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Here in the Philippines, we believe in the saying of our
national hero Dr. Jose P. Rizal that “Youth is the hope of
our Mother land”. In their hand lies the future
generation to follow. But as we see from the situation
nowadays, what were expecting from the youth is the
contrary if the saying. Teenagers are prone to
pregnancy. Almost every year there is a rapid increase
on the number of pregnant youths.
Young people are far more ‘sexual’ and sexually active
than ever before, and a perception has been
cultivated that if something isn’t done the age of young
people having sex will continue to get lower (Lee, 38).
Teenage pregnancy is seen as the result of early sexual
activeness.
Teenage pregnancy has become a very serious social
problem in Philippines, and pregnancy under the age
of seventeen has been viewed as a catastrophe for
individuals, family and society (Greathead, 21).
According to Heaven (176) teenage mothers are
having more babies compared with a generation ago.
Moreover, the younger adolescents are when having
their first child, the more likely they are to have another
child while still a teenager.
Falling in love, developing crushes and forming romantic
relationships are all parts of a sequence which may culminate in
sexual intercourse (Moore & Rosenthal, 8). It is frightening that the
youth of today do not seem to be afraid of falling pregnant or
contracting the HIV Aids virus. It is disturbing to note that though
adolescents are having sex earlier and more often, sometimes with
multiple partners, they lack the basic knowledge about
contraceptives. According to Lots of essays .com (1), as to be
found on the internet, says that the number of teenage
pregnancies has been alarming for many years, and it seems to be
a particular problem in urban and poor areas, though it occurs
across all social and demographic lines. According to Singh (14)
teenage pregnancy is a universal problem that affects all the
communities. It is not a new phenomenon, but it is strange that in
the era of sexual literacy and contraception, teenage pregnancy is
still a major problem throughout the world. So we often read in the
media of the increasing number of teenage pregnancies.
Teenage pregnancy is one of the major contributory factors to
population growth. In relation to this problem, our government
is now working on the Reproductive Health Bill (RH Bill) as one
of the most effective solution not only to teenage pregnancy
but also to the increasing population of our country.
The purpose of the study was to gain insight from teens into
pregnancy, and sexual health in order to implement successful
intervention programs. This study aims the readers to be aware
about teenage pregnancy and what is happening in our
society today. This issue is being ignored a lot of times. This will
guide the parents and friends on what to do if a teenager gets
pregnant. For teen mothers, this will guide them on their
options before and after pregnancy. This study is significance
for the following reasons:
 Finding out the cause behind the teenage pregnancy
 Recommendations and guidelines that will help the
teenagers.
 Increase the awareness and knowledge on the increasing
number of teenage pregnancy cases.
 To be able for them to absorb and reflect the effects and
problems attached in teenage pregnancy.
 To help prevent from indulging from this early pregnancy
Teenagers – they are the ones involved in this case. They could
be helped through the informative content of this study. They
could realize the negative effects of teenage pregnancy
and how it could change their whole life. Society - it could
lessen the percentage of single parenthood among the
community. It could orient family members on how teenage
pregnancy can affect the family most especially the teens.
Sources of Contraceptive materials – they may expect an
increase in demand due to the awareness of the teenagers
on getting pregnant at an early age.
Local Government – they could be able to implement and
facilitate projects concerning the rate of teenage pregnancy
issue. They could be able to understand the deeper cause of this
inflating rate of early pregnancy. Community Members – they
could build a strong alliance against teenage pregnancy and they
could be a more productive part of the community in terms of
cooperating in the alliance. Parents – they could expect a better
future and a progressive and a more valuable and worthy support
to their sons and daughters. Non-Government Organization – they
could more stabilize their goals on this sector and comply an
efficient purpose on execution of ideas from which this study
focuses. They could be more sufficient in terms of project planning
and data analysis of social factors of teenage pregnancy. Others –
they would get a broader knowledge on how the teenage
pregnancy works in the society. (http://zeusevsusls.weebly.com/)
Teen pregnancy has been identified as a problem for teenagers, their
families, and society. However, there is a lack of research into
teenager’s attitudes toward pregnancy and sexual health.
This study answers the following questions:
1. What are the causes for teenage pregnancies?
1.1 Physiologically Abilities
1.2 Psychologically Abilities
1.3 Social Abilities
1.4 Cognitive abilities.
2. What factors contribute to early teenage pregnancy?
2.1 Lack of education and information about reproductive sexual health
including lack of access to tools that prevent pregnancies
2.2 Different factors towards teenage pregnancy
2.3 Abortion
3. How can teenage pregnancies be stopped or minimized?
3.1 Abstinence
3.2 Contraceptives
3.3 Communication
Generalization of the study’s findings will be limited to
13-19 teens. The sample selection was limited to 13-
19 students of Psychology at the Polytechnic
University of the Philippines and this will limit the
generalization of the findings to teens from other
universities/countries. The study was also limited to
one group, Psychology Students.
The following concepts need to be defined so as to prevent any
ambiguity that may result from their misinterpretation. These
terms, and the accompanying definitions follows.
 Abstinence- is a self-enforced restraint from indulging in
bodily activities that are widely experienced as giving
pleasure. (Wikipedia)
 Abortion- is the ending of pregnancy by the removal or
forcing out from the womb of a fetus or embryo before it is
able to survive on its own. (Wikipedia)
 Cause-According to the Oxford dictionary cause is a thing
that produces an effect.
 Contraceptive- a device or drug serving to prevent
pregnancy. (Wikipedia)
 Pregnancy- Pregnancy can be referred to as a process
whereby a female carries a live offspring from the time of
conception to childbirth. (Wikipedia)
 Teenage pregnancy– refers to any pregnancy on women
that took place between the ages 13 – 19 years old.
(Wikipedia)
 Teen aged Students– refers to students that ages a number
that end in “teen” as the last syllable such as 13, 14, 15, 16, 17,
18, and 19. (Wikipedia)
 Psychological Abilities- the power to learn or retain
knowledge; in law, the ability to understand the facts and
significance of your behavior. (The Free Dictionary)
 PhysiologicalAbilities-
of or relating to normal healthful functioning; not pathologica
l. (The Free Dictionary)
 Social Abilities- the skills we use to communicate and interact
with each other, both verbally and non-verbally, through
gestures, body language and our personal appearance.
Human beings are sociable creatures and we have
developed many ways to communicate our messages,
thoughts and feelings with others. (Wikipedia)
 Cognitive Abilities- are brain-based skills we need to carry out
any task from the simplest to the most complex. They have
more to do with the mechanisms of how we learn,
remember, problem-solve, and pay attention rather than with
any actual knowledge. (Wikipedia)
Research Design
The study being conducted is a descriptive research. It includes
the collection of data needed to answer the question
concerning the current status of the study.
Research Respondents
The respondents of this research study are the selected teen age
student of Polytechnic University of the Philippines- College of
Social Science and Development. The target population
consisted of 20 student of Psychology, age 13 – 19 who is
capable and willing to answer the survey question. This target
population was considered quite small; hence, the
researchers opted to involve all 20 students of psychology in
the research as respondents.
