pregnancy]. Retrieved July 15, 2023, from https://www.orasconhu.org/documentos/Oct%2008%20Concepto%20%20BP%20en%20PEA%20-4.pdf
  • 10.1016/j.adolescence.2019.06.005
  • 10.1111/rode.12648
  • Florescu L., (2016), Revista de cercetare si interventie sociala, 52, pp. 27
  • Folayan M.O., Haire B., Harrison A., Odetoyingbo M., Fatusi O., Brown B. (2015). Ethical issues in adolescents’ sexual and reproductive health research in Nigeria. Developing World Bioethics, 15(3), 191–198. https://doi.org/10.1111/dewb.12061
  • 10.37135/ee.004.06.07
  • Garwood S. K., Lara G., Melissa J. R., Katie P., Brett D. (2015). More than poverty—Teen pregnancy risk and reports of child abuse reports and neglect. Journal of Adolescent Health, 57(2), 164–168. https://doi.org/10.1016/j.jadohealth.2015.05.004
  • 10.15174/au.2020.2562
  • 10.18294/sc.2017.990
  • González Nava P., (2020), Saúde e Sociedade, 29, pp. e181032, 10.1590/s0104-12902020181032
  • 10.1007/s11524-016-0061-x
  • 10.5820/aian.2304.2016.16
  • 10.1016/j.ssmph.2018.100344
  • 10.3928/02793695-20050801-09
  • 10.1093/inthealth/ihu074
  • Hernández Nieto L. M., (2017), Factores socioculturales que influyen en el aumento de casos de embarazos en adolescentes de 15 a 19 años de edad
  • Hernández M., (2008), Exclusión social y desigualdad
  • Hernández A, L., (2015), Revista Metamorfosis: Revista del Centro Reina Sofía sobre Adolescencia y Juventud, 2, pp. 67
  • Hofferth S. L., Reid L., Mott F. L. (2001). The effects of early childbearing on schooling over time. Family Planning Perspectives, 33(6), 259–267. https://doi.org/10.2307/3030193
  • 10.1177/1087054719900232
  • 10.21307/joss-2018-009
  • International Plan. (2023). Embarazo adolescente o embarazo precoz [Teenage pregnancy or early pregnancy] https://plan-international.es/girls-get-equal/embarazo-adolescente
  • Jaramillo J., (2017), Políticas públicas de prevención del embarazo precoz en el marco de la realización de los objetivos de desarrollo del milenio. El caso de Medellín (Colombia)
  • 10.1007/s12119-019-09589-4
  • 10.1016/j.jogoh.2021.102093
  • 10.1007/s10900-014-9962-3
  • Lagarde M. (2015). Los cautiverios de las mujeres: madresposas, monjas, putas, presas y locas. Ciudad de México, Siglo XXI.
  • 10.1007/s11524-012-9768-5
  • 10.1111/famp.12125
  • Laparra M., (2008), Procesos de exclusión e itinerarios de inserción, 21
  • Lapeira-Panneflex P., (2019), Duazary, 16, pp. 41
  • 10.1177/0886260520917509
  • 10.1080/13691058.2019.1710567
  • 10.1007/s10566-020-09580-3
  • 10.1016/j.chiabu.2019.104125
  • Makiwane M., (2018), Journal of International Women’s Studies, 19, pp. 209
  • 10.1111/josh.12733
  • Manlove J., (2018), Data point: Half of 20-to-29-year-old women who gave birth in their teens have a high school diploma
  • 10.1016/j.childyouth.2017.10.010
  • Martinez I., Kershaw T. S., Keene D., Perez-Escamilla R., Lewis J. B., Tobin J. N., Ickovics J. R. (2018). Acculturation and syndemic risk: Longitudinal evaluation of risk factors among pregnant Latina adolescents in New York City. Annals of Behavioral Medicine, 52(1), 42–52. https://doi.org/10.1007/s12160-017-9924-y
  • 10.1177/2158244015622245
  • 10.1016/j.rcp.2016.05.004
  • 10.1080/13691058.2020.1746401
  • 10.23857/dc.v5i2.893
  • Merino A. (March 28, 2021) Madres adolescentes [Teenage mothers]. https://elordenmundial.com/mapas-y-graficos/maternidad-adolescente-mundo/
  • Merriwether-de Vries C., (1996), Transitions through adolescence: Interpersonal domains and context
