You have a lot of mirrors’

Structural and socioecological factors impacting adolescent pregnancy and reproductive health in the Amazon basin, Peru, a qualitative study

Dados Bibliográficos

ID15098166
AutoresLisa L Woodson (0000-0003-4892-909X, University of Arizona, autor correspondente), Adriana Garcia Saldivar (Mamás del Río, Universidad Peruana Cayetano Heredia), Heidi E Brown (0000-0001-8578-5510, University of Arizona), Priscilla Magrath (0000-0001-8526-458X, University of Arizona), Priscilla A Magrath (University of Arizona), Leslie V Farland (0000-0001-7455-8531, University of Arizona), Magaly M Blas (0000-0002-3008-1695, Universidad Peruana Cayetano Heredia), Purnima Madhivanan (0000-0001-7818-3394, University of Arizona)
Ano2024
Volume26
Fascículo10
Páginas1268-1284
Data de publicação2024-10-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoCulture Health & Sexuality (JOURNAL)
Identificadores do periódicoISSN: 1369-1058 • E-ISSN: 1464-5351
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2024.2308666
PMID38315608
OpenAlexW4391529668
IdiomaEN
Citações recebidas4
Referências citadas24

Loreto, in the Peruvian Amazon, has one of the highest adolescent pregnancy rates in the country. However, underlying causes of adolescent pregnancy are not fully understood as data are limited in Indigenous and remote Amazonian communities. This study investigated adolescent reproductive health within Loreto using an ecological systems framework. Forty-one semi-structured interviews were conducted in June 2022: community leaders (n = 12) and adolescent participants between 15 and 17 years of age (pregnant girls, n = 11; never pregnant girls, n = 9; and boys, n = 9). We also conducted focus group discussions with community health workers and educators in October 2022 (three focus groups, n = 15). Adolescent reproductive health is complex with multi-layered factors that put girls at higher risk of pregnancy. We found a paradoxical relationship between expected social and gender norms and individual desires. This research provides a contextual understanding of the lived experience of adolescents and young people in the Amazon region of Peru. Our findings suggest the need for greater exploration of the contradictory ideas surrounding adolescent pregnancy and female sexuality

Amazon basin · Amazon rainforest · Developmental psychology · Focus group · Geography · Human sexuality · Indigenous · Population · Pregnancy · Qualitative research · Reproductive health · Social science · Sociology · Adolescent Sexual and Reproductive Health · Demography · Gender Studies · Global Maternal and Child Health · Maternal Mental Health During Pregnancy and Postpartum · Psychology · Ecology