ArticleReproductive health2020
Decision-making preferences and risk factors regarding early adolescent pregnancy in Ghana: stakeholders' and adolescents' perspectives from a vignette-based qualitative study.
Article in Reproductive health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- The Effects of Pregnancy: A Systematic Review of Adolescent Pregnancy in Ghana, Liberia, and Nigeria.International journal of environmental research and public health · 2022Pooled it
- Maternal age and perinatal morbidity: a comparative cohort study including advanced maternal age and adolescent pregnancy.BMC pregnancy and childbirth · 2026Article
- Exploring the lived experiences of adolescent mothers in Burera and Nyarugenge districts, Rwanda: a phenomenological study.BMC pregnancy and childbirth · 2026Article
- Prevalence of unintended pregnancy and associated factors among women attending antenatal care at a tertiary public health facility in Northern Uganda: a cross-sectional study.BMC pregnancy and childbirth · 2026Article
- Children's Pornography Exposure and Associated Factors in Ghana: A Mixed-Method Study.Archives of sexual behavior · 2025Article
- Identifying the causes and consequences of pregnancy in Iranian Kurdish women under the age of 18: A grounded theory study.Heliyon · 2025Article
- Prevalence, determinants, and complications of adolescent pregnancy: an umbrella review of systematic reviews and meta-analyses.AJOG global reports · 2025Review
- Factors Influencing Abortion Decision-Making of Adolescents and Young Women: A Narrative Scoping Review.International journal of environmental research and public health · 2024Article
- Effect of Digital applications on maternal as well as neonatal outcomes in Young pregnant girls: A Scope Review.Investigacion y educacion en enfermeria · 2023Review
- Interventions to prevent unintended pregnancies among adolescents: a rapid overview of systematic reviews.Systematic reviews · 2023Review
- Prevalence and correlates associated with early childbearing among teenage girls in Ethiopia: A multilevel analysis.PloS one · 2023Article
- Socio-cultural factors influencing adolescent pregnancy in Ghana: a scoping review.BMC pregnancy and childbirth · 2022Article
- Determinants of change in unintended pregnancy in Ethiopia using the 2005 and 2016 EDHS: non-linear multivariable decomposition analysis.Archives of public health = Archives belges de sante publique · 2022Article
- Review
- Pregnant adolescents' lived experiences and coping strategies in peri-urban district in Southern Ghana.BMC public health · 2022Article
- Adolescent girls trapped in early marriage social norm in rural Ethiopia: A vignette-based qualitative exploration.PloS one · 2022Article
- Stakeholder Opinions and Recommendations for Preventing Adolescent Pregnancies: A Qualitative Study.Public health nursing (Boston, Mass.)Article
- Lived Pregnancy and Motherhood Experience Among Early Adolescent Mothers.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
Abstract
backgroundWorldwide, over half of the adolescent pregnancies recorded are unintended. The decision to continue the pregnancy to term or to opt for an abortion is a constant dilemma that is directly or indirectly influenced by stakeholders and also by the wider social environment. This study aimed at understanding the perceived decision-making preferences and determinants of early adolescent pregnancy in the Jamestown area of Accra in Ghana.
methodsA vignette-based qualitative study design was used. Eight focus group discussions were carried among various purposively selected groups of participants: parents, teachers, adolescent students who had not been pregnant before, and adolescents who had had at least one pregnancy in the past. The vignette was a hypothetical case of a 15-year-old high school student who had not experienced her menses for the past 6 weeks. The data were analyzed using a thematic analysis approach.
resultsLack of parent-daughter communication, the taboo on discussing sex-related issues in households and weak financial autonomy were considered to be the main contributing factors to the high early adolescent pregnancy rates in the community. Partner readiness to assume responsibility for the girl and the baby was a key consideration in either continuing the pregnancy to term or opting for an abortion. The father was overwhelmingly considered to be the one to take the final decision regarding the pregnancy outcome. Irrespective of the fact that the respondents were very religious, opting for an abortion was considered acceptable under special circumstances, especially if the pregnant adolescent was doing well in school.
conclusionInadequate and inappropriate communication practices around sexuality issues, as well as weak financial autonomy are the major predictors of early adolescent pregnancy in this community. The father is perceived to be the main decision maker regarding a young adolescent's pregnancy outcome. Policy-makers should carefully evaluate the implications of this overwhelming perceived desire for the father to be the final decision-maker regarding adolescent pregnancy outcomes in this community.
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Registered trials
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