Reproductive health disparities: a focus on family planning and prevention among minority women and adolescents
- PMID: 24416701
- PMCID: PMC3833575
- DOI: 10.7453/gahmj.2013.056
Reproductive health disparities: a focus on family planning and prevention among minority women and adolescents
Abstract
Minority women and adolescent females of all races and ethnicities are disproportionately affected by unintended pregnancy in the United States. Adolescents also experience an additional proportion of the burden compared to other age groups, as 82% of pregnancies among women 19 years old and younger are unintended. Moreover, minority and adolescent mothers are at increased risk for having preterm deliveries, low birth weight infants, and other complications. Unintended pregnancy continues to be an important public health problem in the United States, and prevention through family planning is urgently needed. This review presents an overview of the US demographics for unintended pregnancy among both minority and adolescent women and identifies current and past eüorts to reduce unintended pregnancy, specifically among minority and adolescent females, through contraception and family-planning programs.
在美国,所有人种和种族的未成年和青春期女性都在不同程度上受到意外怀孕的困扰。相较于其它年龄段群体,承受此种负担的青春期女性的比例更大,因为,在意外怀孕的女性中,有 82% 为 19 岁及以下的女性。此外,未成年和青春期妈妈还面临着早产、产下低出生体重儿和罹患其它并发症的高风险。在美国,意外怀孕一直是一个重要的公共卫生问题,通过施行计划生育来加以预防迫在眉睫。本评论对美国未成年和青春期女性意外怀孕的人口统计资料进行了概述,并肯定了当前和过去在通过避孕和计划生育计划减少意外怀孕方面,特别是减少未成年和青春期女性意外怀孕方面,所做出的努力尝试。
Las mujeres pertenecientes a minorías y las adolescentes de todas las razas y etnias resultan afectadas de manera desproporcionada por los embarazos no deseados en los Estados Unidos. Las adolescentes experimentan también una proporción adicional de la carga en comparación con otros grupos de edad, ya que el 82 % de los embarazos entre las mujeres de hasta 19 años de edad son no deseados. Además de eso, las madres pertenecientes a minorías y adolescentes están expuestas a un mayor riesgo de partos prematuros, niños de bajo peso al nacer y otras complicaciones. El embarazo no deseado sigue siendo un importante problema de salud pública en los Estados Unidos, donde existe una urgente necesidad de prevención por medio de la planificación familiar. Esta revisión presenta un resumen de los datos demográficos del embarazo no deseado en los EE. UU., tanto entre las mujeres pertenecientes a minorías como entre las adolescentes, y se identifican los intentos y esfuerzos, pasados y actuales, para reducir el embarazo no deseado, especialmente entre las mujeres pertenecientes a minorías y las adolescentes, por medio de programas de control de la natalidad y planificación familiar.
Keywords: Minority; abortion; contraception; unintended pregnancy; women' health.
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