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Risk factors for pregnancy among adolescent girls in Ecuador's Amazon basin: a case-control study.

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Title: Risk factors for pregnancy among adolescent girls in Ecuador's Amazon basin: a case-control study.
Authors: Goicolea I (AUTHOR), Wulff M (AUTHOR), Öhman A (AUTHOR), San Sebastian M (AUTHOR)
Source: Pan American Journal of Public Health / Revista Panamericana de Salud Pública. Sep2009, Vol. 26 Issue 3, p221-228. 8p.
Abstract: Objective. To examine risk factors for pregnancy among adolescent girls in the Amazon basin of Ecuador. Methods. A matched case-control study with cases and controls identified within a community-based demographic and health survey was conducted in Orellana, Ecuador, from May to November 2006. A questionnaire focused on socioeconomic status, family structure, education, reproductive health, and childhood-adolescent trauma was applied. Conditional logistic regression was used to adjust for potential confounders. Results. Respondents included 140 cases and 262 controls. Factors associated with increased risk of adolescent pregnancies through multivariate analysis were: sexual abuse during childhood-adolescence (odds ratio (OR) 3.06, 95% confidence interval (CI) 1.08-8.68); early sexual debut (OR 8.51, 95% CI 1.12-64.90); experiencing periods without mother and father (OR 10.67, 95% CI 2.67-42.63); and living in a very poor household (OR 15.23, 95% CI1.43-162.45J. Another two factors were statistically associated in the bivariate analysis: being married or in a consensual union (OR 44.34, 95% CI 17.85-142.16) and not being enrolled in school at the time of the interview (OR 6.31,95% CI 3.70-11.27). For a subsample of sexually initiated adolescents, 'non-use of contraception during first sexual intercourse' was also found to be a risk factor (OR 4.30, 95% CI1.33-13.90). Conclusion. The study found that early sexual debut, non-use of contraception during first sexual intercourse, living in a very poor household, having suffered from sexual abuse during childhood-adolescence, and family disruption (living extended periods of life without both parents) were associated with adolescent pregnancy in Orellana. [ABSTRACT FROM AUTHOR]
Copyright of Pan American Journal of Public Health / Revista Panamericana de Salud Pública is the property of Pan American Health Organization and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Data: Risk factors for pregnancy among adolescent girls in Ecuador's Amazon basin: a case-control study.
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  Data: <searchLink fieldCode="AR" term="%22Goicolea+I%22">Goicolea I</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wulff+M%22">Wulff M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Öhman+A%22">Öhman A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22San+Sebastian+M%22">San Sebastian M</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Pan+American+Journal+of+Public+Health+%2F+Revista+Panamericana+de+Salud+Pública%22">Pan American Journal of Public Health / Revista Panamericana de Salud Pública</searchLink>. Sep2009, Vol. 26 Issue 3, p221-228. 8p.
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective. To examine risk factors for pregnancy among adolescent girls in the Amazon basin of Ecuador. Methods. A matched case-control study with cases and controls identified within a community-based demographic and health survey was conducted in Orellana, Ecuador, from May to November 2006. A questionnaire focused on socioeconomic status, family structure, education, reproductive health, and childhood-adolescent trauma was applied. Conditional logistic regression was used to adjust for potential confounders. Results. Respondents included 140 cases and 262 controls. Factors associated with increased risk of adolescent pregnancies through multivariate analysis were: sexual abuse during childhood-adolescence (odds ratio (OR) 3.06, 95% confidence interval (CI) 1.08-8.68); early sexual debut (OR 8.51, 95% CI 1.12-64.90); experiencing periods without mother and father (OR 10.67, 95% CI 2.67-42.63); and living in a very poor household (OR 15.23, 95% CI1.43-162.45J. Another two factors were statistically associated in the bivariate analysis: being married or in a consensual union (OR 44.34, 95% CI 17.85-142.16) and not being enrolled in school at the time of the interview (OR 6.31,95% CI 3.70-11.27). For a subsample of sexually initiated adolescents, 'non-use of contraception during first sexual intercourse' was also found to be a risk factor (OR 4.30, 95% CI1.33-13.90). Conclusion. The study found that early sexual debut, non-use of contraception during first sexual intercourse, living in a very poor household, having suffered from sexual abuse during childhood-adolescence, and family disruption (living extended periods of life without both parents) were associated with adolescent pregnancy in Orellana. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Pan American Journal of Public Health / Revista Panamericana de Salud Pública is the property of Pan American Health Organization and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1590/s1020-49892009000900006
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        Text: English
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              Text: Sep2009
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