scholarly journals Social and Biological Transgenerational Underpinnings of Adolescent Pregnancy

Author(s):  
Amanda Rowlands ◽  
Emma C. Juergensen ◽  
Ana Paula Prescivalli Costa ◽  
Katrina G. Salvante ◽  
Pablo A. Nepomnaschy

Adolescent pregnancy (occurring < age 20) is considered a public health problem that creates and perpetuates inequities, affecting not only women, but societies as a whole globally. The efficacy of current approaches to reduce its prevalence is limited. Most existing interventions focus on outcomes without identifying or addressing upstream social and biological causes. Current rhetoric revolves around the need to change girls’ individual behaviours during adolescence and puberty. Yet, emerging evidence suggests risk for adolescent pregnancy may be influenced by exposures taking place much earlier during development, starting as early as gametogenesis. Furthermore, pregnancy risks are determined by complex interactions between socio-structural and ecological factors including housing and food security, family structure, and gender-based power dynamics. To explore these interactions, we merge three complimentary theoretical frameworks: “Eco-Social”, “Life History” and “Developmental Origins of Health and Disease”. We use our new lens to discuss social and biological determinants of two key developmental milestones associated with age at first birth: age at girls’ first menstrual bleed (menarche) and age at first sexual intercourse (coitarche). Our review of the literature suggests that promoting stable and safe environments starting at conception (including improving economic and social equity, in addition to gender-based power dynamics) is paramount to effectively curbing adolescent pregnancy rates. Adolescent pregnancy exacerbates and perpetuates social inequities within and across generations. As such, reducing it should be considered a key priority for public health and social change agenda.

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Ozcurumez ◽  
S Akyuz ◽  
H Bradby

Abstract Background Sexual and gender-based violence affects an unknown proportion of Syrians seeking refuge from the ongoing conflict. Exile implies a vulnerability to gendered harms with consequent health effects over the short- and long-term. Services for refugees tend to presume physical gendered harms accruing to women prior to exile, with little attention paid to the effects on refugees’ settlement in the new society. Methods Interviews with health and social care providers of services to refugees in Sweden (n = 20) and Turkey (n = 20), including international organisations, non-government agencies, municipal and other statutory agents. Results Definitions of sexual and gender-based violence that inform service delivery vary greatly between health and social care service providers, with these definitions proving critical for how services are configured and provided. Service providers may consider longer-term health problems arising from refugees’ experience of sexual and gender-based violence, but refugees’ prospects of integration are rarely explicitly addressed. Refugees’ own views on their health and social care needs do not inform the design or development of service provision. Conclusions The experience of sexual and gender-based violence by refugees from Syria is widely recognised among health and social care providers in Turkey and Sweden. However, the experience of such violence is rarely addressed as a public health problem, that is, as a social determinant of ill health and, furthermore, an impediment to successful integration. The long-term, ill effects of sexual and gender-based violence, as seen over the lifecourse, are over-looked when considering refugees. Key messages Services for refugees who have been subject to sexual and gender-based violence vary in terms of how that violence is understood and which of its outcomes are addressed. Sexual and gender-based violence when experienced by refugees is rarely seen as a public health problem.


Author(s):  
Jennifer Beste

Undergraduate ethnographers analyzed the power dynamics among different social groups at parties, attending to race and ethnicity, sexual orientation, and gender. Based on their observations, they sought to identify dominant and subordinate social groups. Most ethnographers who addressed power dynamics in regard to ethnicity and sexual orientation (many did not) perceived that white heterosexual males had the most power and dominance. Regarding power dynamics among the genders, 66% of students claimed that heterosexual males were the most powerful group; 7% argued that females had more power; 24% perceived that both men and women exercise different forms of power or that social factors unrelated to gender determined which individuals were most powerful; and 3% did not directly answer the question about power. After analyzing ethnographers’ reasoning for their perspectives, Beste draws on social scientific research to analyze the power dynamics and gender inequalities manifest in college social and sexual culture.


2021 ◽  
pp. 101053952110143
Author(s):  
Sonia Mukhtar ◽  
Shamim Mukhtar ◽  
Waleed Rana

This article explores the development and implementation of inclusive COVID-19 (corona disease 2019) Feminist Framework (CFF) on the equitability of response for researchers, health care advocates, and public health policymakers at international platforms. Mechanism of CFF entails the process to address and mitigate the institutional inequities, violation of human rights, public health, and race/sex/gender-based violence amid COVID-19. This framework is about institutional building, raising consciousness, ensuring freedom, collective liberation, bodily autonomy, equality, and giving women, children, BIPOC, LGBTQIA+, and racial- and gender-diverse people the freedom to make choices to promote a sense of greater control over their own lives.


