Sabroza Adriane Reis, Leal Maria do Carmo, Souza Paulo Roberto de, Gama Silvana Granado Nogueira da
Departamento de Epidemiologia e Métodos Quantitativos em Saúde, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.
Cad Saude Publica. 2004;20 Suppl 1:S130-7. doi: 10.1590/s0102-311x2004000700014. Epub 2004 May 20.
This study analyzed the association between early pregnancy and negative emotional repercussions for adolescents, according to socio-demographic and psychosocial variables. The study interviewed 1,228 adolescents in maternity hospitals in the City of Rio de Janeiro. Emotional repercussions were evaluated with negative self-assessment variables, showing little or no expectation towards the future, as well as psychological distress. The chi2 test and odds ratio were used to analyze the data. Adolescents who reported a negative reaction by the family felt less valued (OR 1.8), with little expectation towards the future (OR 2.3), and presented major psychological distress (OR 1.5). Those not enrolled in school when they became pregnant also showed worse self-esteem (OR 1.9) and fewer expectations towards the future (OR 2.2). Greater psychological distress was inversely related to frequency of prenatal care (0.7). The article concludes that family support, regardless of original social conditions, was identified as the principal factor for minimizing negative emotional repercussions of pregnancy during adolescence.
本研究根据社会人口统计学和心理社会变量，分析了早孕与青少年负面情绪影响之间的关联。该研究对里约热内卢市妇产医院的1228名青少年进行了访谈。通过负面自我评估变量对情绪影响进行评估，这些变量显示出对未来几乎没有或根本没有期望，以及心理困扰。使用卡方检验和比值比来分析数据。报告家庭有负面反应的青少年自我价值感较低（比值比为1.8），对未来期望较低（比值比为2.3），并表现出较大的心理困扰（比值比为1.5）。怀孕时未入学的青少年自尊水平也较低（比值比为1.9），对未来的期望较少（比值比为2.2）。更大的心理困扰与产前检查频率呈负相关（0.7）。文章得出结论，无论原始社会状况如何，家庭支持被确定为将青少年怀孕的负面情绪影响降至最低的主要因素。