Research Instruments
This study used structured-questioner, wherein the researchers
prepared a list of question in a predetermined order, was
used. The interview questions are all about the teenage
pregnancy.
Data-Gathering Procedure
The data were drawn from 20 students of the Department of
Psychology of the Polytechnic University of the Philippines
who were interviewed by the researcher. The researcher set
separate appointments with the 20 students as to the date,
time, and place of the interview. Their responses were
recorded in individual checklist.
Statistical Treatment
Individual responses were tallied before they were put in tables
ready for the statistical treatment. Percentage was utilized to
quantify the data gathered for subproblems 1-3. The formula
for percentage is:
p = f/N x 100
Where: p = percentage
f = frequency
N = total number of respondents
This chapter presents analysis, findings
and interpretation of data. All findings
and data gathered from the survey
conducted are presented and analyzed
based on the specific questions and
previously stated. The presentation
considers the variables included in the
study namely:
Moore and Rosenthal (258) stated that the causes of teenage
pregnancy are divided into four major categories:
Physiologically, Psychologically, social and cognitive abilities
a. Physiological: During adolescence, youth are experiencing
physical growth and hormone changes that prompt sexual
feelings. The sex organs are maturing and by the end of
puberty, both males and females have the ability to
procreate. One way that adolescents try to negotiate the
change from childhood to adulthood is through sexual
activity. By the time the most teenagers graduate, half of
them would begin having sex. Many teenagers see sexual
activity as a way to develop their adult identity, to test their
future roles.
Singh (16) stated that many teenagers look to their friends,
especial the opposite sex, for validation and approval of the
changes that their bodies are undergoing. Singh (16) go on
saying that many teenagers’ sexual behavior provides means of
challenging parents who seem to stand in their way to
independency. Sometimes while testing their adult roles an
unwanted pregnancy may occur. This forces them to mature
faster since they have to cope and handle responsibility they
never experienced before.
Moore and Rosenthal (258) suggest that it is possible for the
young girls to fall pregnant because of the improvements in the
general health. Improved nutrition and health care have
contributed to an increase in the potential for the young girls to
fall pregnant.
b. Psychological: Moore and Rosenthal (258) stated that sometimes
pregnancy is the result of a teenager’s conscious or unconscious
desire to get pregnant. These researchers also found that the
psychoanalytic model is pre-eminent in psychological
explanations of adolescent pregnancy. Ego strength and family
relationships are the most commonly cited reasons. Low ego
strength or low sense of personal worth is said to lead to sexual
acting out or use of sex as an escape. Highly dependent girls with
a great need for affection and those experiencing social or
psychological stress are more likely to become pregnant.
Family situations or problems which have been linked to the incident
of teenage pregnancy include the following: closeness to father,
lack of closeness to mother, unstable family relationships, father
absence accompanied by resentment of the mother, and
feelings of rootlessness (Mckenry et al (19), as cited by Moore and
Rosenthal (258).
Macleod (6) stated that teenagers that have a poorly defined sense
of identity and low self image and self-confidence, they (the
pregnant teenagers) experience themselves as inadequate and
inferior and are plagued by the feeling of insecurity. Therefore
there is an association between poor self-esteem and teenage
pregnancy.
c. Social Factors: According to Mckenry et al (79), as cited by Moore and
Rosenthal (258) poverty influences pregnancy rate. Insufficient economy
and social resource may lead to pregnancy. Pressure from peers and
the influence of the media are also social precursors to pregnancy
during adolescence.
d. Cognitive Abilities: Another major cause concerns young girls’ lack of the
knowledge and maturity required to prevent unwanted conceptions.
One must possess the cognitive ability to foresee the consequences of
sexual activity. Moore and Rosenthal (259) indicate that some teenagers
believe that they are too young to become pregnant or that their sexual
encounters are too infrequent. There are some teenagers that do not
believe that they can fall pregnant during a single act of intercourse.
Others are unable to relate risks of pregnancy to their menstrual cycles
or are too menstrual irregular to use such information properly.
Cognitive model views adolescents’ pregnancy as resulting from some
cognitive deficit, such as poor problem-solving skills, inability to plan for
the future, or lack of knowledge about contraception. There is evidence
that many teenage mothers have undetected learning problem that
makes it difficult for them to succeed academically Jafte (380).
a. Inadequate Knowledge about Safe Sex: The reality of bringing up a
child alone and usually on a low income is not being brought
home to teenagers. They do not know how easy it is to get
pregnant, and how hard it is to be a parent (Social Exclusion Unit
7).
Miller (58) stated that the lack of education on safe sex, either on the
side of the parents or the educators, may lead to teenage
pregnancy. Many teenagers are not taught about methods of birth
control. The cost of living is too high these days, and parents are
expected to work to boost the income. Therefore teenagers are left
on their own for the whole day. In that case a lot might happen
while parents are at work. According to Martin (102) girls are allowed
to dress like common prostitutes and boys are trained to treat them
as such. They are also free to stay out all hours of the night. This shows
the high possibilities for the girls to fall pregnant
They probably have no access to the traditional methods of preventing
pregnancy. And the main reason behind is that they are either too
embarrassed or fear to seek information about it.
b. Alcohol and Drugs: Adolescents who participate in one or
other form of risk behavior often partake in other risk behaviors
(Essau, 2004, in Panday, at al,61). The high rate of drug and
alcohol abuse contributes a lot to teenage pregnancy. When a
teenager is being intoxicated with drugs and/or alcohol she may
find herself doing unprotected sex which may result in
pregnancy or HIV (Teenage pregnancy issue in Our World Today,
2).
According to Morejele, Brook, and Kachieng’a (6) as cited by
Panday et al, (61), the psychoactive effects of alcohol and
drugs used are taught to increase sexual arousal and desire,
decrease inhibition and tenseness, diminish decision-making
capacity, judgment and sense of responsibility, and generally
disempowered women to resist sex. The studies have reported on
the increased risk of forced sex and the decreased likelihood of
using condoms when under the influence of alcohol. These
effects are facilitated in a context of high unemployment, and in
an environment where peer norms promote heavy drinking,
alcohol and drugs are easily assessable and casual sex readily
available.
c. Exposure to abuse: Women exposed to abuse, domestic
violence and family strife in childhood are more likely than those
without such experience to have a teenage pregnancy, and the
risk increases with the number of adverse childhood experiences.
According to a 2004 study, one-third of teenage pregnancies
could be prevented by eliminating exposure to abuse, violence
and family strife. Studies have also found out that boys rose in
homes with a battered mother, or who experienced physical
violence directly, were more likely to impregnate a girl than boys
who had not (Wikipedia, the free encyclopedia, 5).
According to the article by YCC (1), pregnancy rate is high
because teenagers lack responsibility. The article stated that
teenagers lack responsibility because teens get pregnancy
because they usually don’t practice safe sex and definitely do not
practice abstinence. Teenagers also fell pregnant because they
lack respect for themselves, do not care about themselves, and
some are just lazy. In other words, it is hard for them to say no. Once
the teenager engages herself self in unprotected sex, it might
happen that she is lazy, she does not want to go to the family
planning where she will get contraceptives.
