Department of Public Health and Clinical Medicine, Epidemiology and Global Health, Umeå Centre for Gender Studies, Umeå University, Umeå, Sweden.
Glob Health Action. 2010 Jun 24;3. doi: 10.3402/gha.v3i0.5280.
In the Andean region of Latin America over one million adolescent girls get pregnant every year. Adolescent pregnancy (AP) has been associated with adverse health and social outcomes, but it has also been favorably viewed as a pathway to adulthood. AP can also be conceptualized as a marker of inequity, since it disproportionately affects girls from the poorest households and those who have not been able to attend school.Using results from a study carried out in the Amazon Basin of Ecuador, this paper explores APs and adolescents' sexual and reproductive health from a rights and gender approach. The paper points out the main features of a rights and gender approach, and how it can be applied to explore APs. Afterward it describes the methodologies (quantitative and qualitative) and main results of the study, framing the findings within the rights and gender approach. Finally, some implications that could be generalizable to global reserach on APs are highlighted.The application of the rights and gender framework to explore APs contributes to a more integral view of the issue. The rights and gender framework stresses the importance of the interaction between rights-holders and duty-bearers on the realization of sexual and reproductive rights, and acknowledges the importance of gender-power relations on sexual and reproductive decisions. A rights and gender approach could lead to more integral and constructive interventions, and it could also be useful when exploring other sexual and reproductive health matters.
在拉丁美洲的安第斯地区，每年有超过 100 万的少女怀孕。少女怀孕（AP）与不良的健康和社会后果有关，但也被视为成年的途径。AP 也可以被视为不平等的标志，因为它不成比例地影响到来自最贫困家庭的女孩和那些无法上学的女孩。
本文利用在厄瓜多尔亚马逊流域进行的一项研究的结果，从权利和性别角度探讨了 AP 和青少年的性健康和生殖健康。本文指出了权利和性别方法的主要特征，以及如何将其应用于探索 AP。之后，它描述了研究的方法（定量和定性）和主要结果，将调查结果置于权利和性别方法的框架内。最后，强调了一些可能对全球青少年怀孕研究具有普遍意义的影响。
将权利和性别框架应用于探索 AP 有助于更全面地看待这个问题。权利和性别框架强调了权利持有者和责任承担者在实现性和生殖权利方面的互动的重要性，并承认性别权力关系对性和生殖决策的重要性。权利和性别方法可以导致更全面和建设性的干预措施，在探索其他性健康和生殖健康问题时也可能很有用。
