Adolescents and Abortion - Revision history

Barb: /* Differential Psychosocial Impact on Adolescents */

2020-12-10T21:32:24Z

Differential Psychosocial Impact on Adolescents

← Older revision		Revision as of 16:32, 10 December 2020
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	= Differential Psychosocial Impact on Adolescents =		= Differential Psychosocial Impact on Adolescents =

			'''[https://pubmed.ncbi.nlm.nih.gov/28635530/ The effect of voluntary termination of pregnancy on female sexual and emotional well-being in different age groups] Limoncin E, D’Alfonso A, Corallino C et al. Journal of Psychosomatic Obstetrics and Gynecology (2017) 38(4) 310-316'''

			:Introduction: To evaluate the impact of voluntary termination of pregnancy (VTOP) on the psycho-sexological well-being of females before/six months after the abortion.

			:Methods: A sample of 194 women was recruited from three obstetrics and gynaecological divisions. The women were evaluated for the variables "sexual functioning" with the Female Sexual Function Index (FSFI), "depression" with the Beck Depression Inventory (BDI-II), and "anxiety state" with the Self-Rating Anxiety Scale (SAS) at time 0 (the beginning of the abortion procedure) and time 1 (six months after the abortion). Since 24 women refused to fill out the questionnaires, the final sample was composed of 170 women.

			:Results: The women showed a slight although significant improvement in the mean FSFI score from time 0 (16.7 ± 12.9) to time 1 (20.9 ± 13.8) (p < 0.001) which paralleled with a slight decrease in the incidence of clinically significant sexual dysfunction [49% (84/170) (time 0) versus 34.1% (58/170) (time 1)], (McNemar's test; p = 0.0241). The sub-group of younger women (18-25) showed a lesser increase in FSFI score from time 0 to time 1. In addition, both depression (p = 0.048) and anxiety (p < 0.001) significantly decreased over time. However, the female sexuality remained impaired since more than two thirds (69.5%) of women were sexually dysfunctional six months after VTOP.

			:Discussion: Voluntary TOP may influence the sexuality of younger females differently from how it influences that of older women. Hence, the sexuality of younger female should be regularly supervised in follow-up examinations.

	'''[https://www.ncbi.nlm.nih.gov/pubmed/28510640 Increased risk of premature death following teenage abortion and childbirth-a longitudinal cohort study.] Jalanko E, Leppälahti S, Heikinheimo O, Gissler M. Eur J Public Health. 2017 May 16. doi: 10.1093/eurpub/ckx065.'''		'''[https://www.ncbi.nlm.nih.gov/pubmed/28510640 Increased risk of premature death following teenage abortion and childbirth-a longitudinal cohort study.] Jalanko E, Leppälahti S, Heikinheimo O, Gissler M. Eur J Public Health. 2017 May 16. doi: 10.1093/eurpub/ckx065.'''

Barb: /* Differential Psychosocial Impact on Adolescents */

2017-06-03T13:45:15Z

Differential Psychosocial Impact on Adolescents

← Older revision		Revision as of 08:45, 3 June 2017
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	= Differential Psychosocial Impact on Adolescents =		= Differential Psychosocial Impact on Adolescents =


			'''[https://www.ncbi.nlm.nih.gov/pubmed/28510640 Increased risk of premature death following teenage abortion and childbirth-a longitudinal cohort study.] Jalanko E, Leppälahti S, Heikinheimo O, Gissler M. Eur J Public Health. 2017 May 16. doi: 10.1093/eurpub/ckx065.'''

			:Abstract: Teenage pregnancy is associated with an increased risk of premature death. However, it is not known whether the outcome of pregnancy, i.e. induced abortion or childbirth, affects this risk. A Finnish population-based register study involving a cohort of 13 691 nulliparous teenagers who conceived in 1987-89; 6652 of them underwent induced abortion and 7039 delivered. The control group consisted of 41 012 coeval women without teenage pregnancy. Follow-up started at the end of pregnancy and lasted until 6th June 2013. Women with teenage pregnancy had a higher risk of overall mortality vs. controls (mortality rate ratio [MRR] 1.6, [95% CI 1.4-1.8]) and were more likely to die prematurely as a result of suicide, alcohol-related causes, circulatory diseases and motor vehicle accidents. A low educational level appeared to explain these excess risks, except for suicide (adj. MRR 1.5, [95% CI 1.1-2.0]). After adjusting for confounders, the childbirth group faced lower risks of suicide (adj. MRR 0.5, [95% CI 0.3-0.9]) and dying from injury and poisoning (adj. MRR 0.6, [95% CI 0.4-0.8]) compared with women who had undergone abortion. A low educational level is associated with the increased risk of premature death among women with a history of teenage pregnancy, except for suicide. Extra efforts should be made to encourage pregnant teenagers to continue education, and to provide psychosocial support to teenagers who undergo induced abortion.


