Gogna Mónica, Binstock Georgina, Fernández Silvia, Ibarlucía Inés, Zamberlin Nina
Center for the Study of State and Society (CEDES), and National Research Council, Buenos Aires, Argentina.
Reprod Health Matters. 2008 May;16(31):192-201. doi: 10.1016/S0968-8080(08)31358-5.
In Argentina adolescent pregnancy is still regarded as a public health problem or a "social epidemic". However, it is necessary to ask from which perspective and for whom it is a problem, and what type of problem. This article presents the findings of a large quantitative and qualitative study conducted in five Northern provinces and two metropolitan areas of Argentina in 2003-2004. Based on the results of a survey of adolescent mothers (n=1,645) and ten focus group discussions with adolescent girls and boys, it addresses the connections between school dropout, pregnancy and poverty, and makes recommendations on how to tailor health care and sexuality education to address local realities. The findings indicate a need to develop educational activities to promote safer sex and address gender power relations in programmes working with deprived communities. Sexuality education with a gender and rights perspective, and increasing accessibility to contraceptive methods for adolescent girls and boys is also crucial. Antenatal and post-partum care, as well as post-abortion care, should be improved for young women and viewed as opportunities for contraceptive counselling and provision. Male participation in pregnancy prevention and care also needs to be promoted.
在阿根廷，青少年怀孕仍被视为一个公共卫生问题或一种“社会流行病”。然而，有必要追问这是从何种视角、对谁而言是个问题，以及属于何种类型的问题。本文呈现了2003年至2004年在阿根廷五个北部省份和两个大都市地区开展的一项大规模定量与定性研究的结果。基于对青少年母亲（n = 1645）的调查结果以及与青少年女孩和男孩进行的十次焦点小组讨论，探讨了辍学、怀孕与贫困之间的联系，并就如何根据当地实际情况调整医疗保健和性教育提出了建议。研究结果表明，有必要开展教育活动，在为贫困社区服务的项目中推广更安全的性行为并解决性别权力关系问题。从性别与权利视角进行性教育，以及提高青少年女孩和男孩获取避孕方法的便利性也至关重要。应为年轻女性改善产前和产后护理以及堕胎后护理，并将其视为提供避孕咨询和服务的契机。还需要促进男性参与预防怀孕和护理工作。