Author(s):  
Rachel Fields

For my practicum, I worked with the Health Equity Integration Team (HEIT) to improve the application of Sex- and Gender-Based Analysis + (SGBA+) at The Public Health Agency of Canada (PHAC). SGBA+ is an analytical tool used in the federal government to ensure the consideration of diversity and intersectionality in programs and policies. One of the training resources on SGBA+ at PHAC is called Toward Health Equity: The SGBA+ Guide. This guide provides an overview of SGBA+, associated concepts, and a case study. I was part of a team tasked with updating this document to make the guide more applicable to current agency priorities. However, in revising the guide it became clear that there was a significant gap in understanding what document users needed. To make this guide as user-friendly and relevant as possible, I suggested that we conduct interviews with key informants throughout the agency to gather feedback and identify barriers to SGBA+ application. This project was part of a Knowledge Translation (KT) process that involved employees from many different roles and divisions at PHAC. The interviews allowed readers to identify the guide’s strengths, weaknesses, and gaps in clarity and content. Improving SGBA+ application at the federal public health level is important, because it is the agency’s way of applying a health equity lens to the work that they do. This project was also significant because it interrupted the standard process of KT, which follows a linear path and only integrates user feedback at the end. Instead, this project promoted an iterative process, involving document users throughout the development and revision of the guide to create a final product that is more tailored to their needs. Clear and effective communication is crucial to public health practice; this project is an example of how to achieve that by incorporating constructive feedback.


Healthcare ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 17
Author(s):  
Isabel Cuadrado-Gordillo ◽  
Guadalupe Martín-Mora Parra

Violence in adolescent dating has become a worrying public health problem. Research carried out on the issue has focused on identifying the causes of this phenomenon. However, difficulties have been found in designing and implementing effective prevention programs. In this context, primary healthcare physicians are one of the most important figures in screening for and detecting this phenomenon, since, in many cases, they are the first to have contact with the victims. The present study focuses on the qualitative analysis of a series of interviews carried out with 95 primary healthcare physicians in Extremadura, Spain. These interviews addressed various questions related to the theoretical and practical knowledge that the physicians have about the topic. The analysis of their responses reveals some of the strengths and weaknesses of the Spanish public health system, at the same time as pointing to what is needed to be able to improve comprehensive intervention for the victims, from the moment they arrive for their first consultation until they are treated and referred to different health specialists.


2021 ◽  
Vol 9 (4) ◽  
pp. 158-167
Author(s):  
Hooshmand Alizadeh ◽  
Josef Kohlbacher ◽  
Rozhen Kamal Mohammed-Amin ◽  
Tabin Latif Raouf

Feminist street art aims to transform patriarchal spaces into places of gendered resistance by asserting a feminist presence in the city. Considering this, as well as women’s social life, their struggle against lingering forces of patriarchy, and relating features of inequality (domestic violence), there was a feminist installation artwork by the young Kurdish artist Tara Abdulla that shook the city of Sulaimani in Iraqi Kurdistan on 26 October 2020. She had prepared a 4,800‐meter‐long washing line covered with the clothes of 99,678 Kurdish women who were survivors of sexual and gender‐based violence. They installed it along the busiest street of the city (Salim Street). She used this piece of feminine to express her reaction to the Kurdish society regarding, the abuse that goes on silently, behind closed doors. She also aimed towards normalizing women’s bodies. After the installation, she received many controversial reactions. As her artwork was a pioneering project in line with feminist issues in Kurdistan which preoccupied the city for quite a while, the aim of this article is to investigate the diverse effects of her work on the current dialogue regarding gender inequality in the Kurdish society. To do this, we used the research method of content analysis on big data (Facebook comments) to investigate the public reactions of a larger number of locals. The Feminine effectively exposed some of the deep‐rooted cultural, religious, and social barriers in addressing gender inequalities and silent sexual violence issues in the modern Kurdish patriarchal society.


