Trends in teenage motherhood in Ecuador: challenges and inequalities
Por:
Espinel-Flores, V, Gotsens, M, Puig-Barrachina, V, Leon-Gomez, BB, Peralta, A, Perez, G
Publicada:
1 dic 2020
Ahead of Print:
1 nov 2020
Resumen:
Objectives To describe trends in teenage motherhood (TM), based on the socioeconomic groups teenagers belong to, and factors related to their first experience of heterosexual intercourse (FEHI). We took into consideration women aged 20-24 years, comparing three surveys from 1999, 2004, and 2012. Methods We obtained data from the Ecuadorian Demographic and Health Surveys about 4,696 women aged 20-24 years who had given birth as teenagers. Prevalence ratios and their confidence intervals (95% CI) were calculated to estimate changes in socioeconomic inequalities and factors related to the FEHI. Results The prevalence of TM increased from 48% in 1999 to 60% in 2012 among women with complete primary education. The social gradient among socioeconomic groups were sustained. We detected no changes in the socioeconomic inequalities characterizing TM, and in the factors related to the FEHI across the three studies in Ecuador. Conclusions Socioeconomic inequalities in TM and disadvantageous circumstances at FEHI remained unchanged for 14 years. Some factors are vital for reducing teenage motherhood in Ecuador: gender-equitable economic development, access to comprehensive-sexual education, contraception, health services, and safe abortion.
Filiaciones:
Espinel-Flores, V:
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona, Catalonia, Spain
Agencia Salut Publ Barcelona, Pl Lesseps 1, Barcelona 08023, Catalonia, Spain
Gotsens, M:
Agencia Salut Publ Barcelona, Pl Lesseps 1, Barcelona 08023, Catalonia, Spain
Inst Invest Biomed IIB St Pau, Barcelona, Spain
Puig-Barrachina, V:
Agencia Salut Publ Barcelona, Pl Lesseps 1, Barcelona 08023, Catalonia, Spain
Leon-Gomez, BB:
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona, Catalonia, Spain
Agencia Salut Publ Barcelona, Pl Lesseps 1, Barcelona 08023, Catalonia, Spain
Peralta, A:
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona, Catalonia, Spain
Agencia Salut Publ Barcelona, Pl Lesseps 1, Barcelona 08023, Catalonia, Spain
Univ Pompeu Fabra, Dept Polit & Social Sci, Hlth Inequal Res Hlth Inequal Res Grp, Employment Condit Knowledge Network GREDS EMCONET, Barcelona, Spain
Johns Hopkins Univ, Univ Pompeu Fabra, Publ Policy Ctr, Barcelona, Spain
Perez, G:
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona, Catalonia, Spain
Agencia Salut Publ Barcelona, Pl Lesseps 1, Barcelona 08023, Catalonia, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Inst Invest Biomed IIB St Pau, Barcelona, Spain
Green Published, Bronze
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