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Int J Environ Res Public Health. 2014 Apr 30;11(5):4729-44. doi: 10.3390/ijerph110504729.

Psychological health and life experiences of pregnant adolescent mothers in Jamaica.

Author information

  • 1Midwifery Education Program, Ryerson University, 350 Victoria Street, Toronto, ON M5B 2K3, Canada. k.wilsonmitchell@ryerson.ca.
  • 2The UWI School of Nursing, The University of the West Indies, 9 Gibraltar Camp Way, Mona, Kingston 7, Jamaica. joanna.bennett03@uwimona.edu.jm.
  • 3The UWI School of Nursing, The University of the West Indies, 9 Gibraltar Camp Way, Mona, Kingston 7, Jamaica. rosain.stennett@uwimona.edu.jm.

Abstract

A recent Jamaican school-based survey revealed that 23.1% of 13-15 year-olds, had attempted suicide one or more times during the last 12 months. Research that links adolescent pregnancy and suicidal behaviour is lacking in Jamaica. Psychological distress and suicidal behaviours amongst pregnant adolescents elsewhere in the Americas has been documented at prevalence of between 13.3%-20%. The purpose of the study was to explore the experiences and the impact of pregnancy on pregnant adolescent psychological health. Individual interviews and focus groups were conducted with adolescents in two Jamaican antenatal clinics. One clinic was designed as a 'Teen Pregnancy Clinic' and the other used the standard antenatal clinic design. The following themes were identified: decision-making, resilience, social support, community support system, distress, and perceptions of service. Participants reported positively on the specific interventions tailored to their needs at the Teen Clinic. Although motherhood is valued, none of the pregnancies in this study were planned by the mother. Of the 30 adolescents interviewed, seven cases were referred for counseling due to their need for emotional and psychological support. One of the adolescents reported recent sexual violence and another reported having experienced childhood sexual abuse. Historically, Jamaican adolescent mothers faced barriers to education, self determination, and family planning. Empowering, adolescent-centred healthcare and comprehensive reproductive health education may mitigate psychosocial distress.

PMID:
24785743
PMCID:
PMC4053888
DOI:
10.3390/ijerph110504729
[PubMed - indexed for MEDLINE]
Free PMC Article
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