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A qualitative study of risks and protective factors against pregnancy among sexually-active adolescents in Soweto, South Africa

Bibliographic Data

ID19590926
AuthorsE N Bosire (0000-0002-4781-7101, South African Medical Research Council, corresponding author), Katharine Chiseri (Emory University), Dawn L Comeau (0000-0003-2877-9151, Emory University), L M Richter (0000-0002-3654-3192, University of the Witwatersrand), Aryeh D Stein (0000-0003-1138-6458, South African Medical Research Council), Shane A Norri (0000-0001-7124-3788, South African Medical Research Council)
EditorsHannah Tappis (0000-0002-4289-5418)
Year2021
Volume1
Issue11
Pagese0000044
Publication date2021-11-10
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0000044
PMID36962127
OpenAlexW3211883094
LanguageEN
References cited23

Risky sexual behaviors contribute to increased risk of adolescent pregnancy. This qualitative study sought to understand risks and protective factors against pregnancy amongst sexually-active adolescents in Soweto, South Africa. We used purposive sampling to recruit women at age 24 years from Soweto, who self-reported having sexual debut by age 15 years. Twenty women were recruited: (i) women who did not become pregnant before 18 years (n = 10) and (ii) women who became pregnant before 18 years (n = 10). In-depth interviews were conducted to understand their family backgrounds, conversations about sex, sexual behaviors, and initiatives taken (or not) during adolescence to prevent pregnancy. Both groups of women reported predisposing risks to early pregnancy including influence from peers to engage in early sex, unstable family relationships and limited conversations about sex. We found that the family is a key institution in supporting adolescents’ decisions regarding their behaviors and choices, as are peers and exposures to information. Community Youth Centers, high schools and Youth Friendly Health Services should ensure that adolescents have access to relevant information, including sex education and contraceptives

Developmental psychology · Environmental health · Family medicine · Family planning · Human sexuality · Nonprobability sampling · Population · Pregnancy · Qualitative research · Reproductive health · Sociology · Adolescent Sexual and Reproductive Health · Child and Adolescent Health · Demography · Gender Studies · HIV/AIDS Research and Interventions · Medicine · Psychology

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Citation velocityhistorical
Highly citedNo
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