2020 ◽  
Vol 4 (1) ◽  
pp. 28-41
Author(s):  
Sara El Ouedrhiri ◽  
Hafsa El Mesbahi

In a time of great uncertainties, the world witnesses, for the very first instance in its modern history a global lockdown spanning over all the vital spheres of economic and social life. At this point, when neither leaving home nor staying is an option, the surge to exponentially study the manner in which human life has evolved and been shaped under such circumstances gained valuable interest, especially within the circles of feminist and human rights-based academia. Respectively, researchers argue that the weight of the lockdown and movement restriction policies fall discriminately on men and women as they are interestingly leading such novel experiences in different ways. Men, by having no concern mounting to the priority of protecting themselves from being inflicted by this global pandemic and maintaining their economic roles as the traditional family providers, and women on the margin side of the picture, having to deal with the burden of surviving the dangers that the outside and the inside worlds akin dispose. Henceforth, this article is an attempt to probe the dynamics of the private sphere considering the intersections between oppression, seclusion and violence and the development of new dynamics of resistance by transposing from the early 20th century’s feminine experience of confinement and the 21st century’s global lockdown in the time of the Covid-19 pandemic. This research considers the stories presented by the renowned Moroccan sociologist and author “Fatima Mernissi”, who herself lived a different kind of seclusion behind the colossal and skillfully ostentatious walls of the harem of the city of Fez in the forties of the previous century and this shall be done mainly by reviewing the stories of resistance presented in her memoir Dreams of Trespass: Tales of a Harem Girlhood; and by considering the stories of five respondents who have shared with us their accounts through various social media outlets upon the surge of the pandemic in Morocco. The purpose here is to unravel the convergences between women’s experiences of gender-based violence (GBV) in both confinements and to foreground the value, significance and challenges these feminine insights being in them simple acts of everyday life constitute in establishing a discourse of resistance and feminine empowerment vis-à-vis patriarchy, seclusion and gender-based violence.


2018 ◽  
Vol 3 (5) ◽  
pp. 65
Author(s):  
Maira Verónica Vera Saavedra ◽  
Viviana Septimia Gómez Mieles

En la provincia de Manabí en el cantón Sucre Bahía de Caráquez, el Embarazo Adolescente es un problema de salud pública ya que por los últimos resultados dados por  el área de Ginecología del Hospital Miguel H. Alcívar y por las repercusiones biológicas y sociales, son pocos los estudios orientados al enfoque de esta situación. En la actualidad el embarazo en adolescentes es cada día más frecuente en el medio social, siendo un problema muy importante relacionado con la salud pública, ya sea en los países en vías de desarrollo como en el mundo desarrollado, debido a sus repercusiones adversas sociales y de salud, tanto para las madres como para los niños. El embarazo precoz de una adolescente implica múltiples causas como: incomprensión, maltrato emocional, carencia de apoyo, carencia de educación sexual, etc. El embarazo y la maternidad tienen un carácter negativo tanto para la joven como para su hijo o hija e incluso para todos los miembros de su familia. Se ha realizado un estudio descriptivo observacional transversal y retrospectivo en el que se pretende fijar el perfil personal y social de las adolescentes embarazadas, mediante charlas que tengan como enfoque la orientación familiar debidamente programada y organizada, para no sucumbir en embarazos no deseados. PALABRAS CLAVE: Orientación familiar; embarazo en la adolescencia; embarazo de alto riesgo.  FAMILY ORIENTATION OF ADOLESCENTS FROM 12 TO 14 YEARS OF AGE WITH HIGH RISK PREGNANCY  ABSTRACT In the province of Manabí in the Sucre Bay of Caráquez, Adolescent Pregnancy is a public health problem because of the recent results given by the Gynecology area of the Hospital Miguel H. Alcívar and because of the biological and social repercussions, few are the studies oriented to the approach of this situation. Currently adolescent pregnancy is becoming more frequent in the social environment, being a very important problem related to public health, either in developing countries or in the developed world, due to its adverse social and economic repercussions. of health, both for mothers and children. The early pregnancy of a teenager implies multiple causes such as: incomprehension, emotional abuse, lack of support, lack of sexual education, etc. Pregnancy and motherhood have a negative character both for the young woman and her son or daughter and even for all the members of her family. A cross-sectional and retrospective observational descriptive study has been carried out in which the personal and social profile of pregnant adolescents is set, through talks that focus on family orientation, duly programmed and organized, so as not to succumb to unwanted pregnancies. KEYWORDS: Family counseling; pregnancy in adolescence; high risk pregnancy


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