Contribution of psychoactive substance use and other environmental factors to adolescent pregnancies in Mexico
Introduction Mexico has the highest prevalence of adolescent pregnancies among all the member countries of the Organization for Economic Co-operation and Development (OECD) with a fertility rate of 70.6 births for every 1000 women aged 15–19 years. This study explored the associations between psycho...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2023-09-01
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| Series: | Public Health and Toxicology |
| Subjects: | |
| Online Access: | https://www.publichealthtoxicology.com/Contribution-of-psychoactive-substance-use-and-other-environmental-factors-to-adolescent,172566,0,2.html |
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| Summary: | Introduction
Mexico has the highest prevalence of
adolescent pregnancies among all the member countries
of the Organization for Economic Co-operation and
Development (OECD) with a fertility rate of 70.6 births for
every 1000 women aged 15–19 years. This study explored
the associations between psychoactive substance use and
adolescent pregnancy in 3263 adolescents.
Methods
This was a cross-sectional study using data
from the National Health and Nutrition Survey 2018. We
examined adolescent pregnancy among a sample of currently
pregnant, ever pregnant and never pregnant teenage girls.
The prevalence of psychoactive substance use was estimated
at the state level using the 2016 National Survey of Drug,
Alcohol, and Tobacco Use. Multilevel logistic models were
fitted to evaluate the association between psychoactive
substance use and adolescent pregnancy.
Results
Girls living in states with high prevalence of
illegal drug use, non-prescription use of medical drugs,
alcohol abuse and daily tobacco use had higher odds of
having adolescent pregnancy (OR=1.22, 95% CI: 1.17–1.27;
OR=2.00, 95% CI: 1.66–2.39; OR=1.10, 95% CI: 1.03–1.13;
and OR=1.05, 95% CI: 1.03–1.18, respectively). Finally,
adolescent pregnancy was positively associated with
population density (OR=0.85, 95% CI: 0.82–0.88) and
number of homicides (OR=1.08, 95% CI: 1.03–1.13).
Conclusions
The exposure of adolescents to psychoactive
substances may directly contribute to having a pregnancy.
Also, these findings highlight the importance of attending
school, having high school education and being beneficiaries
of the social program CCT-POP in reducing adolescent
fertility rates. |
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| ISSN: | 2732-8929 |