title: Teen pregnancy in Inuit communities - gaps still needed to be filled.
abstract: Teen pregnancy is depicted around the world as an important cause of health disparities both for the child and the mother. Accordingly, much effort has been invested in its prevention and led to its decline in the northern hemisphere since the mid-1990s. Despite that, high rates are still observed in the circumpolar regions. As Inuit communities have granted better understanding of teenage pregnancy a priority for the coming years, this article comprehensively reviews this multidimensional issue. By depicting current prevalence, likely determinants and possible impacts documented among Inuit of Canada, Alaska and Greenland, and contrasting them to common knowledge that has emerged from other populations over the years, great gaps surface. In some regions, the number of pregnancies per number of Inuit women aged between 15 and 19 years has increased since the turn of the millennium, while statistics from others are either absent or difficult to compare. Only few likely determinants of teenage pregnancy such as low education and some household factors have actually been recognized among Inuit populations. Documented impacts of early pregnancy on Inuit women and their children are also limited compared to those from other populations. As a way to better address early pregnancy in the circumpolar context, the defence for additional scientific efforts and the provision of culturally adapted sexual health prevention programmes appear critical.
authors.affiliation: Population Health and Optimal Health Practices Research Unit, CHU de Québec Research Centre, Université Laval, Ville de Québec, QC, Canada.
authors.forename: Caroline
authors.initials: C
authors.lastname: Moisan
authors.affiliation: Population Health and Optimal Health Practices Research Unit, CHU de Québec Research Centre, Université Laval, Ville de Québec, QC, Canada.
authors.forename: Chloé
authors.initials: C
authors.lastname: Baril
authors.affiliation: Population Health and Optimal Health Practices Research Unit, CHU de Québec Research Centre, Université Laval, Ville de Québec, QC, Canada.|School of Psychology, Université Laval, Ville de Québec, QC, Canada.
authors.forename: Gina
authors.initials: G
authors.lastname: Muckle
authors.affiliation: Population Health and Optimal Health Practices Research Unit, CHU de Québec Research Centre, Université Laval, Ville de Québec, QC, Canada.|Department of Pediatrics, Faculty of Medicine, Université Laval, Ville de Québec, QC, Canada; richard.belanger@mail.chuq.qc.ca.
authors.forename: Richard E
authors.initials: RE
authors.lastname: Belanger
mesh_terms: D000293:Adolescent; D000413:Alaska; D002170:Canada; D003469:Culture; D005260:Female; D006801:Humans; D004930:Inuit / Q000706:statistics & numerical data; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000208:ethnology* / Q000706:statistics & numerical data; D012307:Risk Factors; D055815:Young Adult
keywords: Inuit; adolescent; cross-cultural comparison; pregnancy; reproductive health; review; teen