Poverty: Throughout the developed world, teenage pregnancy is
more common among young people who have been
disadvantaged in childhood and have low expectation of
education or the job market. The literature shows that youth living
in poverty have a teenage pregnancy rate which is five times the
average. Socio-economic circumstances seem to play a major
role in rates of teenage pregnancy. There may be a growing ‘lost
generation’ of young people who see no reason not to get
pregnant. For some disadvantage youth, particularly for girls
whose self esteem tends to drop as they mature, sexuality may be
all they have to value. Lack of opportunity and hope for future,
have been identified as a driving force behind high rates of
teenage pregnancy (Gender and poverty, 1)
Teenage girls who belong to the poor families are more likely to
become pregnant. Researchers have found that even in the
developed countries teenage pregnancy occurs most commonly
among the deprived sections.
Planned pregnancy: Some girls admit that getting pregnant is a
planned strategy which enables them to avoid sex. If sex is seen as
unpleasant but unavoidable activity, if their boyfriends treat them
as their sexual possession, free to use them sexually anytime it
pleases them, then being pregnant is a way of buying some status
as well as temporary freedom (Moore & Rosenthal, 200). There are
teenagers that have babies in order to show their maturity.
Sometimes they use motherhood to achieve both an identity and a
feeling of being loved and needed. Other teenagers may use
pregnancy to escape from unhappy home situation (Gouws, at al,
208)
For some girls, the decision to fall pregnant out of wedlock is based on
the desire to escape from a very poor home situation. Hancock
(130) mentions that the girl thinks that she may use the pregnancy
to trap the boy into marrying her so that she can escape the
incestuous demands, physical abuse or dangerous psychotic
parents she faces everyday. Often the girl fails to get the boy to
marry her and she is thus saddled with the additional problem of
looking after the child alone. Hancock (130) further points out that
there are those girls that fall pregnant out of wedlock because of
the desire to have someone to love who will love them back.
d. Family Structure: According to Panday, et al, (62) family structural
characteristics play a vital role in understanding and determining teenage
sexual behavior including pregnancy. Singh (17) stated that teenage
pregnancy has been linked to low parent education, and that girls that get
pregnant often have mothers who gave birth in their teens. Parents of
teenage mothers and teenage fathers are often considered by their
teenagers to have ‘permissive attitudes’ regarding premarital sex and
pregnancy. However, parents with permissive attitudes about sex or
premarital sex, or those that have negative attitudes about contraception
have teenagers who are more likely to have unsafe sex and become
pregnant (Dittus & Jaccard,26).
Singh (17), also states that teenagers who live in an incomplete families are
more likely to be sexual active than those who come from two parent
households. A incomplete family refers to the absence of the father or
mother (Bezuidenhout & Joubert,63). Parental divorce during the early
teenage years has also been associated with early onset and increased
frequency of sexuality in females. These effects are often due to less
monitoring and supervision that typically occurs in single parent
households. Teenagers who have older siblings (more especially sisters)
who is sexually active or who has had a baby are more likely to begin
having sex at a younger age (Singh, 17).
Family members serve as role models to their children. Adolescents are more
likely to initiate sex and experience pregnancy if their parents or other family
members have sex outside of marriage, are cohabitating with romantic or
sexual partners or have had a child outside of marriage (Panday, at al, 63)
When the communication between mother and daughter is poor or absent,
the girl is placed at a greater risk for premature sexual activity and potential
conception, in part because she looks to others, especially her male peers for
nurturing and intimacy. Families with poor interpersonal relationships may
inadvertently encourage teenagers to look elsewhere for nurturing
relationships. Teenagers turn to peers for relationships they cannot foster with
their families. Soon pressure from peer clusters can lead to risky behavior such
as promiscuity and neglect of contraception. The cluster of peers may 24
also become the primary source of sexual information. Unfortunately, the
teenagers who share information about sex may lack the knowledge about
their own bodies and about contraception (Singh 17).
a. Abstinence: is 100% effective in preventing pregnancy but 75%
of the respondents only agree to use this kind of family
planning. Although many birth control methods can have
high rates of success if used properly, they can fail
occasionally. Practicing abstinence ensures that a girl won't
become pregnant because there's no opportunity for sperm
to fertilize an egg.
b. Contraceptives: Some people believe that teaching about
contraception encourages sexual activity, concluding that if
contraception was not available sexual activity would be
prevented. However, research shows that the majority of
teenagers are already sexually active for between six months
and one year before attending a family planning
(Greathead, 223).
Negative perceptions about contraceptives play a significant role in whether
adolescents will use them. Such conceptions often arise from false belief about
contraception such as a condom could slip off during intercourse and be left
inside a women’s vagina, condoms reduce sexual enjoyment, condoms are of
a poor quality, and fear of the physical effects (weight gain or nausea) and
fertility-related side effects of contraceptive use (Panday ,at al, 57) Premarital
sex is on the increase and thousands of teenagers are giving birth out of
wedlock. Hence, there is a need for parents and educators to provide the
teenagers with information about contraceptives. Many adults hesitate to
provide information about contraceptives because they believe it may foster
promiscuity. The reality is that many teenagers are already sexually active and
without this vital information they may end up being pregnant. Many parents
hesitate to give their children contraceptives because they are afraid that their
children may believe that they are giving them the permission to engage in sex.
Recent research has confirmed that, generally, young men regard the acquisition
of contraceptive supplies and the use of contraceptive method to prevent
unplanned pregnancies as the responsibility of women (Naidoo, 28). There are
some teenagers that do not use contraceptives because they are afraid of
loosing their partners. They preferred to use injectable contraceptives as they
require no user involvement except attending for bi- or tri- monthly injections
and can be a secrete. Unfortunately they often cause amenorrhoea, which is a
particular problem in a cultural context where menstruation is perceived to be
essential for body cleanliness. As a result sexually active teenagers commonly
take ‘contraceptives breaks’ in order to see menstruation and may at this time
fall pregnant (Panday, at al, 56).
c. Communication: Some young mothers do not get support from
their families. They may be rejected by their families and
blamed for introducing a permanent crisis (Hudson & Ineichen,
91; Cervera, 99). In a situation where there was a pre-existing
interpersonal problem, there is a potential that tension might be
orchestrated (Dryfoos, 19). Therefore conflict may arise between
the pregnant daughter and other members of the family. Some
sources have reported positive results, indicating that sometimes
a family reorganises itself in order to adjust to the new member
of the family (Cervera, 94). The family may react with dismay or
anger when they discover about the pregnancy, but when the
baby is born the family may become the source of support for
the mother (ibid.). Positive family support has been associated
with emotional adjustment and mental stability for both mother
and child (Camerana, Minor, Melmer and Ferrie 98). According
to Kalil and Kunz (199) young mothers who lived with a
supportive family tended to cope better. Among the various
dimension of family social support, parent-adolescent
communication on issues of sexual behavior and childbearing is
very important (Panday, at al, 64).
