title: Decisionmaking regarding unwanted pregnancy among adolescents in Mexico City: a qualitative study.
abstract: Adolescents in Latin America and the Caribbean confront difficult decisions when faced with unwanted pregnancies, especially given the region's legal restrictions on and widespread cultural opposition to abortion. Little research has been conducted on pregnancy decisionmaking among young people in this region. This study examines the role of peers, partners, family members, and health-care providers in adolescents' decisionmaking regarding pregnancy continuation or termination in Mexico City shortly after abortion was legalized in 2007. Qualitative in-depth interviews and focus group discussions were conducted in 2009 with participants aged 13-17 who experienced an unwanted pregnancy. Although participants were able to formulate preferences regarding pregnancy resolution, parents' wishes usually prevailed when their wishes conflicted. Peers were generally found to be supportive, whereas the role of partners varied. Results indicate the need for comprehensive sexuality education to promote adolescents' autonomy, mechanisms other than legal mandates to encourage constructive parental involvement, and confidential counseling from health professionals offering options and supporting adolescents'ability to act on their decisions.
authors.affiliation: International Planned Parenthood Federation/Western Hemisphere Region, 125 Maiden Lane, New York, NY 10038, USA. ctatum@ippfwhr.org
authors.forename: Carrie
authors.initials: C
authors.lastname: Tatum
authors.forename: Marcela
authors.initials: M
authors.lastname: Rueda
authors.forename: Jennifer
authors.initials: J
authors.lastname: Bain
authors.forename: Jessie
authors.initials: J
authors.lastname: Clyde
authors.forename: Giselle
authors.initials: G
authors.lastname: Carino
mesh_terms: D000028:Abortion, Induced; D000293:Adolescent; D003657:Decision Making; D005260:Female; D017144:Focus Groups; D006801:Humans; D007407:Interviews as Topic; D008800:Mexico / Q000453:epidemiology; D010287:Parent-Child Relations; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000523:psychology*; D011275:Pregnancy, Unwanted / Q000523:psychology*; D036301:Qualitative Research; D012944:Social Support