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Adolescent Pregnancy in Nicaragua: An Emic Perspective of Structural Influences

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서명/저자사항Adolescent Pregnancy in Nicaragua: An Emic Perspective of Structural Influences.
개인저자Tranter, Maryanne Bernadette.
단체저자명The Ohio State University. Nursing.
발행사항[S.l.]: The Ohio State University., 2019.
발행사항Ann Arbor: ProQuest Dissertations & Theses, 2019.
형태사항136 p.
기본자료 저록Dissertations Abstracts International 81-02B.
Dissertation Abstract International
ISBN9781085657525
학위논문주기Thesis (Ph.D.)--The Ohio State University, 2019.
일반주기 Source: Dissertations Abstracts International, Volume: 81-02, Section: B.
Advisor: Pickler, Rita.
이용제한사항This item must not be sold to any third party vendors.
요약Adolescent girls in Nicaragua are at risk for early pregnancy and motherhood and their infants are at greater risk for prematurity, low birth weight, child abuse and neglect, and poverty. Few studies specifically address the role cultural and societal values play in Latin America regarding adolescent pregnancy. However, researchers have identified critical cultural and social factors that were further explored in this study. Additionally, this study aimed to uncover new factors related to cultural values that may be important to the occurrence of adolescent pregnancy. The purposes of this qualitative study were to increase understanding of adolescent girls' perspectives on motherhood and reveal perceived health determinants that contribute to adolescent pregnancy in Nicaragua. Based in Jinotega, Nicaragua where the adolescent pregnancy rates are among the highest in the country, data were collected using three qualitative approaches: a visual ethnography with photovoice, semi-structured interviews, and participant observation. Purposeful sampling for the ethnographic photovoice groups yielded 12 adolescents, one group with rural mothers 15-20 years old and one group with rural, never pregnant 18-20 year olds. The interview sample included 25 rural pregnant adolescents ages 15-20 years at the Casa Materna in Jinotega, a facility for pregnant teens located near the delivery hospital. Observations of places and events common in the lives of adolescent females occurred throughout the study with a focus on examples of machismo, marianismo, religion, and familismo. Data were analyzed for themes using a combined content analysis approach. Six themes were constructed from the data: (a) la maternidad es amor (motherhood is love), (b) la maternidad es responsibilidad (motherhood is responsibility), (c) machismo, (d) familismo, (e) personal agency, and (d) emotional isolation. The results of this study may be used to inform future interventions designed to reduce the adolescent pregnancy rate and improve the lives of adolescent girls and their children in Nicaragua.
일반주제명Nursing.
Public health.
언어영어
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