The purpose of this study was to have awareness to the
causes of teenage pregnancy of the students of
Psychology in the Polytechnic University of the
Philippines.
Using the descriptive method, particularly the structured
survey questioner and a predetermined interview
questioner, the researchers gathered data from the
students of Psychology in the Polytechnic University of
the Philippines. The data were quantified using
percentage.
Based on the analysis and interpretation of data
gathered, the findings are:
Subproblem 1: What are the causes of teenage
pregnancy?
70% of the respondents believe that the Social Factors
of a teenager mostly cause the early pregnancy
while 65% of the respondents say that the
Psychological Abilities largely influence teenager that
causes teenage pregnancy. The other 65%% consider
Physiological Abilities is the great factor that
manipulates teenage pregnancy. And the remaining
35% think that Cognitive Abilities takes place when it
comes to teenage pregnancy.
Subproblem 2: What are the factors contribute to early
teenage pregnancy?
Here is a table that showed chronologically arranged
factors the cause of teenage pregnancy. (Based on the
data gathered)
The data has revealed a wide variety of possible
causes of teenage pregnancy, ranging from the
individually based factors such as risk-taking
behaviors to social based factors. Rape, ignorance,
not wanting to use contraceptives, proving
womanhood, desire to hold on to a boyfriend,
poverty- sex in exchange for security, money , roof
over ones head, transport to school are all factors
that contribute to the rise in the teenage
pregnancy. Through urbanization, some traditions
have been broken down. Most of the parents are
working and do not have time to talk about sex to
their teenager, and the teenagers ended up
getting incorrect information from their peers or
their boyfriends.
Subproblem 3: How teenage pregnancy be
stopped or minimized?
Contraceptives are one best solution to
minimized teenage pregnancy based on
the date gathered 80% respondents agree
to use contraceptive to prevent
pregnancy. While 75% have the same
opinion that the abstinence is still the best
way out of early pregnancy. 65% of the
respondents state that communication is
effective way to reduce teenage
pregnancy.
Based on the findings, the researcher arrived at these conclusions:
 It has been observed that the rate of teenage pregnancy is
increasing because of curiosity, peer pressure and lack of
guidance by their family.
 Teenagers are engaged in this activity due to lack of knowledge
about the consequence they are about to face.
Teenagers do not live in a vacuum. They live in a changing physical
world and carry on their lives as their personalities and internal
world change, all the time being influenced by many social
factors such as their peers, media, etc. (Fong,93). Teenage
pregnancy is a very big social problem that is growing each and
every day. Teachers, parents and the community cannot sit
down, relax and wait for the problem to solve itself. But they
have to find the solution to the problem
Teen pregnancy should be highly discouraged has it has effect on
the teenage mother and the baby born. The teen mother may
face complications such as premature labor, medical
complication during the pregnancy period, at child birth or after
child birth and are likely to drop out of school. Teen pregnancy is
highly influenced with; drug and alcohol usage among the
teens, lack of good education and parental guidance, sexual
abuse, dating violence, the environment the teen was brought
up in, lack of contraception, and traditions that result into early
marriages.
Firstly, lack of good education and parental guidance has also
contributed to increased teen pregnancy. Most parents and
people avoid talking to teens about sex and at times they give
false guidance regarding sex matters and they highly discourage
the teens of taking part in any discussions on sex. The lack of
information on sex and sexual activities exposes the teens to risks
when they get involved in the sex activities yet they do not have
clear understanding about sex. The result of lack of education is
early and unwanted teen pregnancy.
Secondly, drug and alcohol usage among the teens
which is mostly as a result of peer influence from
other teenagers or adults. Alcohol and drugs
influence teenagers to indulge in unplanned sexual
activities and other risky doings including
unprotected sex and this eventually results in
teenage pregnancies. Increased drug and alcohol
usage among the teens has resulted in significant
increase in the rate of teen pregnancy. The rate of
pregnancy among teens that use drugs and alcohol
is higher than among teens who do not use.
In conclusion, people must take a collective
responsibility of talking to the teens about pregnancy
and relationships so that they will be aware of
whatever that occur if they are in any relationship.
All teenagers need encouragement to postpone sexual
involvement and information on pregnancy prevention
before and when they become sexually active
(Christensen and Rosen,:5)
According to Seifert & Hoffnung (524) programs to prevent
teenage pregnancy must be responsive to adolescents’
developmental needs and life contexts. Teaching
abstinence appears to be most effective in dealing with
pre-teenage and young adolescents, while providing
information and access to contraceptives works well with
older adolescents. For teenagers who are at high risk
because of their life circumstances, programs that include
comprehensive, developmentally oriented services,
medical care and contraceptives services, social services,
family and educational support, and school-linked
parenting education appear to be most effective.
Greathead (226) go on saying that, no method is completely
effective, except the total abstinence. Therefore there is a risk
involved when using any method. Abstinence is an important
option for those adolescents who are not ready for the sexual
intercourse with its risks of pregnancy, STD or emotional hurt. Peer
groups can be established in schools where teen mothers may
talk to their peers in order to provide information as well as the
impact that teenage pregnancy has on their lives and the
responsibilities that parenthood brings.
The primary prevention method that should be utilized to prevent
teenage pregnancy is the use of condoms which can be
promoted through the use of sexual education. Studies have
found that sexual education is the most effective method to
reduce rates of teenage pregnancy, though these methods can
be controversial and many parents would rather opt for
abstinence only methods. Abstinence alone, however, has not
proven to be effective,
“Adolescents who received comprehensive sex education
were significantly less likely to report teen pregnancy than
those who received no formal sex education, whereas there
was no significant effect of abstinence-only education”.
(Kohler, 8)”. As it is ultimately a parent’s decision to teach
sexual education to their child, a nurse's role is to help a
parent make an educated decision for their teenagers
sexual health. If prevention methods are unsuccessful and a
teenager becomes pregnant, a nurse can be vital in
assisting the teenager throughout her pregnancy by
developing a nursing diagnosis and treatment plan to
ensure a healthy pregnancy.
Greathead, E. Devenish, C. and Funnel, G. (1998).
Responsible Teenage Sexuality. Academic Publishers.
USA.
Heaven, P C L. (2001). The social Psychology of
Adolescence. Palgrave New York.
Johnston, B. and Christensen, L. (2000). Educational
research. Boston: Allyn and Bacon.
Lee E, at al. (2002). Teenage sex: What should schools
teach children? Great Britain: Hodder and Stoughton.
Miller, K. (2006). Causes of teenage pregnancy. The top
ten most beautiful beaches. Retrieved on 18 June 2008,
from
http:/www.associatedcontent.com/article/100858/causes
of teenage pregnancy.html?cat=52
Moore S & Rosenthal D. (2006). Sexuality in Adolescence.
Routledge: London and New York.
Seifert KL & Hoffnung RJ (2000). Child and adolescents
development. Houghton Miffling Company: New York.
