Who's that girl? A qualitative analysis of adolescent girls' views on factors associated with teenage pregnancies in Bolgatanga, Ghana

Reproductive Health

Volumn 13, Issue 1, 2016, Pages

  Krugu, J K ^a,b   Mevissen, F E F ^a   Prinsen, A ^a   Ruiter, R A C ^a  

^a MAASTRICHT UNIVERSITY   (Netherlands)

^b Youth Harvest Foundation Ghana   (Ghana)

Author keywords

Adolescents; Condom use; Contraception; Determinants; Ghana; Teenage pregnancy

Indexed keywords

ADOLESCENT; ADOLESCENT PREGNANCY; ADOLESCENT SEXUAL BEHAVIOR; ARTICLE; ATTITUDE TO PREGNANCY; CONDOM USE; CONTRACEPTION; COPING BEHAVIOR; DECISION MAKING; ENVIRONMENTAL FACTOR; FAMILY PLANNING; FEMALE; GHANA; HEALTH EDUCATION; HUMAN; HUMAN RELATION; INTERPERSONAL COMMUNICATION; KNOWLEDGE; MOTHER; MOTIVATION; NORMAL HUMAN; QUALITATIVE ANALYSIS; REPRODUCTIVE HEALTH; RISK ASSESSMENT; SAFE SEX; SELF CONCEPT; SEMI STRUCTURED INTERVIEW; SEXUAL EDUCATION; SEXUAL INTERCOURSE; SEXUALITY; SOCIAL NORM; SOCIAL PSYCHOLOGY; UNPROTECTED SEX; UNWANTED PREGNANCY; ADOLESCENT BEHAVIOR; ADVERSE EFFECTS; ATTITUDE TO HEALTH; CONDOM; CONTRACEPTIVE BEHAVIOR; EDUCATION; ETHNOLOGY; PREGNANCY; PSYCHOLOGY; QUALITATIVE RESEARCH;

ADOLESCENT; ADOLESCENT BEHAVIOR; CONDOMS; CONTRACEPTION BEHAVIOR; DECISION MAKING; FAMILY PLANNING SERVICES; FEMALE; GHANA; GOALS; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; INTERPERSONAL RELATIONS; PREGNANCY; PREGNANCY IN ADOLESCENCE; PREGNANCY, UNWANTED; QUALITATIVE RESEARCH; REPRODUCTIVE HEALTH; SAFE SEX; SELF EFFICACY; SEX EDUCATION;

EID: 84963818709     PISSN: None     EISSN: 17424755     Source Type: Journal    
DOI: 10.1186/s12978-016-0161-9     Document Type: Article

References (49)