  • Mintogbé M. M. M., (2021), Sexuality & Culture, 25, pp. 139
  • 10.1080/21528586.2016.1216801
  • 10.3402/ijch.v75.31790
  • Montenegro D., (2010), Narrativas de adolescentes embarazadas populares que han planificado su embarazo
  • Mora-Cancino A. M., (2015), Ginecol Obstet Mex, 83, pp. 294
  • 10.1086/710766
  • 10.22206/cysa.2019.v3i1.pp43-50
  • 10.1111/jora.12436
  • 10.1093/inthealth/ihz017
  • OMS & UNFPA (2012) Prevenir el embarazo precoz y los resultados reproductivos adversos en adolescentes en los países en desarrollo: las evidencias, Organización Mundial de la Salud y UNFPA, http://whqlibdoc.who.int/hq/2012/WHO_FWC_MCA_12_02_spa.pdf
  • OPS, UNFPA y Unicef (2018): Acelerar el progreso hacia la reducción del embarazo adolescente en América Latina y el Caribe. https://www.unicef.org/lac/media/1336/file/PDF_Acelerar_el_progreso_hacia_la_reducci%C3%B3n_del_embarazo_en_la_adolescen.pdf
  • Page M. J., (2021), Declaración PRISMA 2020: una guía actualizada para la publicación de revisiones sistemáticas, 74, pp. 790
  • Perea Martínez A., (2018), Child abuse and its impacts on the prevalence of pregnancy in adolescence: Prevention
  • 10.7322/jhgd.v30.10363
  • Plan Internacional. (2023). Embarazo adolescente o embarazo precoz [Adolescent pregnancy or early pregnancy] https://plan-international.es/girls-get-equal/embarazo-adolescente
  • 10.33554/riv.12.2.143
  • Póo F. A. M., (2018), Significance given to parenting during the course of pregnancy by adolescent parents
  • 10.1007/s11125-016-9379-0
  • 10.1177/0971333615622910
  • Raya E., (2006), Indicadores de exclusión social. [Indicators of social exclusion.] Una aproximación al estudio aplicado de la exclusión social
  • Raya E., (2022), Análisis del embarazo adolescente desde un enfoque de derechos humanos y género en El Salvador y España
  • Recio A. V., (2019), Journal Agathos: Atención sociosanitaria y bienestar, 19, pp. 28
  • Restrepo Martinez M., (2017), rev.colomb.psiquiatr, 46, pp. 74, 10.1016/j.rcp.2016.05.004
  • Robaina-Castillo J. I., (2019), Electronic Journal Universidad Médica Pinareña, Cuba, 15, pp. 123
  • Rodríguez N. R., (2018), Journal Revista Información Científica, 97, pp. 945
  • 10.1007/s11524-016-0047-8
  • 10.1111/chso.12078
  • Sámano R., Martínez-Rojano H., Robichaux D., Rodríguez-Ventura A. L., Sánchez-Jiménez B., de, la Luz, Hoyuela M., Segovia S. (2017). Family context and individual situation of teens before, during and after pregnancy in Mexico City. BMC Pregnancy and Childbirth, 17, 382. https://doi.org/10.1186/s12884-017-1570-7
  • Sanz-Martos S., López-Medina I. M. Álvarez-García C. Álvarez-Nieto C. (2019). Efectividad de las intervenciones educativas para la prevención del embarazo en la adolescencia. Effectiveness of educational interventions for the prevention of pregnancy in adolescents. Atención Primaria, 51(7), 424–434. https://doi.org/10.1016/j.aprim.2018.04.003
  • 10.1007/s40609-015-0029-x
  • Save the Children (2016). Embarazo y maternidad en la adolescencia [Pregnancy and maternity in adolescence]. Mexico City. Retrieved June 06 27, 2023, from https://www.savethechildren.mx/sci-mx/files/89/89cd3f0a-43e0-42aa-876a-a345df7f0f74.pdf
  • 10.1016/S2214-109X(14)70227-X
  • 10.1080/15433714.2014.992696
  • Silver H. (2007). The process of social exclusion: The dynamics of an evolving concept. Chronic Poverty Research Centre Working Paper, (95).