Singh, A.K. (1999) The Psychology of personality: 2 edition.
Motilal Banarsidass Inc. California.
http://zeusevsusls.weebly.com/uploads/6/7/6/0/6760335/p
roject_based_learning_part_ii.pdf
http://uir.unisa.ac.za/bitstream/handle/10500/6809/dissert
ation_nkwanyana_tr.pdf?sequence=1
http://wiredspace.wits.ac.za/bitstream/handle/10539/463
1/MasekoV_Table%20of%20Contents.pdf?sequence=3

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Causes of teenage pregnancy

  • 1.
  • 2.
  • 3. Here in the Philippines, we believe in the saying of our national hero Dr. Jose P. Rizal that “Youth is the hope of our Mother land”. In their hand lies the future generation to follow. But as we see from the situation nowadays, what were expecting from the youth is the contrary if the saying. Teenagers are prone to pregnancy. Almost every year there is a rapid increase on the number of pregnant youths. Young people are far more ‘sexual’ and sexually active than ever before, and a perception has been cultivated that if something isn’t done the age of young people having sex will continue to get lower (Lee, 38). Teenage pregnancy is seen as the result of early sexual activeness.
  • 4. Teenage pregnancy has become a very serious social problem in Philippines, and pregnancy under the age of seventeen has been viewed as a catastrophe for individuals, family and society (Greathead, 21). According to Heaven (176) teenage mothers are having more babies compared with a generation ago. Moreover, the younger adolescents are when having their first child, the more likely they are to have another child while still a teenager.
  • 5. Falling in love, developing crushes and forming romantic relationships are all parts of a sequence which may culminate in sexual intercourse (Moore & Rosenthal, 8). It is frightening that the youth of today do not seem to be afraid of falling pregnant or contracting the HIV Aids virus. It is disturbing to note that though adolescents are having sex earlier and more often, sometimes with multiple partners, they lack the basic knowledge about contraceptives. According to Lots of essays .com (1), as to be found on the internet, says that the number of teenage pregnancies has been alarming for many years, and it seems to be a particular problem in urban and poor areas, though it occurs across all social and demographic lines. According to Singh (14) teenage pregnancy is a universal problem that affects all the communities. It is not a new phenomenon, but it is strange that in the era of sexual literacy and contraception, teenage pregnancy is still a major problem throughout the world. So we often read in the media of the increasing number of teenage pregnancies.
  • 6. Teenage pregnancy is one of the major contributory factors to population growth. In relation to this problem, our government is now working on the Reproductive Health Bill (RH Bill) as one of the most effective solution not only to teenage pregnancy but also to the increasing population of our country. The purpose of the study was to gain insight from teens into pregnancy, and sexual health in order to implement successful intervention programs. This study aims the readers to be aware about teenage pregnancy and what is happening in our society today. This issue is being ignored a lot of times. This will guide the parents and friends on what to do if a teenager gets pregnant. For teen mothers, this will guide them on their options before and after pregnancy. This study is significance for the following reasons:
  • 7.  Finding out the cause behind the teenage pregnancy  Recommendations and guidelines that will help the teenagers.  Increase the awareness and knowledge on the increasing number of teenage pregnancy cases.  To be able for them to absorb and reflect the effects and problems attached in teenage pregnancy.  To help prevent from indulging from this early pregnancy Teenagers – they are the ones involved in this case. They could be helped through the informative content of this study. They could realize the negative effects of teenage pregnancy and how it could change their whole life. Society - it could lessen the percentage of single parenthood among the community. It could orient family members on how teenage pregnancy can affect the family most especially the teens. Sources of Contraceptive materials – they may expect an increase in demand due to the awareness of the teenagers on getting pregnant at an early age.
  • 8. Local Government – they could be able to implement and facilitate projects concerning the rate of teenage pregnancy issue. They could be able to understand the deeper cause of this inflating rate of early pregnancy. Community Members – they could build a strong alliance against teenage pregnancy and they could be a more productive part of the community in terms of cooperating in the alliance. Parents – they could expect a better future and a progressive and a more valuable and worthy support to their sons and daughters. Non-Government Organization – they could more stabilize their goals on this sector and comply an efficient purpose on execution of ideas from which this study focuses. They could be more sufficient in terms of project planning and data analysis of social factors of teenage pregnancy. Others – they would get a broader knowledge on how the teenage pregnancy works in the society. (http://zeusevsusls.weebly.com/)
  • 9. Teen pregnancy has been identified as a problem for teenagers, their families, and society. However, there is a lack of research into teenager’s attitudes toward pregnancy and sexual health. This study answers the following questions: 1. What are the causes for teenage pregnancies? 1.1 Physiologically Abilities 1.2 Psychologically Abilities 1.3 Social Abilities 1.4 Cognitive abilities. 2. What factors contribute to early teenage pregnancy? 2.1 Lack of education and information about reproductive sexual health including lack of access to tools that prevent pregnancies 2.2 Different factors towards teenage pregnancy 2.3 Abortion 3. How can teenage pregnancies be stopped or minimized? 3.1 Abstinence 3.2 Contraceptives 3.3 Communication
  • 10. Generalization of the study’s findings will be limited to 13-19 teens. The sample selection was limited to 13- 19 students of Psychology at the Polytechnic University of the Philippines and this will limit the generalization of the findings to teens from other universities/countries. The study was also limited to one group, Psychology Students.
  • 11. The following concepts need to be defined so as to prevent any ambiguity that may result from their misinterpretation. These terms, and the accompanying definitions follows.  Abstinence- is a self-enforced restraint from indulging in bodily activities that are widely experienced as giving pleasure. (Wikipedia)  Abortion- is the ending of pregnancy by the removal or forcing out from the womb of a fetus or embryo before it is able to survive on its own. (Wikipedia)  Cause-According to the Oxford dictionary cause is a thing that produces an effect.
  • 12.  Contraceptive- a device or drug serving to prevent pregnancy. (Wikipedia)  Pregnancy- Pregnancy can be referred to as a process whereby a female carries a live offspring from the time of conception to childbirth. (Wikipedia)  Teenage pregnancy– refers to any pregnancy on women that took place between the ages 13 – 19 years old. (Wikipedia)  Teen aged Students– refers to students that ages a number that end in “teen” as the last syllable such as 13, 14, 15, 16, 17, 18, and 19. (Wikipedia)
  • 13.  Psychological Abilities- the power to learn or retain knowledge; in law, the ability to understand the facts and significance of your behavior. (The Free Dictionary)  PhysiologicalAbilities- of or relating to normal healthful functioning; not pathologica l. (The Free Dictionary)  Social Abilities- the skills we use to communicate and interact with each other, both verbally and non-verbally, through gestures, body language and our personal appearance. Human beings are sociable creatures and we have developed many ways to communicate our messages, thoughts and feelings with others. (Wikipedia)  Cognitive Abilities- are brain-based skills we need to carry out any task from the simplest to the most complex. They have more to do with the mechanisms of how we learn, remember, problem-solve, and pay attention rather than with any actual knowledge. (Wikipedia)
  • 14. Research Design The study being conducted is a descriptive research. It includes the collection of data needed to answer the question concerning the current status of the study. Research Respondents The respondents of this research study are the selected teen age student of Polytechnic University of the Philippines- College of Social Science and Development. The target population consisted of 20 student of Psychology, age 13 – 19 who is capable and willing to answer the survey question. This target population was considered quite small; hence, the researchers opted to involve all 20 students of psychology in the research as respondents.
