Fecundidad de las adolescentes en el continente americano: tendencias temporales de 1995 a 2025.
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| Title: | Fecundidad de las adolescentes en el continente americano: tendencias temporales de 1995 a 2025. |
|---|---|
| Alternate Title: | Adolescent fertility rates across the American continent: temporal trends between 1995 and 2025. |
| Authors: | Passoni Lopes, Lucas Casagrande1 lucaspassoni@usp.br |
| Source: | Ginecología y Obstetricia de México. jul2025, Vol. 93 Issue 7, p254-263. 10p. |
| Subjects: | TEENAGE mothers, FERTILITY decline, TEENAGE pregnancy, CONTRACEPTIVE drugs, FERTILITY |
| Abstract (English): | OBJECTIVE: To evaluate temporal trends in adolescent fertility rates in the Americas between 1995 and 2025. METHODS AND MATERIALS: An ecological study was conducted based on data from the Pan American Health Organization, which was stratified by country, year and live births to adolescent mothers (aged 15 to 19). The Joinpoint regression model was applied to estimate the annual percentage change, considering statistical significance at p < 0.05 and 95% confidence intervals. RESULTS: The adolescent fertility rate declined significantly, with a more pronounced decline across the continent between 2013 and 2021 (annual percentage change: -4.09; 95% confidence interval (CI): -4.37 to -3.91). The largest decline in South America occurred between 2014 and 2021 (annual percentage change: -4.42; 95% CI: -4.78 to -4.14), while in Central America, the decline accelerated between 2012 and 2021 (annual percentage change: -3.91; 95% CI: -4.22 to -3.69). North America experienced its sharpest decline between 2013 and 2017 (annual percentage change: -6.22; 95% CI: -7.10 to -5.60), despite an increase prior to this period. Some countries, such as Argentina and Chile, exceeded reductions of 15% per year in certain periods, while Canada maintained a steady trend. Mexico, on the other hand, showed slower progress, while the United States experienced a marked and continuous decline. CONCLUSIONS: Although progress has been made in reducing adolescent fertility in the Americas, regional variations reflect persistent inequalities. This study contributes to our understanding of youth reproductive dynamics, highlighting the need for public policies adapted to local sociocultural contexts. Improving access to contraceptives, providing comprehensive sex education and considering structural factors are all critical to reducing adolescent pregnancy [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | OBJETIVO: Evaluar las tendencias temporales de la tasa de fecundidad de las adolescentes en el continente americano entre 1995 y 2025. MATERIALES Y MÉTODOS: Estudio ecológico efectuado con base en los datos de la Organización Panamericana de la Salud estratificados por país, año y nacidos vivos de madres adolescentes (15 a 19 años). Para estimar el cambio porcentual anual se aplicó el modelo de regresión de puntos de inflexión (Joinpoint) y se consideró estadísticamente significativo un valor de p < 0.05 e intervalos de confianza del 95%. RESULTADOS: La tasa de fecundidad de las adolescentes disminuyó, significativamente, con una caída continental más intensa entre 2013 y 2021 (cambio porcentual anual: -4.09; IC95%: -4.37 a -3.91). En Sudamérica, el mayor descenso ocurrió entre 2014 y 2021 (cambio porcentual anual: -4.42; IC95%: -4.78 a -4.14), mientras que en Centroamérica se aceleró entre 2012 y 2021 (cambio porcentual anual: -3.91; IC95%: -4.22 a -3.69). América del Norte vivió su reducción más fuerte entre 2013 y 2017 (cambio porcentual anual: -6.22; IC95%: -7.10 a -5.60), pese a un aumento previo. Países como Argentina y Chile superaron reducciones del 15% anual en ciertos periodos y Canadá mantuvo una tendencia sostenida. México, en cambio, mostró una evolución más lenta, mientras que Estados Unidos evidenció una baja marcada y continua. CONCLUSIONES: Si bien se ha avanzado en la disminución de la fecundidad de las adolescentes en las Américas, las variaciones regionales reflejan desigualdades persistentes. Este estudio contribuye al entendimiento de las dinámicas reproductivas juveniles y resalta la necesidad de políticas públicas adaptadas a los contextos socioculturales locales. Ampliar el acceso a métodos anticonceptivos, mejorar la educación sexual integral y considerar los factores estructurales sigue siendo decisivo para reducir el embarazo en las adolescentes. [ABSTRACT FROM AUTHOR] |
| Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Header | DbId: lth DbLabel: MedicLatina An: 186296430 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Fecundidad de las adolescentes en el continente americano: tendencias temporales de 1995 a 2025. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Adolescent fertility rates across the American continent: temporal trends between 1995 and 2025. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Passoni+Lopes%2C+Lucas+Casagrande%22">Passoni Lopes, Lucas Casagrande</searchLink><relatesTo>1</relatesTo><i> lucaspassoni@usp.br</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Ginecología+y+Obstetricia+de+México%22">Ginecología y Obstetricia de México</searchLink>. jul2025, Vol. 93 Issue 7, p254-263. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22TEENAGE+mothers%22">TEENAGE mothers</searchLink><br /><searchLink fieldCode="DE" term="%22FERTILITY+decline%22">FERTILITY decline</searchLink><br /><searchLink fieldCode="DE" term="%22TEENAGE+pregnancy%22">TEENAGE pregnancy</searchLink><br /><searchLink fieldCode="DE" term="%22CONTRACEPTIVE+drugs%22">CONTRACEPTIVE drugs</searchLink><br /><searchLink fieldCode="DE" term="%22FERTILITY%22">FERTILITY</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: OBJECTIVE: To evaluate temporal trends in adolescent fertility rates in the Americas between 1995 and 2025. METHODS AND MATERIALS: An ecological study was conducted based on data from the Pan American Health Organization, which was stratified by country, year and live births to adolescent mothers (aged 15 to 19). The Joinpoint regression model was applied to estimate the annual percentage change, considering statistical significance at p < 0.05 and 95% confidence intervals. RESULTS: The adolescent fertility rate declined significantly, with a more pronounced decline across the continent between 2013 and 2021 (annual percentage change: -4.09; 95% confidence interval (CI): -4.37 to -3.91). The largest decline in South America occurred between 2014 and 2021 (annual percentage change: -4.42; 95% CI: -4.78 to -4.14), while in Central America, the decline accelerated between 2012 and 2021 (annual percentage change: -3.91; 95% CI: -4.22 to -3.69). North America experienced its sharpest decline between 2013 and 2017 (annual percentage change: -6.22; 95% CI: -7.10 to -5.60), despite an increase prior to this period. Some countries, such as Argentina and Chile, exceeded reductions of 15% per year in certain periods, while Canada maintained a steady trend. Mexico, on the other hand, showed slower progress, while the United States experienced a marked and continuous decline. CONCLUSIONS: Although progress has been made in reducing adolescent fertility in the Americas, regional variations reflect persistent inequalities. This study contributes to our understanding of youth reproductive dynamics, highlighting the need for public policies adapted to local sociocultural contexts. Improving access to contraceptives, providing comprehensive sex education and considering structural factors are all critical to reducing adolescent pregnancy [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: OBJETIVO: Evaluar las tendencias temporales de la tasa de fecundidad de las adolescentes en el continente americano entre 1995 y 2025. MATERIALES Y MÉTODOS: Estudio ecológico efectuado con base en los datos de la Organización Panamericana de la Salud estratificados por país, año y nacidos vivos de madres adolescentes (15 a 19 años). Para estimar el cambio porcentual anual se aplicó el modelo de regresión de puntos de inflexión (Joinpoint) y se consideró estadísticamente significativo un valor de p < 0.05 e intervalos de confianza del 95%. RESULTADOS: La tasa de fecundidad de las adolescentes disminuyó, significativamente, con una caída continental más intensa entre 2013 y 2021 (cambio porcentual anual: -4.09; IC95%: -4.37 a -3.91). En Sudamérica, el mayor descenso ocurrió entre 2014 y 2021 (cambio porcentual anual: -4.42; IC95%: -4.78 a -4.14), mientras que en Centroamérica se aceleró entre 2012 y 2021 (cambio porcentual anual: -3.91; IC95%: -4.22 a -3.69). América del Norte vivió su reducción más fuerte entre 2013 y 2017 (cambio porcentual anual: -6.22; IC95%: -7.10 a -5.60), pese a un aumento previo. Países como Argentina y Chile superaron reducciones del 15% anual en ciertos periodos y Canadá mantuvo una tendencia sostenida. México, en cambio, mostró una evolución más lenta, mientras que Estados Unidos evidenció una baja marcada y continua. CONCLUSIONES: Si bien se ha avanzado en la disminución de la fecundidad de las adolescentes en las Américas, las variaciones regionales reflejan desigualdades persistentes. Este estudio contribuye al entendimiento de las dinámicas reproductivas juveniles y resalta la necesidad de políticas públicas adaptadas a los contextos socioculturales locales. Ampliar el acceso a métodos anticonceptivos, mejorar la educación sexual integral y considerar los factores estructurales sigue siendo decisivo para reducir el embarazo en las adolescentes. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.24245/gom.v93i7.240 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 10 StartPage: 254 Subjects: – SubjectFull: TEENAGE mothers Type: general – SubjectFull: FERTILITY decline Type: general – SubjectFull: TEENAGE pregnancy Type: general – SubjectFull: CONTRACEPTIVE drugs Type: general – SubjectFull: FERTILITY Type: general Titles: – TitleFull: Fecundidad de las adolescentes en el continente americano: tendencias temporales de 1995 a 2025. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Passoni Lopes, Lucas Casagrande IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: jul2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 03009041 Numbering: – Type: volume Value: 93 – Type: issue Value: 7 Titles: – TitleFull: Ginecología y Obstetricia de México Type: main |
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