	''Mental health may deteriorate as a direct effect of induced abortion, C Morgan et al, British Medical Journal 314:902, 1997.''		''Mental health may deteriorate as a direct effect of induced abortion, C Morgan et al, British Medical Journal 314:902, 1997.''

Barb: /* Pregnant Teenagers' Reliance on Others to Make Pregnancy Resolution Decisions */

2015-06-23T14:21:49Z

Pregnant Teenagers' Reliance on Others to Make Pregnancy Resolution Decisions

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 :In a study of black, urban teenagers in Baltimore, the probability that an adolescent would consult a parent before deciding what to do about her pregnancy was higher if she was younger, if she lived with the parent, and if she found the parent easy to talk to. Disatisfaction with the pregnancy decision one year after the pregnancy test was most likely if the parent did not support the final outcome, if someone other than the teenager had made the decision, or if the outcome was different from the teenagers preference at the time of the pregnancy test.
 <br>
 == Adolescent Abortion and Parental Involvement ==

Barb: /* Adolescent Risk of Breast Cancer */

2013-05-06T18:09:51Z

Adolescent Risk of Breast Cancer

← Older revision		Revision as of 13:09, 6 May 2013
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	= Adolescent Risk of Breast Cancer =		= Adolescent Risk of Breast Cancer =

			''Adolescent Reproductive Events and Subsequent Breast Cancer Risk, PM Marcus et al, American Journal Public Health 89(8):1244, 1999.''
			:Among parous premenopausal women who were breast-feeding before 20 years of age compared to no history of breast-feeding , there was a substantial risk reduction for breast cancer (OR 0.2, 95%CI, 0.1-0.6).


	''"Age at First Birth and Breast Cancer Risk," B MacMahon, et al, Bulletin of the World Health Organization 43:209 (1970) ''		''"Age at First Birth and Breast Cancer Risk," B MacMahon, et al, Bulletin of the World Health Organization 43:209 (1970) ''

Barb: /* Differential Physical Complications of Adolescent Abortion */

2013-05-06T18:09:01Z

Differential Physical Complications of Adolescent Abortion

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	:In a Canadian study, pain was more severe in adolescents who underwent first trimester suction abortion under local anesthesia compared with older women. Pre-abortion depression was the principal predictor of pain.		:In a Canadian study, pain was more severe in adolescents who underwent first trimester suction abortion under local anesthesia compared with older women. Pre-abortion depression was the principal predictor of pain.

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			''Pelvic inflammatory disease in adolescents, V Igra, AIDS Patient Care STDS 12(2): 109-124, 1998''
			:One in five cases of pelvic inflammatory disease (PID) occurs among younger women less than 19 years of age. The risk of developing PID for a 15 year old sexually active girl is estimated to be 10 times that of a 24 year old woman. The higher risk of PID for younger women has been attributed to their greater biologic vulnerability and their behavioral and cognitive risk factors.

	= Adolescent Risk of Breast Cancer =		= Adolescent Risk of Breast Cancer =

Barb: /* Differential Psychosocial Impact on Adolescents */

2013-05-06T18:08:00Z

Differential Psychosocial Impact on Adolescents

← Older revision		Revision as of 13:08, 6 May 2013
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	= Differential Psychosocial Impact on Adolescents =		= Differential Psychosocial Impact on Adolescents =

			''Mental health may deteriorate as a direct effect of induced abortion, C Morgan et al, British Medical Journal 314:902, 1997.''
			:The frequency of admission per 1000 population for attempted suicide by pregnancy event in women aged 15-19 in South Glamorgan Health Authority from 1991-1995 was 3.6 per 1000 before induced abortion and 10.8 per 1000 after induced abortion compared to 14.0 per 1000 before delivery and 2.6 per 1000 after delivery.

			''Psychiatric admissions of low income women following abortion and child- birth, DC Reardon et al, Canadian Medical Association Journal 168(10); 1253 2003.''
			:The frequency of psychiatric admission rates for women age 13-19 for a 4 year period following their pregnancy outcome was 915.4 per 100,000 following abortion compared to 517 per 100,000 following delivery (OR 1.8, 95%CI, 1.1-2.9).


	''"[http://www.ncbi.nlm.nih.gov/pubmed/1539493 Differential Impact of Abortion on Adolescents and Adults]," W Franz and D Reardon, Adolescence 105:162 (1992).''		''"[http://www.ncbi.nlm.nih.gov/pubmed/1539493 Differential Impact of Abortion on Adolescents and Adults]," W Franz and D Reardon, Adolescence 105:162 (1992).''

