Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.
Cad Saude Publica. 2020 Feb 10;36Suppl 1(Suppl 1):e00198318. doi: 10.1590/0102-311X00198318. eCollection 2020.
This article presents the results of a qualitative study based on semi-structured in-depth interviews with ten adolescents, aged between 15 and 17 years, who live in a favela in the South Zone of Rio de Janeiro, Brazil, and who had experienced an illegal abortion between the ages of 12 and 17. We sought to examine more effectively the issue of abortion in adolescence and the strategies employed by adolescents in order to have an abortion within an illegal context. We unveiled the methods that were used, the locations where abortions took place and the manner in which the process of having an abortion happened. The abortions took place at clandestine clinics; at the apartment of a partner's friend; and using the medication "Cytotec" (misoprostol). The values paid for the abortion ranged between BRL 500.00 and BRL 2,500.00 and all took place without the knowledge or participation of the adolescents' legal guardians. One adolescent had to seek out a health service due to complications from the abortion. Informants relied on friends and/or partners and almost all were alone when they had their abortions, which should motivate a reflection regarding the risks taken and the solitude experienced by these adolescents in order to undergo an unsafe and illegal act. We conclude that the study of abortion at this life stage makes an important contribution to understanding sexuality and reproduction in adolescence.
本文呈现了一项基于对 10 名 12 至 17 岁、居住在巴西里约热内卢南部贫民区的青少年进行半结构化深入访谈的定性研究结果。这些青少年都曾经历过非法堕胎。我们旨在更有效地探讨青少年堕胎问题以及青少年在非法环境下进行堕胎所采取的策略。我们揭示了所使用的方法、堕胎发生的地点以及堕胎过程的方式。堕胎发生在秘密诊所、伴侣朋友的公寓里，以及使用药物“Cytotec”（米索前列醇）。堕胎的费用在 500 巴西雷亚尔至 2500 巴西雷亚尔之间，所有堕胎都在青少年法定监护人不知情或不参与的情况下进行。一名青少年因堕胎并发症不得不寻求医疗服务。信息提供者依靠朋友和/或伴侣，几乎所有堕胎时都是孤身一人，这应该促使人们反思这些青少年所面临的风险和孤独，因为她们进行了不安全和非法的行为。我们的结论是，对这一生命阶段堕胎的研究为理解青少年的性行为和生殖健康做出了重要贡献。
