ArticleBMC pregnancy and childbirth2018
Determinants of adolescent pregnancy and access to reproductive and sexual health services for married and unmarried adolescents in rural Lao PDR: a qualitative study.
Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 4 of them syntheses that pooled it.
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43 citing papers in PubMed, 4 syntheses or guidelines pooled it, 105 citations in OpenAlex.
- Predictors of institutional delivery service utilization in Ethiopia: an umbrella review.BMC pregnancy and childbirth · 2025Pooled it
- Determinants of adolescent pregnancy in East Africa: a systematic review and meta-analysis.The Pan African medical journal · 2025Pooled it
- Factors influencing maternal death in Cambodia, Laos, Myanmar, and Vietnam countries: A systematic review.PloS one · 2024Pooled it
- Adolescent Pregnancy in South Asia: A Systematic Review of Observational Studies.International journal of environmental research and public health · 2022Pooled it
- Perceived barriers in accessing sexual and reproductive health services for youth in Lao People's Democratic Republic.PloS one · 2019Trial
- Pathways to empowerment of adolescent mothers: a policy-oriented approach for improving postpartum self-efficacy and health service access within Iran's health system.BMC public health · 2026Article
- Diagnostic accuracy of IHDS and MoCA in screening for HIV-associated neurocognitive disorders among adults living with HIV in Ethiopia.International journal of mental health systems · 2026Article
- Advancing knowledge translation practices to accelerate change in adolescent and youth sexual and reproductive health practice: a scoping review.Health research policy and systems · 2026Article
- Machine learning-based prediction and identification of determinants of teenage pregnancy in ten East African countries.Scientific reports · 2026Article
- Socioeconomic impacts of adolescent pregnancy on education and future employment in Batticaloa District, Sri Lanka.BMC public health · 2025Article
- Women's Educating and Coping Strategies for Cultivating Supportive Web-Based Spaces for Discussing Sexual and Reproductive Health: Co-Design Study.Journal of medical Internet research · 2025Article
- Understanding barriers to young people's utilisation of sexual and reproductive health services in Asia-Pacific countries: a qualitative systematic review and thematic synthesis.BMJ public health · 2025Article
- Dynamics of caste and early childbearing in India: a perspective of three decades.BMC women's health · 2024Article
- From 'Pen Sao' to 'Tue Pa': Understanding diverse pathways to adolescent pregnancy in Lao People's Democratic Republic through qualitative investigation with girls in Vientiane Capital, Vientiane Province, and Luang Namtha.PLOS global public health · 2024Article
- Narratives of pregnancy across 19 Countries: Analysis of a 1.5-billion-word news media database.PloS one · 2024Article
- Reducing the Stigma of Sexual and Reproductive Health Care Through Supportive and Protected Online Communities.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024Article
- "My father insisted that I have the baby but not in his house": Adolescent pregnancy, social exclusion and (dis)empowerment of girls in an urban informal settlement in Kenya.PLOS global public health · 2024Article
- Multilevel survival analysis of the age at first birth among women in Ethiopia.Frontiers in reproductive health · 2024Article
- Socioeconomic inequality in teenage pregnancy in Papua New Guinea: a decomposition analysis.BMC public health · 2023Article
- Isolation: The experience of adolescent motherhood in Laos.Frontiers in global women's health · 2023Article
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly marriage and pregnancy is a risk factor for poor maternal and child health and socio-economic outcomes. Bokeo and Luang Namtha provinces in northern Lao People's Democratic Republic (PDR) has high rates of teenage pregnancy. The purpose of this research was firstly to explore factors contributing to teenage pregnancy in rural Lao. Secondly, to understand the specific challenges adolescent mothers face in accessing maternal health services.
methodsQualitative interviews were undertaken with adolescent mothers and unmarried adolescents aged 12 to 19 years, living in rural areas, and from different ethnic groups. In total, we undertook six focus group discussions with adolescents aged 13-19 years, twenty in-depth interviews with unmarried/married adolescents aged 12-19 years. In addition, we interviewed husbands of the adolescent mothers (N = 8) and mothers-in-law of both male and female adolescents (N = 9), community leaders and healthcare providers (health providers N = 17 and community leaders N = 12). Thematic analysis was used to analyze the data, based on a conceptual framework identified at the outset of the study.
resultsThe findings suggest that pre-marital sex, early marriage and pregnancy are the norm in these settings. Determinants of teenage pregnancy included liberal attitudes to teen pre-marital sexual intercourse, early marriage and pregnancy, incomplete knowledge of sexual and reproductive health and limited access to appropriate services.
conclusionThe determinants of teenage pregnancy in this setting are multi-dimensional, and require a range of responses. As some of the determinants are deeply embedded in the system of local values, beliefs and practices, and form part of the logic of what it is to become a healthy woman, these practices are deeply entrenched and may be resistant to new knowledge. The challenge therefore is to find culturally responsive strategies that enable individual and collectively agency.
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