  • Simón T. Y. (2016). Anticoncepción y embarazo no planificado en mujeres jóvenes. Determinantes culturales, de género, familiares y personales [Contraception and unplanned pregnancy in young women. Cultural, gender, family and personal determinants.] [Doctoral dissertation, Universidad de Zaragoza: Zaragoza.]
  • 10.1007/s10560-016-0441-9
  • 10.1111/josh.12947
  • Soto J. C., (2018), Journal of Negative and No Positive Results, 3, pp. 268
  • 10.1111/josh.12991
  • Subirats J., (2004), Pobreza y exclusión social. Un análisis de la realidad española y europea
  • Tamim H., Al-Sahab B., Connolly J. (2014). Teen Motherhood in Canada. In Michalos AC (Eds.) Encyclopedia of quality of life and well-being research. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-0753-5_4076
  • 10.1080/17450128.2015.1046534
  • Thimeos A., Eliana J. (2015). Educación sexual preventiva en adolescentes. [Preventive sexual education in adolescents.] [Doctoral dissertation, UNED: Madrid].
  • 10.4995/reinad.2015.3420
  • Tsai J., (2017), The Oxford handbook of acculturation and health, pp. 301
  • UNICEF (2015) Adolescentes empoderados para prevenir embarazos, VIH y violencias, [Adolescents empowered to prevent pregnancy, HIV and violence] Web Page. UNICEF Bolivia. https://www.unicef.org/bolivia/adolescentes-empoderados-para-prevenir-embarazos-vih-y-violencias
  • United Nations (2016). General comment No. 22 (2016) on the right to sexual and reproductive health (article 12 of the International Covenant on Economic, Social and Cultural Rights). https://digitallibrary.un.org/record/832961
  • UNFPA (2017). Mapa de Embarazos en Niñas y Adolescentes en El Salvador 2015. [Map of Child and Teenage Pregnancies in El Salvador in 2015.] United Nations Population Fund (UNFPA), El Salvador. https://elsalvador.unfpa.org/sites/default/files/pub-pdf/mapas_embarazos%20_v4M2br_0.pdf
  • UNFPA (2020). Consecuencias socioeconómicas del embarazo en adolescentes en Ecuador. [Socio-economic consequences of teenage pregnancy in Ecuador.] Fondo de Población de las Naciones Unidas - Oficina de país en Ecuador. Quito. https://www.unicef.org/ecuador/informes/consecuencias-socioecon%C3%B3micas-del-embarazo-en-la-adolescencia-en-ecuador
  • Urindwanayo D., (2020), Journal of International Women’s Studies, 21, pp. 255
  • Van Zyl L., (2015), Social Work, 51, pp. 151
  • Vélez E. H., (2015), Journal Educación en valores, 24, pp. 50
  • 10.21149/10553
  • 10.21149/spm.v57i2.7409
  • 10.1007/s11524-015-0021-x
  • World Health Organization (WHO) (2023). Adolescent pregnancy. https://www.who.int/es/news-room/fact-sheets/detail/adolescent-pregnancy
  • World Bank (2023). Tasa de fertilidad adolescente. https://datos.bancomundial.org/indicator/SP.ADO.TFRT?end=2020&start=2020&view=map
  • Yago-Simon T., (2015), Anales De Psicología, 31, pp. 972, 10.6018/analesps.31.3.185911
  • Yago Simon T., Tomas Aznar C. (2014). Variables sociodemogrÃficas relacionadas con embarazos no planificados en jóvenes de 13 a 24 años. Rev. Esp. Salud Publica, 88(3), 395–406. https://dx.doi.org/10.4321/S1135-57272014000300009.
  • 10.1016/j.ijedudev.2018.11.001