Barb: /* Differential Psychosocial Impact on Adolescents */

2012-08-13T20:42:42Z

Differential Psychosocial Impact on Adolescents

← Older revision		Revision as of 15:42, 13 August 2012
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	:Women members of Women Exploited by Abortion who aborted as teenagers compared to women who aborted at 20 years or older were less satisfied with services at the time of the abortion, were more likely to feel forced by circumstances to have the abortion, were more likely to report being misinformed, more often reported severe psychological distress, and more often wanted to give birth and keep the baby.		:Women members of Women Exploited by Abortion who aborted as teenagers compared to women who aborted at 20 years or older were less satisfied with services at the time of the abortion, were more likely to feel forced by circumstances to have the abortion, were more likely to report being misinformed, more often reported severe psychological distress, and more often wanted to give birth and keep the baby.

			::Data from 252 members of support groups of Women Exploited by Abortion from 42 states in the US were analyzed to determine factors that characterize this distressed group and compare adolescent and adult reactions to abortion. Most were young and unmarried at the time of the abortion. Women whose self-image suffered after the abortion were much more likely to have reported being dissatisfied with the abortion experience, feeling pressured to have the abortion, and feeling misinformed. Women who felt rushed to decide to have an abortion had at the most 1 week to make the decision and had the greatest severity of psychological problems (p.003). Women who were adolescents at the time of abortion were more likely to have had the abortion a longer time ago than those who were adults at the time of the abortion (p.03). They also tended to have the abortion at a greater gestational age (p.04) and were more unsatisfied with the abortion services at the time of the abortion (p.01) than adults. Adolescents were much more likely to feel that circumstances coerced them to have an abortion (p.0008), they tended to believe that they were misinformed at the time of the abortion (p.04), and they claimed to have suffered much more psychological stress than adults (p.006). In addition, prior to their own abortion, they tended to view abortion negatively (p.057). Adolescents stated that they had wanted to complete the pregnancy (p.003) and keep the infant (p.056). It is concluded that adolescents may be developmentally limited by immature decision making abilities, idealism, egocentricism, and belief in a personal fable which places them at greater risk for postabortion stress. Inadequate counseling appears to also contribute to this stress. Therefore, counselors need to realign their counseling skills to take into account these results.

	<br> ''"Abortion in Adolescence," N Campbell, et al., Adolescence 23(92):813 (1988). ''		<br> ''"Abortion in Adolescence," N Campbell, et al., Adolescence 23(92):813 (1988). ''

Barb: /* Differential Psychosocial Impact on Adolescents */

2012-08-13T20:40:56Z

Differential Psychosocial Impact on Adolescents

← Older revision		Revision as of 15:40, 13 August 2012
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	= Differential Psychosocial Impact on Adolescents =		= Differential Psychosocial Impact on Adolescents =

	''"Differential Impact of Abortion on Adolescents and Adults," W Franz and D Reardon, Adolescence 105:162 (1992).''		''"[http://www.ncbi.nlm.nih.gov/pubmed/1539493 Differential Impact of Abortion on Adolescents and Adults]," W Franz and D Reardon, Adolescence 105:162 (1992).''

	:Women members of Women Exploited by Abortion who aborted as teenagers compared to women who aborted at 20 years or older were less satisfied with services at the time of the abortion, were more likely to feel forced by circumstances to have the abortion, were more likely to report being misinformed, more often reported severe psychological distress, and more often wanted to give birth and keep the baby.		:Women members of Women Exploited by Abortion who aborted as teenagers compared to women who aborted at 20 years or older were less satisfied with services at the time of the abortion, were more likely to feel forced by circumstances to have the abortion, were more likely to report being misinformed, more often reported severe psychological distress, and more often wanted to give birth and keep the baby.
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	:Illicit drug use has the strongest effect of any predictor on experiencing an abortion: the odds of an abortion are nearly five times as large for premaritally pregnant white teens who used other illicit drugs compared to those who did not use these drugs.		:Illicit drug use has the strongest effect of any predictor on experiencing an abortion: the odds of an abortion are nearly five times as large for premaritally pregnant white teens who used other illicit drugs compared to those who did not use these drugs.

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	= Adolescent Violation of Conscience or Belief =		= Adolescent Violation of Conscience or Belief =

WikiSysop at 16:35, 8 June 2010

2010-06-08T16:35:58Z

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WikiSysop: Protected "Adolescents and Abortion" [edit=sysop:move=sysop]

2008-07-06T23:18:12Z

Protected "Adolescents and Abortion" [edit=sysop:move=sysop]

← Older revision	Revision as of 18:18, 6 July 2008
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