  • 15. Research Instruments This study used structured-questioner, wherein the researchers prepared a list of question in a predetermined order, was used. The interview questions are all about the teenage pregnancy. Data-Gathering Procedure The data were drawn from 20 students of the Department of Psychology of the Polytechnic University of the Philippines who were interviewed by the researcher. The researcher set separate appointments with the 20 students as to the date, time, and place of the interview. Their responses were recorded in individual checklist.
  • 16. Statistical Treatment Individual responses were tallied before they were put in tables ready for the statistical treatment. Percentage was utilized to quantify the data gathered for subproblems 1-3. The formula for percentage is: p = f/N x 100 Where: p = percentage f = frequency N = total number of respondents
  • 17.
  • 18. This chapter presents analysis, findings and interpretation of data. All findings and data gathered from the survey conducted are presented and analyzed based on the specific questions and previously stated. The presentation considers the variables included in the study namely:
  • 19. Moore and Rosenthal (258) stated that the causes of teenage pregnancy are divided into four major categories: Physiologically, Psychologically, social and cognitive abilities a. Physiological: During adolescence, youth are experiencing physical growth and hormone changes that prompt sexual feelings. The sex organs are maturing and by the end of puberty, both males and females have the ability to procreate. One way that adolescents try to negotiate the change from childhood to adulthood is through sexual activity. By the time the most teenagers graduate, half of them would begin having sex. Many teenagers see sexual activity as a way to develop their adult identity, to test their future roles.
  • 20. Singh (16) stated that many teenagers look to their friends, especial the opposite sex, for validation and approval of the changes that their bodies are undergoing. Singh (16) go on saying that many teenagers’ sexual behavior provides means of challenging parents who seem to stand in their way to independency. Sometimes while testing their adult roles an unwanted pregnancy may occur. This forces them to mature faster since they have to cope and handle responsibility they never experienced before. Moore and Rosenthal (258) suggest that it is possible for the young girls to fall pregnant because of the improvements in the general health. Improved nutrition and health care have contributed to an increase in the potential for the young girls to fall pregnant.
  • 21. b. Psychological: Moore and Rosenthal (258) stated that sometimes pregnancy is the result of a teenager’s conscious or unconscious desire to get pregnant. These researchers also found that the psychoanalytic model is pre-eminent in psychological explanations of adolescent pregnancy. Ego strength and family relationships are the most commonly cited reasons. Low ego strength or low sense of personal worth is said to lead to sexual acting out or use of sex as an escape. Highly dependent girls with a great need for affection and those experiencing social or psychological stress are more likely to become pregnant. Family situations or problems which have been linked to the incident of teenage pregnancy include the following: closeness to father, lack of closeness to mother, unstable family relationships, father absence accompanied by resentment of the mother, and feelings of rootlessness (Mckenry et al (19), as cited by Moore and Rosenthal (258). Macleod (6) stated that teenagers that have a poorly defined sense of identity and low self image and self-confidence, they (the pregnant teenagers) experience themselves as inadequate and inferior and are plagued by the feeling of insecurity. Therefore there is an association between poor self-esteem and teenage pregnancy.
  • 22. c. Social Factors: According to Mckenry et al (79), as cited by Moore and Rosenthal (258) poverty influences pregnancy rate. Insufficient economy and social resource may lead to pregnancy. Pressure from peers and the influence of the media are also social precursors to pregnancy during adolescence. d. Cognitive Abilities: Another major cause concerns young girls’ lack of the knowledge and maturity required to prevent unwanted conceptions. One must possess the cognitive ability to foresee the consequences of sexual activity. Moore and Rosenthal (259) indicate that some teenagers believe that they are too young to become pregnant or that their sexual encounters are too infrequent. There are some teenagers that do not believe that they can fall pregnant during a single act of intercourse. Others are unable to relate risks of pregnancy to their menstrual cycles or are too menstrual irregular to use such information properly. Cognitive model views adolescents’ pregnancy as resulting from some cognitive deficit, such as poor problem-solving skills, inability to plan for the future, or lack of knowledge about contraception. There is evidence that many teenage mothers have undetected learning problem that makes it difficult for them to succeed academically Jafte (380).
  • 23.
  • 24. a. Inadequate Knowledge about Safe Sex: The reality of bringing up a child alone and usually on a low income is not being brought home to teenagers. They do not know how easy it is to get pregnant, and how hard it is to be a parent (Social Exclusion Unit 7). Miller (58) stated that the lack of education on safe sex, either on the side of the parents or the educators, may lead to teenage pregnancy. Many teenagers are not taught about methods of birth control. The cost of living is too high these days, and parents are expected to work to boost the income. Therefore teenagers are left on their own for the whole day. In that case a lot might happen while parents are at work. According to Martin (102) girls are allowed to dress like common prostitutes and boys are trained to treat them as such. They are also free to stay out all hours of the night. This shows the high possibilities for the girls to fall pregnant They probably have no access to the traditional methods of preventing pregnancy. And the main reason behind is that they are either too embarrassed or fear to seek information about it.
  • 25. b. Alcohol and Drugs: Adolescents who participate in one or other form of risk behavior often partake in other risk behaviors (Essau, 2004, in Panday, at al,61). The high rate of drug and alcohol abuse contributes a lot to teenage pregnancy. When a teenager is being intoxicated with drugs and/or alcohol she may find herself doing unprotected sex which may result in pregnancy or HIV (Teenage pregnancy issue in Our World Today, 2). According to Morejele, Brook, and Kachieng’a (6) as cited by Panday et al, (61), the psychoactive effects of alcohol and drugs used are taught to increase sexual arousal and desire, decrease inhibition and tenseness, diminish decision-making capacity, judgment and sense of responsibility, and generally disempowered women to resist sex. The studies have reported on the increased risk of forced sex and the decreased likelihood of using condoms when under the influence of alcohol. These effects are facilitated in a context of high unemployment, and in an environment where peer norms promote heavy drinking, alcohol and drugs are easily assessable and casual sex readily available.
  • 26. c. Exposure to abuse: Women exposed to abuse, domestic violence and family strife in childhood are more likely than those without such experience to have a teenage pregnancy, and the risk increases with the number of adverse childhood experiences. According to a 2004 study, one-third of teenage pregnancies could be prevented by eliminating exposure to abuse, violence and family strife. Studies have also found out that boys rose in homes with a battered mother, or who experienced physical violence directly, were more likely to impregnate a girl than boys who had not (Wikipedia, the free encyclopedia, 5). According to the article by YCC (1), pregnancy rate is high because teenagers lack responsibility. The article stated that teenagers lack responsibility because teens get pregnancy because they usually don’t practice safe sex and definitely do not practice abstinence. Teenagers also fell pregnant because they lack respect for themselves, do not care about themselves, and some are just lazy. In other words, it is hard for them to say no. Once the teenager engages herself self in unprotected sex, it might happen that she is lazy, she does not want to go to the family planning where she will get contraceptives.
