Factors Associated with Unwanted Pregnancy among Adolescents in Russia

Abstract Study Objective To identify social and behavioral factors associated with unintended pregnancy among adolescents in Russia. Design Cross-sectional. Setting and Participants The investigation group consisted of 145 adolescents aged 15-19 years admitted to a youth-friendly clinic for induced...

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Bibliographic Details
Published in:Journal of pediatric & adolescent gynecology 2016-10, Vol.29 (5), p.501-505
Main Authors: Panova, O.V., MD, Kulikov, A.M., MD, PhD, Berchtold, A., PhD, Suris, J.C., MD, MPH, PhD
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Associated factors
Coitus
Cross-Sectional Studies
Female
Humans
Mothers
Obstetrics and Gynecology
Pediatrics
Pregnancy
Pregnancy in Adolescence - statistics & numerical data
Pregnancy, Unwanted
Regression Analysis
Risk-Taking
Russia
Sexual Behavior - statistics & numerical data
Surveys and Questionnaires
Unwanted pregnancy
Young Adult
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Summary:Abstract Study Objective To identify social and behavioral factors associated with unintended pregnancy among adolescents in Russia. Design Cross-sectional. Setting and Participants The investigation group consisted of 145 adolescents aged 15-19 years admitted to a youth-friendly clinic for induced abortion. The control group consisted of 77 sexually active never pregnant adolescent girls of similar age admitted for other reasons. Interventions Both groups completed a self-administered questionnaire about their occupation, educational level of their mother, family structure and socioeconomic status, relationship with their mother, sexual behavior, and substance use. Main Outcome Measures Factors associated with unintended pregnancy. Results In the bivariate analysis pregnant adolescents tended to have a lower educational level, to live in a nonintact family, to prefer stronger alcohol drinks, and to have a younger age at sexual debut and more frequent sexual intercourse. In the log-linear model six factors appeared to be directly linked to pregnancy: mother's lower education, alcohol consumption, nonintact family structure, low academic grades, higher frequency of sexual intercourse, and lower age at sexual debut. Conclusion Although the issue of unwanted pregnancy and possible ways to prevent it should be kept in mind in the psychosocial assessment of any adolescent, the results of our study suggest that some adolescents are at increased risk of unwanted pregnancy. This group includes adolescent girls with low educational attainment, living in a disrupted family, and reporting other risk behaviors. These adolescents might specially benefit from specific preventive programs to reduce the number of adverse outcomes.
ISSN:1083-3188
1873-4332
DOI:10.1016/j.jpag.2016.04.004