Manager

S130

ARTIGO ARTICLE

Algumas repercussões emocionais negativas da gravidez precoce em adolescentes do Município do Rio de Janeiro (1999-2001)
Some emotional repercussions of adolescent pregnancy in Rio de Janeiro, Brazil (1999-2001)

Adriane Reis Sabroza 1
Maria do Carmo Leal 1
Paulo Roberto de Souza Jr. 1
Silvana Granado Nogueira da Gama

1

Abstract
1 Departamento de
Epidemiologia e Métodos
Quantitativos em Saúde,
Escola Nacional de Saúde Pública,
Fundação Oswaldo Cruz,
Rio de Janeiro, Brasil.
Correspondência
Maria do Carmo Leal
Rua Leopoldo Bulhões 1480,
Rio de Janeiro, RJ
21041-210, Brasil. [e-mail] Introdução

This study analyzed the association between early pregnancy and negative emotional repercussions for adolescents, according to socio-demographic and psychosocial variables. The study interviewed 1,228 adolescents in maternity hospitals in the City of Rio de Janeiro. Emotional repercussions were evaluated with negative self-assessment variables, showing little or no expectation towards the future, as well as psychological distress. The χ2 test and odds ratio were used to analyze the data. Adolescents who reported a negative reaction by the family felt less valued (OR 1.8), with little expectation towards the future (OR 2.3), and presented major psychological distress (OR 1.5). Those not enrolled in school when they became pregnant also showed worse self-esteem (OR 1.9) and fewer expectations towards the future (OR 2.2). Greater psychological distress was inversely related to frequency of prenatal care (0.7). The article concludes that family support, regardless of original social conditions, was identified as the principal factor for minimizing negative emotional repercussions of pregnancy during adolescence.

A complexidade característica da gravidez precoce é influenciada por diferenças sociais, culturais e econômicas da adolescente que a vivencia. O fato de a adolescente vir a ultrapassar