1. Sawyer SM, Afifi RA, Bearinger LH, Blakemore S, Dick B, Ezeh AC, Patton GC. Adolescence: a foundation for future health. Lancet. 2012;379:1630-40. doi: 10.1016/S0140-6736(12)60531-5.
2. Skirbekk V. Fertility trends by social status. Demogr Res. 2008;18(5):145-80. doi: 10.4054/DemRes.2008.18.5.
3. Dick B, Ferguson BJ. Health for the world's Adolescents: A second chance in the second decade. J Adolesc Health. 2015;56(1):3-6. doi: 10.1016/j.jadohealth.2014.10.260.
4. Sedgh G, Finer LB, Bankole AM, Eilers A, Singh S. Adolescent pregnancy, birth and abortion rates across Countries: Levels and recent trends. J Adolesc Health. 2015;56(2):223-30. doi: 10.1016/j.jadohealth.2014.09.007.
5. Harden A, Brunton G, Fletcher A, Oakley A. Teenage pregnancy and social disadvantage: Systematic review integrating controlled trials and qualitative studies. BMJ (Clinical Research Ed). 2009;339(7731):1182-5. doi: 10.1136/bmj.b4254.
6. WHO (World Health Organisation). Health for the world's adolescents: A second chance in the second decade. Geneva. 2014. Retrieved from http://apps.who.int/adolescent/seconddecade/files/1612-MNCAH-HWA-Executive-Summary.pdf. Accessed 21 Sept 2015.
7. Hubacher D, Mavranezouli I, McGinn E. Unintended Pregnancy in Sub-Saharan Africa: Magnitude of the problem and potential role of contraceptive implants to alleviate it. Contraception. 2008;78(1):73-8. doi: 10.1016/j.contraception.2008.03.002.
8. GHS (Ghana Health Service). 2013 annual reproductive and child health report. 2013. Annual report. Accra. http://www.ghanahealthservice.org/downloads/GHS-REproductive-and-Child-Health-Annual-Report-2013.pdf. Accessed 15 Sept 2015.
9. GSS (Ghana Statistical Service). Ghana Demographic and Health Survey 2014. Accra: Ghana Statistical Service; 2015. http://www.statsghana.gov.gh. Accessed 14 Jan 2016.
10. UNFPA, 2012. Status report on adolescents and young people in Sub-Saharan Africa: Opportunities and challenges. http://www.prb.org/pdf12/status-report-youth-subsaharan-Africa.pdf. Retrieved on 24-03-2016
11. Ahman EL, Shah IH. Contraceptive use, fertility, and unsafe abortion in developing countries. Eur J Contracept Reprod Health Care. 2010;15 Suppl 2:77-82. doi: 10.3109/13625187.2010.533004.
12. Kumi-kyereme A, Awusabo-Asare K, Biddlecom A. Adolescents ' sexual and reproductive health: Qualitative evidence from Ghana. In: Occasional Report. New York: Guttmacher Institute; 2007. p. 30.
13. Karim M, Magnani R, Morgan G, Bond K. Reproductive health risk and protective factors among unmarried youth in Ghana. Int Fam Plan Perspect. 2003;29(1):14-24.
14. Macphail C, Campbell C. " I think condoms are good but, aai, I hate those things ": Condom use among adolescents and young people in a Southern African township. Social Science & Medicine. 2006;52(2001):1613-27.
15. Mushwana L, Monareng L, Richter S, Muller H. Factors influencing the adolescent pregnancy rate in the Greater Giyani Municipality, Limpopo Province - South Africa. International Journal of Africa Nursing Sciences. 2015;2:10-8. doi: 10.1016/j.ijans.2015.01.001.
16. Gomes KRO, Speizer IS, Oliveira DDC, Moura LNB, Gomes FM. Contraceptive method use by adolescents in Brazilian state capital. J Pediatr Adolesc Gynecol. 2008;21(4):213-9. doi: 10.1016/j.jpag.2007.05.002.
17. Abiodun OM, Balogun OR. Sexual activity and contraceptive use among young female students of tertiary educational institutions in Ilorin, Nigeria. Contraception. 2009;79(2):146-9. doi: 10.1016/j.contraception.2008.08.002.
18. Warenius L, Pettersson K, Nissen E, Höjer B, Chishimba P, Faxelid E. Vulnerability and sexual and reproductive health among Zambian secondary school students. Cult Health Sex. 2007;9(5):533-44. doi: 10.1080/13691050601106679.
19. Adedimeji AA, Omololu FO, Odutolu O. HIV risk perception and constraints to protective behavior among young slum dwellers in Ibadan, Nigeria. J Health Popul Nutr. 2007;25(2):146-57.
20. GSS (Ghana Statistical Service). 2010 population & housing census, Summary report of final results. Accra: Ghana Statistical Service; 2012. http://www.statsghana.gov.gh. Accessed 19 Oct 2015.
21. Amanor-Boadu V, Zereyesus Y, Asiedu-Dartey J. A district-level analysis of the prevalence of poverty in Northern Ghana. 2013; Accra. Retrieved from http://www.metss-ghana.k-state.edu/research-briefs/Poverty-Analysis-by-Districts-Final-3-11-2014.pdf
22. Palinkas L, Horwitz S, Green C, Wisdom J, Duan N, Hoagwood K. Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Administration and Policy in Mental Health. 2013; 1-12. doi: 10.1007/s10488-013-0528-y.
23. Alhassan E. Early marriage of young females: A panacea for poverty in the Northern Region of Ghana? Research on Humanities and Social Sciences. 2013;3(12):18-31.
24. Walsh D, Downe S. Appraising the quality of qualitative research. Midwifery. 2006;22(2):108-19. doi: 10.1016/j.midw.2005.05.004.
25. Corbin J, Strauss A. In: Corbin J, Strauss A, editors. Basics of Qualitative Research: Techniques and procedures for developing Grounded Theory. 4th ed. London: SAGE Publications; 1998.
