Abstract
Objective: To analyze the socioeconomic and environmental factors associated with adolescent pregnancy and its impacts on adolescents in the municipality of Imperatriz-MA. Methods: This is a quantitative, descriptive and analytical study conducted with 47 adolescents with a history of pregnancy during adolescence, receiving care at a Primary Health Care Unit. Data were collected through sociodemographic questionnaires, obstetric forms, and analyzed using descriptive and inferential statistics, including Chi-square test, Spearman correlation and Student’s t-test. Results: There was a predominance of adolescents aged 16 to 17 years, with low income and living in peripheral areas. School dropout rate was high (59.6%), and significant financial impact was reported in 93.6% of families. Despite access to information on sexuality, failures in contraceptive use were observed. Psychosocial aspects revealed moderate levels of anxiety, variations in emotional support and low community participation. Conclusion: Adolescent pregnancy is a multifactorial phenomenon associated with socioeconomic vulnerability and significant educational, financial and psychosocial impacts, highlighting the need for integrated strategies focused on sexual education, school retention and psychosocial support.
References
ASSIS TDSC, et al. Recurrence of teenage pregnancy: associated maternal and neonatal factor outcomes. Ciência & Saúde Coletiva, 2022; 27: 3261-3271.
BEZERRA TM, MATOS CC. Impactos da gravidez na adolescência no Brasil. Research, Society and Development, 2022; 11(4).
BORÇARI KBM, SOUZA SP, APOLINÁRIO FV. Participação da enfermagem no processo de educação sexual para prevenção da gravidez na adolescência. Revista Ibero-Americana de Humanidades, Ciências e Educação, 2023; 9(1).
BRASIL. Ministério da Saúde. Sistema de Informações sobre Nascidos Vivos (SINASC): nascidos vivos por idade da mãe. 2022. Disponível em: https://plataforma.saude.gov.br/natalidade/nascidos-vivos/. Acessado em: 18 de abril de 2026.
BRUNO SKB, et al. Prevalence, socioeconomic factors and obstetric outcomes associated with adolescent motherhood in Ceará, Brazil: a population-based study. BMC Pregnancy and Childbirth, 2021; 21: 616.
CARVALHO AF, et al. Mental health outcomes in adolescent pregnancy: a cross-sectional study. Jornal de Pediatria, 2025; 101(2): 145-152.
CHANDRA-MOULI V, et al. Adolescent pregnancy: global perspectives and health consequences. BMJ, 2023; 381: e072788.
FERNANDES CM, et al. Socioeconomic factors increase the risk of teenage pregnancy: spatial and temporal analysis in a Brazilian municipality. Revista Brasileira de Epidemiologia, 2024; 27: e240040.
HARDY R, et al. Social determinants of adolescent pregnancy and early motherhood: a systematic review. BMC Public Health, 2023; 23: 1125.
IBGE. Síntese de indicadores sociais: uma análise das condições de vida da população brasileira 2022. Rio de Janeiro: IBGE, 2022. Disponível em: https://www.ibge.gov.br. Acessado em: 20 de janeiro de 2026.
KHUDOR AJ, et al. Maternal and neonatal outcomes among adolescent pregnancies: a comparative study. BMC Pregnancy and Childbirth, 2026; 26: 112-120.
LESINSKIENĖ S, et al. Psychological outcomes of adolescent pregnancy: a systematic review. Journal of Clinical Medicine, 2025; 14(7): 2334.
LIMA FILHO CA, et al. Educação em saúde: uma revisão sobre prevenção da gravidez na adolescência. Journal of Education, Science and Health, 2023; 3(2).
LOPES MCL, et al. Tendência temporal e fatores associados à gravidez na adolescência. Revista da Escola de Enfermagem da USP, 2020; 54: e03639.
LUMEN ET VIRTUS. Mental health and adolescent pregnancy: a systematic review. Lumen et Virtus, 2025; 6(1): 45-58.
NEAL S, et al. Adolescent pregnancy outcomes: a systematic review. The Lancet Child & Adolescent Health, 2022; 6(5): 345-355.
OPAS. Gravidez na adolescência na América Latina e Caribe: situação atual e desafios. Washington, DC: OPAS, 2022. Disponível em: https://www.paho.org. Acessado em: 18 de abril de 2026.
PIETRAS J, et al. Adolescent pregnancy: medical, legal and social issues. Journal of Maternal-Fetal & Neonatal Medicine, 2024; 37(1): 1-8.
SILVA RA, et al. Social support and adolescent motherhood: a systematic review. Revista de Saúde Pública, 2023; 57: 45-53.
TORRES SOUSA EZ, et al. Qualidade de vida de adolescentes grávidas. Revista Eletrônica Acervo Saúde, 2020; 12(6): e3161.
TWAGIRAYEZU I, et al. Consequences of adolescent childbearing among teen mothers in Rwanda. PLOS Global Public Health, 2024; 4(9): e0003716.
WORLD HEALTH ORGANIZATION. Adolescent pregnancy. Geneva: WHO, 2024. Disponível em: https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy. Acessado em: 18 de abril de 2026.
WORLD HEALTH ORGANIZATION. Adolescent sexual and reproductive health and rights. Geneva: WHO, 2023. Disponível em: https://www.who.int. Acessado em: 18 de abril de 2026.