  • 27. Poverty: Throughout the developed world, teenage pregnancy is more common among young people who have been disadvantaged in childhood and have low expectation of education or the job market. The literature shows that youth living in poverty have a teenage pregnancy rate which is five times the average. Socio-economic circumstances seem to play a major role in rates of teenage pregnancy. There may be a growing ‘lost generation’ of young people who see no reason not to get pregnant. For some disadvantage youth, particularly for girls whose self esteem tends to drop as they mature, sexuality may be all they have to value. Lack of opportunity and hope for future, have been identified as a driving force behind high rates of teenage pregnancy (Gender and poverty, 1) Teenage girls who belong to the poor families are more likely to become pregnant. Researchers have found that even in the developed countries teenage pregnancy occurs most commonly among the deprived sections.
  • 28. Planned pregnancy: Some girls admit that getting pregnant is a planned strategy which enables them to avoid sex. If sex is seen as unpleasant but unavoidable activity, if their boyfriends treat them as their sexual possession, free to use them sexually anytime it pleases them, then being pregnant is a way of buying some status as well as temporary freedom (Moore & Rosenthal, 200). There are teenagers that have babies in order to show their maturity. Sometimes they use motherhood to achieve both an identity and a feeling of being loved and needed. Other teenagers may use pregnancy to escape from unhappy home situation (Gouws, at al, 208) For some girls, the decision to fall pregnant out of wedlock is based on the desire to escape from a very poor home situation. Hancock (130) mentions that the girl thinks that she may use the pregnancy to trap the boy into marrying her so that she can escape the incestuous demands, physical abuse or dangerous psychotic parents she faces everyday. Often the girl fails to get the boy to marry her and she is thus saddled with the additional problem of looking after the child alone. Hancock (130) further points out that there are those girls that fall pregnant out of wedlock because of the desire to have someone to love who will love them back.
  • 29. d. Family Structure: According to Panday, et al, (62) family structural characteristics play a vital role in understanding and determining teenage sexual behavior including pregnancy. Singh (17) stated that teenage pregnancy has been linked to low parent education, and that girls that get pregnant often have mothers who gave birth in their teens. Parents of teenage mothers and teenage fathers are often considered by their teenagers to have ‘permissive attitudes’ regarding premarital sex and pregnancy. However, parents with permissive attitudes about sex or premarital sex, or those that have negative attitudes about contraception have teenagers who are more likely to have unsafe sex and become pregnant (Dittus & Jaccard,26). Singh (17), also states that teenagers who live in an incomplete families are more likely to be sexual active than those who come from two parent households. A incomplete family refers to the absence of the father or mother (Bezuidenhout & Joubert,63). Parental divorce during the early teenage years has also been associated with early onset and increased frequency of sexuality in females. These effects are often due to less monitoring and supervision that typically occurs in single parent households. Teenagers who have older siblings (more especially sisters) who is sexually active or who has had a baby are more likely to begin having sex at a younger age (Singh, 17).
  • 30. Family members serve as role models to their children. Adolescents are more likely to initiate sex and experience pregnancy if their parents or other family members have sex outside of marriage, are cohabitating with romantic or sexual partners or have had a child outside of marriage (Panday, at al, 63) When the communication between mother and daughter is poor or absent, the girl is placed at a greater risk for premature sexual activity and potential conception, in part because she looks to others, especially her male peers for nurturing and intimacy. Families with poor interpersonal relationships may inadvertently encourage teenagers to look elsewhere for nurturing relationships. Teenagers turn to peers for relationships they cannot foster with their families. Soon pressure from peer clusters can lead to risky behavior such as promiscuity and neglect of contraception. The cluster of peers may 24 also become the primary source of sexual information. Unfortunately, the teenagers who share information about sex may lack the knowledge about their own bodies and about contraception (Singh 17).
  • 31.
  • 32. a. Abstinence: is 100% effective in preventing pregnancy but 75% of the respondents only agree to use this kind of family planning. Although many birth control methods can have high rates of success if used properly, they can fail occasionally. Practicing abstinence ensures that a girl won't become pregnant because there's no opportunity for sperm to fertilize an egg. b. Contraceptives: Some people believe that teaching about contraception encourages sexual activity, concluding that if contraception was not available sexual activity would be prevented. However, research shows that the majority of teenagers are already sexually active for between six months and one year before attending a family planning (Greathead, 223).
  • 33. Negative perceptions about contraceptives play a significant role in whether adolescents will use them. Such conceptions often arise from false belief about contraception such as a condom could slip off during intercourse and be left inside a women’s vagina, condoms reduce sexual enjoyment, condoms are of a poor quality, and fear of the physical effects (weight gain or nausea) and fertility-related side effects of contraceptive use (Panday ,at al, 57) Premarital sex is on the increase and thousands of teenagers are giving birth out of wedlock. Hence, there is a need for parents and educators to provide the teenagers with information about contraceptives. Many adults hesitate to provide information about contraceptives because they believe it may foster promiscuity. The reality is that many teenagers are already sexually active and without this vital information they may end up being pregnant. Many parents hesitate to give their children contraceptives because they are afraid that their children may believe that they are giving them the permission to engage in sex. Recent research has confirmed that, generally, young men regard the acquisition of contraceptive supplies and the use of contraceptive method to prevent unplanned pregnancies as the responsibility of women (Naidoo, 28). There are some teenagers that do not use contraceptives because they are afraid of loosing their partners. They preferred to use injectable contraceptives as they require no user involvement except attending for bi- or tri- monthly injections and can be a secrete. Unfortunately they often cause amenorrhoea, which is a particular problem in a cultural context where menstruation is perceived to be essential for body cleanliness. As a result sexually active teenagers commonly take ‘contraceptives breaks’ in order to see menstruation and may at this time fall pregnant (Panday, at al, 56).
  • 34. c. Communication: Some young mothers do not get support from their families. They may be rejected by their families and blamed for introducing a permanent crisis (Hudson & Ineichen, 91; Cervera, 99). In a situation where there was a pre-existing interpersonal problem, there is a potential that tension might be orchestrated (Dryfoos, 19). Therefore conflict may arise between the pregnant daughter and other members of the family. Some sources have reported positive results, indicating that sometimes a family reorganises itself in order to adjust to the new member of the family (Cervera, 94). The family may react with dismay or anger when they discover about the pregnancy, but when the baby is born the family may become the source of support for the mother (ibid.). Positive family support has been associated with emotional adjustment and mental stability for both mother and child (Camerana, Minor, Melmer and Ferrie 98). According to Kalil and Kunz (199) young mothers who lived with a supportive family tended to cope better. Among the various dimension of family social support, parent-adolescent communication on issues of sexual behavior and childbearing is very important (Panday, at al, 64).
