{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T12:31:07Z","timestamp":1785760267076,"version":"3.56.0"},"reference-count":28,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T00:00:00Z","timestamp":1718582400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Adolescence"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Pregnant adolescents face multiple adverse experiences that vary by context due to pregnancy\u2010related stigma. We explored experiences of pregnancy\u2010related stigma and psychosocial issues among adolescents living in rural eastern Uganda.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted in\u2010depth semi\u2010structured interviews with 15 adolescents (15\u201319 years old) who were pregnant (&gt;3 months) or had recently given birth (&lt;3 months) at Tororo District Hospital in Uganda. All interviews were translated from Dhopadhola to English. Thematic analysis was conducted to identify major themes, which were interpreted using the Health Stigma and Discrimination Framework.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Six key themes were identified and were organized under the Health Stigma and Discrimination Framework. Social and gender norms for adolescent women and their lack of autonomy were identified as drivers and facilitators of pregnancy\u2010related stigma. Results show how stigma is experienced by adolescents through the lack of social support, multiple forms of abuse, and negative judgement. Such manifested stigma negatively impacted their psychosocial wellbeing and resulted in limited access to socioeconomic resources and educational opportunities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study acknowledges the multilevel nature of pregnancy\u2010related stigma among adolescents in the context of existing policy and programming. Recognizing the impact of pregnancy\u2010related stigma on the health and wellbeing of adolescent girls necessitates prioritizing comprehensive stigma reduction interventions that address main drivers and facilitators, and that are rooted in the communities to harness support.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jad.12364","type":"journal-article","created":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T03:09:28Z","timestamp":1718680168000},"page":"1581-1589","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Exploring pregnancy\u2010related stigma experiences among adolescents in rural Uganda"],"prefix":"10.1002","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7864-4517","authenticated-orcid":false,"given":"Koichi","family":"Sakakibara","sequence":"first","affiliation":[{"name":"Department of Health, Behavior, and Society Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah McIvor","family":"Murray","sequence":"additional","affiliation":[{"name":"Department of Mental Health Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ethan Godwills","family":"Arima","sequence":"additional","affiliation":[{"name":"Makerere University\u2010Johns Hopkins University Research Collaboration Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caesar","family":"Ojuka","sequence":"additional","affiliation":[{"name":"Global Health Uganda Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Itziar","family":"Familiar\u2010Lopez","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Michigan State University East Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,17]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2015-206665"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2018-001109"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.12992"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2012.06.013"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/15546128.2022.2093808"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-020-01267-4"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/jad.12008"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2008.10.012"},{"issue":"4","key":"e_1_2_9_10_1","first-page":"304","article-title":"Experiences of pregnant adolescents\u2014Voices from Wakiso district, Uganda","volume":"5","author":"Atuyambe L.","year":"2005","journal-title":"African Health Sciences"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.12968\/ajmw.2020.0011"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-05022-1"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/13548500600595327"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12365"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-04812-x"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/2333393617720555"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2019.03.001"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0001102"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69744-4"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2019.02.011"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-019-1271-3"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.7448\/IAS.16.3.18734"},{"key":"e_1_2_9_23_1","first-page":"2016","volume-title":"Uganda Demographic and Health Survey","author":"Uganda Bureau of Statistics, & ICF","year":"2018"},{"key":"e_1_2_9_24_1","doi-asserted-by":"crossref","unstructured":"Undie C.\u2010C. Birungi H. Odwe G. &Obare F.(2015).Expanding access to secondary school education for teenage mothers in Kenya: A baseline study report. Population Council.https:\/\/doi.org\/10.31899\/rh4.1041","DOI":"10.31899\/rh4.1041"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2013-305514"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-019-2204-z"},{"key":"e_1_2_9_27_1","volume-title":"Adolescent pregnancy","author":"World Health Organization","year":"2024"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-018-0460-4"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijedudev.2018.11.001"}],"container-title":["Journal of Adolescence"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jad.12364","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,5]],"date-time":"2024-10-05T12:56:52Z","timestamp":1728133012000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jad.12364"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,17]]},"references-count":28,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1002\/jad.12364"],"URL":"https:\/\/doi.org\/10.1002\/jad.12364","archive":["Portico"],"relation":{},"ISSN":["0140-1971","1095-9254"],"issn-type":[{"value":"0140-1971","type":"print"},{"value":"1095-9254","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,17]]},"assertion":[{"value":"2023-11-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}