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Perceived burden, causes and consequences of adolescent pregnancy in the rural Maharashtra: a cultural domain analysis

  • Shiv H. Joshi ORCID logo EMAIL logo , Abhishek V. Raut , Sourav Goswami and Subodh S. Gupta
Published/Copyright: September 3, 2020

Abstract

Objectives

The existing level of the early age pregnancy necessitates in-depth discussions and study. The objective of this study is to explore the perception of rural population regarding adolescent pregnancy with reference to the perceived burden, causes and consequences.

Methods

A cross-sectional study through cultural domain analysis using free listing and participatory learning and action (PLA) tool of ten seed analysis was used for exploring the perceptions of the community. Cognitive salience was estimated using the Sutrop (Su) index.

Results

The perceived burden of adolescent pregnancy was around 18%. Early marriage (Su index = 0.274), love/relationship (Su index = 0.246), pre-marital sex (Su index = 0.215), rape/incest (Su index = 0.162), and poor educational status (Su index = 0.152) were the salient causes of adolescent pregnancy. The salient consequences identified were weak baby (Su index = 0.170), social stigma (Su index = 0.124), excessive bleeding during delivery (Su index = 0.114), mother may die (Su index = 0.112) and abortion (Su index = 0.109).

Conclusions

Teenage pregnancy is perceived as a problem by the community. The causes of teenage pregnancy in this setting are multi-dimensional and are deeply embedded in the system of local values, beliefs and practices.


Corresponding author: Dr. Shiv H. Joshi, Junior Resident, Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, 442102, India. Phone: +91 9975155699, E-mail:

Acknowledgment

We thank the villagers for their cooperation and participation in the research. We thank Professor and Head, Dept. of Community Medicine MGIMS Sevagram for allowing us to use departmental infrastructure to conduct the research. We thank the Medical Social Workers under Dept. of Community Medicine, MGIMS, Sewagram for their help.

  1. Research funding: None declared.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: The Institutional Ethics Committee approval was taken for this study.

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Received: 2020-04-29
Accepted: 2020-07-28
Published Online: 2020-09-03

© 2020 Walter de Gruyter GmbH, Berlin/Boston

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