Social and Biological Transgenerational Underpinnings of Adolescent Pregnancy

Adolescent pregnancy (occurring < age 20) is considered a public health problem that creates and perpetuates inequities, affecting not only women, but societies as a whole globally. The efficacy of current approaches to reduce its prevalence is limited. Most existing interventions focus on outcom...

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Autores principales:	Amanda Rowlands, Emma C. Juergensen, Ana Paula Prescivalli, Katrina G. Salvante, Pablo A. Nepomnaschy
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	adolescent pregnancy Eco-social Theory (EST) Life History Theory (LHT) Developmental Origins of Health and Disease (DOHaD) inequities interventions Medicine R
Acceso en línea:	https://doaj.org/article/10bb404835fb45ec990ce58b330c5266
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spelling	oai:doaj.org-article:10bb404835fb45ec990ce58b330c52662021-11-25T17:51:32ZSocial and Biological Transgenerational Underpinnings of Adolescent Pregnancy10.3390/ijerph1822121521660-46011661-7827https://doaj.org/article/10bb404835fb45ec990ce58b330c52662021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12152https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Adolescent pregnancy (occurring < age 20) is considered a public health problem that creates and perpetuates inequities, affecting not only women, but societies as a whole globally. The efficacy of current approaches to reduce its prevalence is limited. Most existing interventions focus on outcomes without identifying or addressing upstream social and biological causes. Current rhetoric revolves around the need to change girls’ individual behaviours during adolescence and puberty. Yet, emerging evidence suggests risk for adolescent pregnancy may be influenced by exposures taking place much earlier during development, starting as early as gametogenesis. Furthermore, pregnancy risks are determined by complex interactions between socio-structural and ecological factors including housing and food security, family structure, and gender-based power dynamics. To explore these interactions, we merge three complimentary theoretical frameworks: “Eco-Social”, “Life History” and “Developmental Origins of Health and Disease”. We use our new lens to discuss social and biological determinants of two key developmental milestones associated with age at first birth: age at girls’ first menstrual bleed (menarche) and age at first sexual intercourse (coitarche). Our review of the literature suggests that promoting stable and safe environments starting at conception (including improving economic and social equity, in addition to gender-based power dynamics) is paramount to effectively curbing adolescent pregnancy rates. Adolescent pregnancy exacerbates and perpetuates social inequities within and across generations. As such, reducing it should be considered a key priority for public health and social change agenda.Amanda RowlandsEmma C. JuergensenAna Paula PrescivalliKatrina G. SalvantePablo A. NepomnaschyMDPI AGarticleadolescent pregnancyEco-social Theory (EST)Life History Theory (LHT)Developmental Origins of Health and Disease (DOHaD)inequitiesinterventionsMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12152, p 12152 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	adolescent pregnancy Eco-social Theory (EST) Life History Theory (LHT) Developmental Origins of Health and Disease (DOHaD) inequities interventions Medicine R
spellingShingle	adolescent pregnancy Eco-social Theory (EST) Life History Theory (LHT) Developmental Origins of Health and Disease (DOHaD) inequities interventions Medicine R Amanda Rowlands Emma C. Juergensen Ana Paula Prescivalli Katrina G. Salvante Pablo A. Nepomnaschy Social and Biological Transgenerational Underpinnings of Adolescent Pregnancy
description	Adolescent pregnancy (occurring < age 20) is considered a public health problem that creates and perpetuates inequities, affecting not only women, but societies as a whole globally. The efficacy of current approaches to reduce its prevalence is limited. Most existing interventions focus on outcomes without identifying or addressing upstream social and biological causes. Current rhetoric revolves around the need to change girls’ individual behaviours during adolescence and puberty. Yet, emerging evidence suggests risk for adolescent pregnancy may be influenced by exposures taking place much earlier during development, starting as early as gametogenesis. Furthermore, pregnancy risks are determined by complex interactions between socio-structural and ecological factors including housing and food security, family structure, and gender-based power dynamics. To explore these interactions, we merge three complimentary theoretical frameworks: “Eco-Social”, “Life History” and “Developmental Origins of Health and Disease”. We use our new lens to discuss social and biological determinants of two key developmental milestones associated with age at first birth: age at girls’ first menstrual bleed (menarche) and age at first sexual intercourse (coitarche). Our review of the literature suggests that promoting stable and safe environments starting at conception (including improving economic and social equity, in addition to gender-based power dynamics) is paramount to effectively curbing adolescent pregnancy rates. Adolescent pregnancy exacerbates and perpetuates social inequities within and across generations. As such, reducing it should be considered a key priority for public health and social change agenda.
format	article
author	Amanda Rowlands Emma C. Juergensen Ana Paula Prescivalli Katrina G. Salvante Pablo A. Nepomnaschy
author_facet	Amanda Rowlands Emma C. Juergensen Ana Paula Prescivalli Katrina G. Salvante Pablo A. Nepomnaschy
author_sort	Amanda Rowlands
title	Social and Biological Transgenerational Underpinnings of Adolescent Pregnancy
title_short	Social and Biological Transgenerational Underpinnings of Adolescent Pregnancy
title_full	Social and Biological Transgenerational Underpinnings of Adolescent Pregnancy
title_fullStr	Social and Biological Transgenerational Underpinnings of Adolescent Pregnancy
title_full_unstemmed	Social and Biological Transgenerational Underpinnings of Adolescent Pregnancy
title_sort	social and biological transgenerational underpinnings of adolescent pregnancy
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/10bb404835fb45ec990ce58b330c5266
work_keys_str_mv	AT amandarowlands socialandbiologicaltransgenerationalunderpinningsofadolescentpregnancy AT emmacjuergensen socialandbiologicaltransgenerationalunderpinningsofadolescentpregnancy AT anapaulaprescivalli socialandbiologicaltransgenerationalunderpinningsofadolescentpregnancy AT katrinagsalvante socialandbiologicaltransgenerationalunderpinningsofadolescentpregnancy AT pabloanepomnaschy socialandbiologicaltransgenerationalunderpinningsofadolescentpregnancy
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Social and Biological Transgenerational Underpinnings of Adolescent Pregnancy

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