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Association Between Self-Esteem and Family Functioning with Adolescent Pregnancy. A Case-Control Study.
Edith Araceli Cano-Estrada1, Jazmin Adaly Acosta-Valera1, Jose Angel Hernández-Mariano2
1Superior School of Tlahuelilpan, Autonomous University of Hidalgo, Hidalgo, Mexico.
Low self-esteem and poor family functioning significantly increase the likelihood of teenage pregnancy. Interventions should focus on improving adolescent emotional well-being and family relationships to prevent early parenthood.
Area of Science:
- Public Health
- Psychology
- Sociology
Background:
- Adolescent pregnancy is a global issue linked to adverse maternal and neonatal outcomes.
- Early parenthood contributes to intergenerational poverty and social exclusion.
- Understanding psychosocial factors influencing teenage pregnancy is crucial for prevention.
Purpose of the Study:
- To evaluate the association between self-esteem and family functioning with teenage pregnancy.
- To identify key psychosocial predictors of adolescent pregnancy in Hidalgo, Mexico.
Main Methods:
- A case-control study was conducted with 10-19-year-old adolescents.
- Self-esteem was measured using the Rosenberg Self-Esteem Scale.
- Family functioning was assessed using the APGAR family scale, with logistic regression used for analysis.
Main Results:
- Adolescents with low self-esteem (aOR=4.04) and severe family dysfunction (aOR=4.00) showed significantly higher odds of teenage pregnancy.
- A dose-response relationship was observed: lower self-esteem and greater family dysfunction increased pregnancy risk (p-trend <0.014 and p-trend <0.001, respectively).
- Both self-esteem and family functioning were independently associated with adolescent pregnancy.
Conclusions:
- Self-esteem and family functioning are significant independent predictors of adolescent pregnancy.
- Interventions should prioritize enhancing adolescent emotional well-being and strengthening family relationships.
- Holistic programs promoting sexual assertiveness and self-esteem are necessary for adolescent pregnancy prevention.
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