  • 35.
  • 36.
  • 37. The purpose of this study was to have awareness to the causes of teenage pregnancy of the students of Psychology in the Polytechnic University of the Philippines. Using the descriptive method, particularly the structured survey questioner and a predetermined interview questioner, the researchers gathered data from the students of Psychology in the Polytechnic University of the Philippines. The data were quantified using percentage.
  • 38. Based on the analysis and interpretation of data gathered, the findings are: Subproblem 1: What are the causes of teenage pregnancy? 70% of the respondents believe that the Social Factors of a teenager mostly cause the early pregnancy while 65% of the respondents say that the Psychological Abilities largely influence teenager that causes teenage pregnancy. The other 65%% consider Physiological Abilities is the great factor that manipulates teenage pregnancy. And the remaining 35% think that Cognitive Abilities takes place when it comes to teenage pregnancy.
  • 39. Subproblem 2: What are the factors contribute to early teenage pregnancy? Here is a table that showed chronologically arranged factors the cause of teenage pregnancy. (Based on the data gathered)
  • 40. The data has revealed a wide variety of possible causes of teenage pregnancy, ranging from the individually based factors such as risk-taking behaviors to social based factors. Rape, ignorance, not wanting to use contraceptives, proving womanhood, desire to hold on to a boyfriend, poverty- sex in exchange for security, money , roof over ones head, transport to school are all factors that contribute to the rise in the teenage pregnancy. Through urbanization, some traditions have been broken down. Most of the parents are working and do not have time to talk about sex to their teenager, and the teenagers ended up getting incorrect information from their peers or their boyfriends.
  • 41. Subproblem 3: How teenage pregnancy be stopped or minimized? Contraceptives are one best solution to minimized teenage pregnancy based on the date gathered 80% respondents agree to use contraceptive to prevent pregnancy. While 75% have the same opinion that the abstinence is still the best way out of early pregnancy. 65% of the respondents state that communication is effective way to reduce teenage pregnancy.
  • 42. Based on the findings, the researcher arrived at these conclusions:  It has been observed that the rate of teenage pregnancy is increasing because of curiosity, peer pressure and lack of guidance by their family.  Teenagers are engaged in this activity due to lack of knowledge about the consequence they are about to face. Teenagers do not live in a vacuum. They live in a changing physical world and carry on their lives as their personalities and internal world change, all the time being influenced by many social factors such as their peers, media, etc. (Fong,93). Teenage pregnancy is a very big social problem that is growing each and every day. Teachers, parents and the community cannot sit down, relax and wait for the problem to solve itself. But they have to find the solution to the problem
  • 43. Teen pregnancy should be highly discouraged has it has effect on the teenage mother and the baby born. The teen mother may face complications such as premature labor, medical complication during the pregnancy period, at child birth or after child birth and are likely to drop out of school. Teen pregnancy is highly influenced with; drug and alcohol usage among the teens, lack of good education and parental guidance, sexual abuse, dating violence, the environment the teen was brought up in, lack of contraception, and traditions that result into early marriages. Firstly, lack of good education and parental guidance has also contributed to increased teen pregnancy. Most parents and people avoid talking to teens about sex and at times they give false guidance regarding sex matters and they highly discourage the teens of taking part in any discussions on sex. The lack of information on sex and sexual activities exposes the teens to risks when they get involved in the sex activities yet they do not have clear understanding about sex. The result of lack of education is early and unwanted teen pregnancy.
  • 44. Secondly, drug and alcohol usage among the teens which is mostly as a result of peer influence from other teenagers or adults. Alcohol and drugs influence teenagers to indulge in unplanned sexual activities and other risky doings including unprotected sex and this eventually results in teenage pregnancies. Increased drug and alcohol usage among the teens has resulted in significant increase in the rate of teen pregnancy. The rate of pregnancy among teens that use drugs and alcohol is higher than among teens who do not use. In conclusion, people must take a collective responsibility of talking to the teens about pregnancy and relationships so that they will be aware of whatever that occur if they are in any relationship.
  • 45. All teenagers need encouragement to postpone sexual involvement and information on pregnancy prevention before and when they become sexually active (Christensen and Rosen,:5) According to Seifert & Hoffnung (524) programs to prevent teenage pregnancy must be responsive to adolescents’ developmental needs and life contexts. Teaching abstinence appears to be most effective in dealing with pre-teenage and young adolescents, while providing information and access to contraceptives works well with older adolescents. For teenagers who are at high risk because of their life circumstances, programs that include comprehensive, developmentally oriented services, medical care and contraceptives services, social services, family and educational support, and school-linked parenting education appear to be most effective.
  • 46. Greathead (226) go on saying that, no method is completely effective, except the total abstinence. Therefore there is a risk involved when using any method. Abstinence is an important option for those adolescents who are not ready for the sexual intercourse with its risks of pregnancy, STD or emotional hurt. Peer groups can be established in schools where teen mothers may talk to their peers in order to provide information as well as the impact that teenage pregnancy has on their lives and the responsibilities that parenthood brings. The primary prevention method that should be utilized to prevent teenage pregnancy is the use of condoms which can be promoted through the use of sexual education. Studies have found that sexual education is the most effective method to reduce rates of teenage pregnancy, though these methods can be controversial and many parents would rather opt for abstinence only methods. Abstinence alone, however, has not proven to be effective,
  • 47. “Adolescents who received comprehensive sex education were significantly less likely to report teen pregnancy than those who received no formal sex education, whereas there was no significant effect of abstinence-only education”. (Kohler, 8)”. As it is ultimately a parent’s decision to teach sexual education to their child, a nurse's role is to help a parent make an educated decision for their teenagers sexual health. If prevention methods are unsuccessful and a teenager becomes pregnant, a nurse can be vital in assisting the teenager throughout her pregnancy by developing a nursing diagnosis and treatment plan to ensure a healthy pregnancy.
  • 48. Greathead, E. Devenish, C. and Funnel, G. (1998). Responsible Teenage Sexuality. Academic Publishers. USA. Heaven, P C L. (2001). The social Psychology of Adolescence. Palgrave New York. Johnston, B. and Christensen, L. (2000). Educational research. Boston: Allyn and Bacon. Lee E, at al. (2002). Teenage sex: What should schools teach children? Great Britain: Hodder and Stoughton.
  • 49. Miller, K. (2006). Causes of teenage pregnancy. The top ten most beautiful beaches. Retrieved on 18 June 2008, from http:/www.associatedcontent.com/article/100858/causes of teenage pregnancy.html?cat=52 Moore S & Rosenthal D. (2006). Sexuality in Adolescence. Routledge: London and New York. Seifert KL & Hoffnung RJ (2000). Child and adolescents development. Houghton Miffling Company: New York. Singh, A.K. (1999) The Psychology of personality: 2 edition. Motilal Banarsidass Inc. California.