26. Birks M, Chapman Y, Francis K. Memoing in qualitative research: Probing data and processes. J Res Nurs. 2008;13(1):68-75. doi: 10.1177/1744987107081254.
27. Biddlecom A, Awusabo-Asare K, Bankole A. Role of parents in adolescent sexual activity and contraceptive use in four African countries. Int Perspect Sex Reprod Health. 2009;35(2):72-81. doi: 10.1363/3507209.
28. Crichton J, Ibisomi L, Gyimah S. Mother-daughter communication about sexual maturation, abstinence, and unintended pregnancy: Experiences from an informal settlement in Nairobi, Kenya. J Adolesc. 2012;35(1):21-30. doi: 10.1016/j.adolescence.2011.06.008.
29. Nadeem E, Romo LF, Sigman M. Knowledge about condoms among low-income pregnant Latina adolescents in relation to the explicit maternal discussion of contraceptives. J Adolesc Health. 2006;39(1):119.e9-119.e15 doi: 10.1016/j.jadohealth.2005.09.012.
30. Wamoyi J, Wight D. "Mum never loved me". How structural factors influence adolescent sexual and reproductive health through parent-child connectedness: A qualitative study in rural Tanzania. African Journal of AIDS Research. 2014;13(2):169-78. doi: 10.2989/16085906.2014.945387.
31. Paul-Ebhohimhen V, Poobalan A, van Teijlingen E. A systematic review of school-based sexual health interventions to prevent STI/HIV in sub-Saharan Africa. BMC Public Health. 2008;8(1):4. doi: 10.1186/1471-2458-8-4.
32. Kirby D. The impact of abstinence and comprehensive sex and STD/HIV education programs on adolescent sexual behavior. Sex Res Soc Policy. 2008;5(3):18-27.
33. Bennett S, Assefi N. School-based teenage pregnancy prevention programs: a systematic review of randomized controlled trials. J Adolesc Health. 2005;36(1):72-81. doi: 10.1016/j.jadohealth.2003.11.097.
34. Smoak N, Scott-Sheldon L, Johnson B, Carey M. Sexual risk reduction interventions do not inadvertently increase the overall frequency of sexual behavior: A meta-analysis of 174 studies with 116,735 participants. Epidemiology and Social Science. 2006;41(3):374-84.
35. Underhill K, Montgomery P, Operario D. Sexual abstinence only programmes to prevent HIV infection in high-income countries: a systematic review. BMJ (Clinical Research Ed). 2007;335(7613):248-52. doi: 10.1136/bmj.39245.446586.BE.
36. Kohler P, Manhart L, Lafferty W. Abstinence-Only and comprehensive sex education and the initiation of sexual activity and teen Pregnancy. J Adolesc Health. 2008;42(4):344-51. doi: 10.1016/j.jadohealth.2007.08.026.
37. Bryan A, Kagee A, Broaddus M. Condom use among South African adolescents: Developing and testing theoretical models of intentions and behavior. AIDS Behav. 2006;10(4):387-97. doi: 10.1007/s10461-006-9087-5.
38. Molla M, Astrøm A, Berhane Y. Applicability of the theory of planned behavior to intended and self-reported condom use in a rural Ethiopian population. AIDS Care. 2007;19(3):425-31. doi: 10.1080/09540120600722692.
39. Schaalma H, Aarø LE, Flisher AJ, Mathews C, Kaaya S, Onya H, Ragnarson A, Klepp K. Correlates of intention to use condoms among Sub-Saharan African youth: the applicability of the theory of planned behavior. Scand J Public Health. 2009;37 Suppl 2:87-91. doi: 10.1177/1403494808090632.
40. Kim ES, Strecher VJ, Ryff CD. Purpose in life and use of preventive health care services. Proc Natl Acad Sci U S A. 2014;111(46):16331-6. doi: 10.1073/pnas.1414826111.
41. McKnight PE, Kashdan TB. Purpose in life as a system that creates and sustains health and well-being: An integrative, testable theory. Rev Gen Psychol. 2009;13(3):242-51. doi: 10.1037/a0017152.
42. Ryff CD. Psychological well-being revisited: Advances in the science and practice of eudaimonia. Psychother Psychosom. 2014;83(1):10-28. doi: 10.1159/000353263.
43. Steger MF, Frazier P, Oishi S, Kaler M. The meaning in life questionnaire: Assessing the presence of and search for meaning in life. J Couns Psychol. 2006;53(1):80-93. doi: 10.1037/0022-0167.53.1.80.
44. Bartholomew Eldredge LK, Markham CM, Ruiter RAC, Fernández M, Kok G, Parcel GS. Planning Health Promotion Programs: An Intervention Mapping Approach. 4th ed. San Francisco: Jossey-Bass; 2016.
45. McFerson H. Poverty among women in Sub-Saharan Africa: A Review of selected issues. J of Int Women's Studie. 2010;11(4):50-72.
46. Ferguson R, Vanwesenbeeck I, Knijn T. A matter of facts... more: An exploratory analysis of the content of sexuality education in The Netherlands. Sex Education. 2008;8(1):93-106. doi: 10.1080/14681810701811878.
47. Stromquist NP. The gender socialization process in schools: a cross-national comparison. Background paper prepared for the education for all global monitoring report 2008. Education for all by 2015: will we make it? 2008. http://unesdoc.unesco.org/images/0015/001555/155587e.pdf
48. Bankole A, Biddlecom A, Guiella G, Singh S, Zulu E. Sexual behavior, knowledge and information sources of very young adolescents in four Sub-Saharan African countries. Afr J Reprod Health. 2008;11(3):28-43.
49. Van Empelen P, Kok G. Action-specific cognitions of planned and preparatory behaviors of condom use among Dutch adolescents. Arch Sex Behav. 2008;37(4):626-40. doi: 10.1007/s10508-007-9286-9.