The invisible problem of early adolescent pregnancy in the Dominican Republic: a descriptive analysis

dc.contributor.authorGonzález-Rodríguez, Elena
dc.contributor.authorGil de Miguel, Ángel
dc.contributor.authorBravo-Infantes, Raúl
dc.contributor.authorGarrido-González, Ignacio
dc.contributor.authorGil-Prieto, Ruth
dc.date.accessioned2024-06-24T11:04:58Z
dc.date.available2024-06-24T11:04:58Z
dc.date.issued2024-07
dc.description.abstractStudy objectives The aim of this article is to describe the problem of pregnancy in girls under 15 years of age in the Dominican Republic in the period 2000–2021, to develop a specific indicator for this age group and describing the related factors. Methods This is an exploratory ecological study, based on secondary data sources, such as birth records from the National Statistics Office (NSO) and the Ministry of Public Health (MPH). We calculated the rates of fertility and pregnancy in early adolescence, as well as analyzed their main determining factors and consequences. Results Fertility Rate in Early Adolescence (FREA) decreases from 6.27 to 1.04 per thousand in the period 2001–2021. The average FREA for 2015–2021 was 1.78. The average Estimated Rate of Pregnancy in Early Adolescence (ERPEA) for the same period was 3.39. Disability-Adjusted Life Years (DALYs) were 11,620 years. Years of Life Lost (YLL) were 9,665.9 years. The prevalence of Low Birth Weight (LBW) in the under 15-year-old age group was 14.2 %. Conclusions Pregnancy in childhood implies risks for both the mother and the child, including low birth weight. The official fertility rate is substantially underreported (2.84 vs. 1.79). The fertility rate indicator traditionally used does not accurately measure the number of pregnancies in women, particularly in specific age groups or populations where pregnancies may be interrupted by various factors. Therefore, the use of ERPEA is recommended. We emphasize the need for implementing the proposed indicator for the target group, as well as monitoring Sustainable Development Goal indicator 3.7.2es
dc.identifier.citationElena González-Rodríguez, Ángel Gil de Miguel, Raúl Bravo-Infantes, Ignacio Garrido-González, Ruth Gil-Prieto, The invisible problem of early adolescent pregnancy in the Dominican Republic: a descriptive analysis, Preventive Medicine Reports, Volume 43, 2024, 102762, ISSN 2211-3355, https://doi.org/10.1016/j.pmedr.2024.102762es
dc.identifier.doi10.1016/j.pmedr.2024.102762es
dc.identifier.issn2211-3355 (online)
dc.identifier.urihttps://hdl.handle.net/10115/34797
dc.language.isoenges
dc.publisherElsevieres
dc.rightsAtribución-NoComercial 4.0 Internacional*
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectFertility ratees
dc.subjectPregnancyes
dc.subjectPregnancy ratees
dc.subjectAdverse childhood experienceses
dc.subjectAdolescent motherses
dc.titleThe invisible problem of early adolescent pregnancy in the Dominican Republic: a descriptive analysises
dc.typeinfo:eu-repo/semantics/articlees

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