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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel

CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

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Causative factors for sexual and reproductive health status of pregnant adolescent girls in urban communities of Lagos, Nigeria

Yetunde A. Kuyinu
  • Corresponding author
  • Department of Community Health and PHC, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria
  • Email
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/ Toriola T. Femi-Adebayo
  • Lagos State University Teaching Hospital, Community Health and Primary Health Care, Lagos, Nigeria
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  • De Gruyter OnlineGoogle Scholar
/ Babatunde A. Odugbemi / Elochukwu E. Ukatu
  • Lagos State University Teaching Hospital, Community Health and Primary Health Care, Lagos, Nigeria
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Published Online: 2017-09-15 | DOI: https://doi.org/10.1515/ijamh-2017-0104



The overall goal of this study was to determine the causative factors for pregnancy status in adolescent girls in two communities in the Lagos Island local government area.


A mixed methods (quantitative and qualitative) study reviewing routine health facility antenatal care (ANC) records and conducting focus group discussions among 46 pregnant adolescents, exploring their views about sex, contraception, pregnancy and sexual and reproductive health (SRH) services, was carried out. Key informant interviews were also carried out among healthcare workers and community members to assess their perceptions of adolescents’ SRH problems.


Five percent of those accessing ANC services were adolescents. Pregnant adolescents were found to access health services at later stages of their pregnancies due to the shame and stigma associated with their condition. The presence of morbidity in the form of anaemia (33%) and HIV (2.4%) was also found in this population.

Social factors such as peer pressure and the desire to develop or maintain a relationship were found to be the major reasons for initiation of sexual activity by the adolescents. There was generally poor knowledge and utilisation of contraceptives, leading to unprotected sex and, thus, unintended pregnancies.


SRH information and services should be made readily available to adolescents at all levels of care.

Keywords: adolescent; causative factors; Lagos; pregnancy


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About the article

Received: 2017-06-19

Accepted: 2017-07-24

Published Online: 2017-09-15

Declarations: We declare no conflict of interest.

Funding: This work was funded by the UNFPA. The funders had no role in the conduct of the study or the interpretation of results.

Citation Information: International Journal of Adolescent Medicine and Health, 20170104, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2017-0104.

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