Levey Elizabeth J, Rodriguez Alejandra E Morfín, Chang Andrew R, Rondon Marta B, Sanchez Maria Luisa Jimenez, Harrison Alexandra M, Gelaye Bizu, Becker Anne E
The Chester M. Pierce, MD Division of Global Psychiatry, Massachusetts General Hospital, Boston, MA.
Department of Psychiatry, Harvard Medical School, Boston, MA.
Fam Relat. 2024 Apr;73(2):1046-1066. doi: 10.1111/fare.12904. Epub 2023 May 25.
The purpose of this study was to characterize the impact of adolescent pregnancy on families and describe the needs of adolescent mothers and their infants in order to assess the need for intervention and identify potential intervention targets.
Adolescent mothers and their offspring face an increased risk of mental health problems. Adolescent mothers and their families also face significant resource constraints; 95% live in low- and middle-income countries (LMICs). Cost-effective interventions are needed to improve outcomes for this vulnerable group.
This qualitative study conducted in Lima, Peru, consisted of four clinician focus groups and 18 in-depth interviews with adolescent mothers and their family members. Data were coded thematically, and direct content analysis was employed.
The study identified the following issues facing adolescent parents: the transition to parenthood, the need for family support, difficulty accessing support, the difficulty for family members of providing support, and ideas about responsibility and adolescent autonomy.
Overall, these findings demonstrate the need for interventions that engage families and address barriers to accessing support, including relationship conflict and differing beliefs about responsibility and autonomy.
Interventions are needed for adolescent mothers in LMICs that mobilize family support. Clinicians who care for these patients need to be aware of the family context and the resources available where they practice.
本研究旨在描述青少年怀孕对家庭的影响，并阐述青少年母亲及其婴儿的需求，以便评估干预需求并确定潜在的干预目标。
青少年母亲及其子女面临心理健康问题风险增加的情况。青少年母亲及其家庭还面临严重的资源限制；95%生活在低收入和中等收入国家（LMICs）。需要具有成本效益的干预措施来改善这一弱势群体的结局。
这项在秘鲁利马进行的定性研究包括四个临床医生焦点小组以及对青少年母亲及其家庭成员的18次深入访谈。数据进行了主题编码，并采用了直接内容分析法。
该研究确定了青少年父母面临的以下问题：向父母身份的转变、对家庭支持的需求、获得支持的困难、家庭成员提供支持的困难以及关于责任和青少年自主性的观念。
总体而言，这些发现表明需要采取干预措施，让家庭参与进来并解决获得支持的障碍，包括关系冲突以及对责任和自主性的不同信念。
在低收入和中等收入国家，需要对青少年母亲采取动员家庭支持的干预措施。照顾这些患者的临床医生需要了解其家庭背景以及他们执业所在地可获得的资源。
