dc.contributor.author | Goicolea, Isabel | es_ES |
dc.contributor.author | Marianne, Wulff | es_ES |
dc.contributor.author | Õhman, Ann | es_ES |
dc.contributor.author | San Sebastian, Miguel | es_ES |
dc.date.accessioned | 2015 | |
dc.date.available | 2015 | |
dc.date.issued | 2009 | es_ES |
dc.identifier.citation | Goicolea, Isabel,Marianne, Wulff,Õhman, Ann,San Sebastian, Miguel (2009) Risk factors for pregnancy among adolescent girls in Ecuador's Amazon basin: a case-control study. Rev Panam Salud Publica;26(3) 221-228,sept. 2009. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892009000900006 | es_ES |
dc.identifier.uri | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892009000900006 | es_ES |
dc.identifier.uri | https://iris.paho.org/handle/10665.2/9779 | |
dc.format.extent | tab | es_ES |
dc.relation.ispartofseries | Rev Panam Salud Publica;26(3),sept. 2009 | es_ES |
dc.subject | Pregnancy in Adolescence | es_ES |
dc.subject | Sexual violence | es_ES |
dc.subject | Contraception | es_ES |
dc.subject | Family | es_ES |
dc.subject | Risk factors | es_ES |
dc.subject | Ecuador | es_ES |
dc.subject | Embarazo en Adolescencia | es_ES |
dc.subject | Violencia Sexual | es_ES |
dc.subject | Anticoncepción | es_ES |
dc.subject | Familia | es_ES |
dc.subject | Factores de Riesgo | es_ES |
dc.subject | Ecuador | es_ES |
dc.subject | Gravidez na Adolescência | es_ES |
dc.subject | Estudos de Casos e Controles | pt_BR |
dc.subject | Ecuador | es_ES |
dc.subject | Fatores de Risco | pt_BR |
dc.title | Risk factors for pregnancy among adolescent girls in Ecuador's Amazon basin: a case-control study | es_ES |
dc.type | Journal articles | en_US |
dc.rights.holder | Pan American Health Organization | en_US |
dc.description.notes | 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 percent confidence interval (CI) 1.08-8.68); early sexual debut (OR 8.51, 95 percent CI 1.12-64.90); experiencing periods without mother and father (OR 10.67, 95 percent CI 2.67-42.63); and living in a very poor household (OR 15.23, 95 percent CI 1.43-162.45). Another two factors were statistically associated in the bivariate analysis: being married or in a consensual union (OR 44.34, 95 percent CI 17.85-142.16) and not being enrolled in school at the time of the interview (OR 6.31, 95 percent 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 percent CI 1.33-13.90). 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.(AU) | en_US |
dc.description.notes | OBJETIVO: Analizar los factores de riesgo de embarazo en adolescentes de la cuenca amazónica de Ecuador. MÉTODOS: Estudio de casos y controles pareados, identificados mediante una encuesta demográfica y de salud realizada en Orellana, Ecuador, entre mayo y noviembre de 2006. Se aplicó un cuestionario dirigido a recabar información sobre: condiciones socioeconómicas, estructura familiar, nivel educacional, salud reproductiva y traumas durante la niñez y la adolescencia. Se empleó la regresión logística condicional para ajustar por posibles factores de confusión. RESULTADOS: Entre las que respondieron la encuesta se encontraron 140 casos y se seleccionaron 262 controles. Los factores asociados mediante el análisis multifactorial con un mayor riesgo de embarazo adolescente fueron: abuso sexual durante la infancia o la adolescencia (razón de posibilidades (odds ratio, OR) = 3,06; intervalo de confianza de 95 por ciento [IC95 por ciento]: 1,08 a 8,68); inicio temprano de la vida sexual (OR = 8,51; IC95 por ciento: 1,12 a 64,90); haber vivido largos períodos sin sus padres (OR = 10,67; IC95 por ciento: 2,67 a 42,63); y vivir en un hogar muy pobre (OR = 15,23; IC95 por ciento: 1,43 a 162,45). Otros dos factores se asociaron estadísticamente en el análisis bifactorial: estar casada o vivir en unión consensual (OR = 44,34; IC95 por ciento: 17,85 a 142,16) y no estar matriculada en la escuela al momento de la entrevista (OR = 6,31; IC95 por ciento: 3,70 a 11,27). En una submuestra de adolescentes que habían iniciado su vida sexual, no haber utilizado un método anticonceptivo durante su primera relación sexual resultó también un factor de riesgo (OR = 4,30; IC95 por ciento: 1,33 a 13,90). CONCLUSIONES: El inicio temprano de las relaciones sexuales, la no utilización de un método anticonceptivo durante la primera relación sexual, vivir en un hogar muy pobre, haber sufrido abuso sexual durante la niñez o la adolescencia, y la separación familiar (haber ...(AU) | es_ES |