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Risk factors for adolescent pregnancy in Bogotá, Colombia, 2010: a case-control study

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Date
2014
Author
Morón-Duarte, Lina Sofía
Latorre, Catalina
Tovar, José Rafael
Metadata
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Abstract
OBJECTIVE: To identify risk factors for adolescent pregnancy among female students in Bogotá, Colombia METHODS: This was a retrospective study of cases and controls matched by age, identified by means of a survey on the sexual behavior of adolescent students in Bogotá (Encuesta sobre el Comportamiento Sexual de los Adolescentes Escolarizados en Bogotá) conducted in the first semester of 2010. All 272 cases and 544 randomly-selected controls were taken from 39 044 total records. Variables considered were sociodemographics, household structure, and family environment; sexual relationships and pregnancy; and knowledge of sexual and reproductive health. Matching and conditional logistic regression were used to adjust for possible confounding factors RESULTS: The factors associated with increased risk of adolescent pregnancy based on multivariate analyses were: attending public school (odds ratio [OR]=2.25; 95% confidence interval [95% CI]: 1.45-3.51); history of siblings with adolescent pregnancy (OR =1.98; 95% CI: 1.55-2.76); early first sexual intercourse (12 years of age or less) (OR =2.34; 95% CI: 1.01-5.40); having a self-reported low- or average-level of contraceptive knowledge (OR =3.92; 95% CI: 1.96-7.83); previous pregnancy (OR =14.09; 95% CI: 8.74- 22.70); and not living with both parents (OR 3.58; 95% CI: 2.10-6.16 CONCLUSIONS: Factors related to individual, family, and social environments that influence the incidence of adolescent pregnancy must be considered and addressed when designing interventions. The existing sex education curriculum is an important component in preventing adolescent pregnancy, however, parent/caregiver participation is required for success.(AU)
 
OBJETIVO: Identificar los factores de riesgo de embarazo adolescente entre las estudiantes de Bogotá, Colombia MÉTODOS: Estudio retrospectivo de casos y testigos pareados por edad e identificados por medio de una encuesta sobre el comportamiento sexual de los adolescentes escolarizados en Bogotá (Encuesta sobre el Comportamiento Sexual de los Adolescentes Escolarizados en Bogotá) realizada el primer trimestre del 2010. Los 272 casos y 544 testigos seleccionados aleatoriamente se tomaron de un total de 39 044 registros. Se consideraron variables sociodemográficas, estructura de los hogares y entorno familiar; relaciones sexuales y embarazo, y conocimientos sobre salud sexual y reproductiva. Los métodos utilizados para el ajuste por posibles factores de confusión fueron pareamiento y regresión logística condicional RESULTADOS: Sobre la base de los análisis multifactoriales, los factores asociados con mayor riesgo de embarazo adolescente fueron: asistencia a una escuela pública (razón de posibilidades [OR]=2,25; intervalo de confianza [IC] 95%: 1,45-3,51); antecedentes de embarazo adolescente de una hermana (OR =1,98; IC 95%: 1,55-2,76); primera relación sexual a edad temprana (a los 12 años o antes) (OR =2,34; IC 95%: 1,01-5,40); nivel bajo o medio de conocimiento autoinformado sobre anticonceptivos (OR =3,92; IC 95%: 1,96-7,83); embarazo anterior (OR =14,09; IC 95%: 8,74-22,70), y hogar monoparental (OR=3,58; IC 95%: 2,10-6,16 CONCLUSIONES: Los factores relacionados con el entorno individual, familiar y social que influyen en la incidencia del embarazo adolescente se deben tomar en consideración y abordar cuando se diseñen intervenciones. La inclusión de la educación sexual en el programa de estudios es un componente importante para prevenir el embarazo adolescente; sin embargo, para lograr el éxito es necesaria la participación de los padres o cuidadores.(AU)
 
Series
Rev Panam Salud Publica;36(3),sept. 2014
Subject
Pregnancy in Adolescence; Contraceptive agents; Sexual violence; Family; Risk factors; Colombia; Embarazo en Adolescencia; Anticonceptivos; Violencia Sexual; Familia; Factores de Riesgo; Colombia
URI
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892014000800006
https://iris.paho.org/handle/10665.2/9847
Citation
Morón-Duarte, Lina Sofía,Latorre, Catalina,Tovar, José Rafael (2014) Risk factors for adolescent pregnancy in Bogotá, Colombia, 2010: a case-control study. Rev Panam Salud Publica;36(3) 179-184,sep. 2014. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892014000800006
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  • Pan American Journal of Public Health

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