{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T06:06:13Z","timestamp":1783404373197,"version":"3.54.6"},"reference-count":8,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2015,9,3]]},"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Teenage pregnancy continues to be a serious maternal health issue globally. Problems faced by teenage mothers are biological, social, and psychological, and may include sexual coercion and violence. This study sought to explore formally the knowledge, attitudes and practices of pregnant teenagers in Georgetown, Guyana, which has one of the highest rates of teenage pregnancy in Latin America and the Caribbean.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This was a cross-sectional, prospective study. After ethical approval had been granted, 50 pregnant girls attending Georgetown Public Hospital Corporation (GPHC) were interviewed during a 6-week period. Using a convenience sample approach, the principal investigator used a questionnaire to collect data. This was then analysed using Stata\/SE V.9.2 and Microsoft Excel programs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Findings<\/jats:title>\n                  <jats:p>As well as overall poor sexual and reproductive health knowledge and high-risk sexual health practices, our study revealed a high rate of rape and sexual coercion among the 50 girls interviewed. Almost a quarter (22%) admitted to having been raped in the past, and 80% stated a lack of power in their sexual relationships.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>There is a need for more targeted sexual and reproductive health services for teenagers attending GPHC, and for more research into sexual violence among this group of women. The establishment of a screening and referral system for those at risk should begin to address specific issues and optimise health outcomes for the women and their babies.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jfprhc-2014-100994","type":"journal-article","created":{"date-parts":[[2015,9,24]],"date-time":"2015-09-24T23:25:01Z","timestamp":1443137101000},"page":"116-118","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Reproductive health knowledge, attitudes and practices of adolescents attending an obstetric unit in Georgetown, Guyana"],"prefix":"10.1136","volume":"42","author":[{"given":"Elizabeth M","family":"Rose","sequence":"first","affiliation":[{"name":"FY2, Chalmers Sexual Health Centre, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daghni","family":"Rajasingam","sequence":"additional","affiliation":[{"name":"Consultant Obstetrician, Department of Obstetrics and Gynaecology, KHP Women's Health Academic Centre, St Thomas\u2019 Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth C","family":"Derkenne","sequence":"additional","affiliation":[{"name":"Consultant Obstetrician, Obstetrics\/Gynaecology Residency Program, Georgetown Public Hospital Corporation, Georgetown, Guyana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivienne","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Consultant Anaesthetist, Department of Anaesthetics, Georgetown Public Hospital Corporation, Georgetown, Guyana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita A","family":"Ramlall","sequence":"additional","affiliation":[{"name":"Senior resident, Obstetrics and Gynaecology, Obstetrics\/Gynaecology Residency Program, Georgetown Public Hospital Corporation, Georgetown, Guyana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,9,24]]},"reference":[{"key":"2025090511030536000_42.2.116.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60367-5"},{"key":"2025090511030536000_42.2.116.2","unstructured":"World Health Organization. Adolescent Friendly Health Services: An Agenda for Change. Geneva: WHO, 2002."},{"key":"2025090511030536000_42.2.116.3","unstructured":"United Nations FPA. State of the World Population 2013: Motherhood in Childhood\u2014Facing the Challenge of Adolescent Pregnancy. UNFPA, 2013."},{"key":"2025090511030536000_42.2.116.4","unstructured":"Laws of Guyana. Chapter 45:01. Marriage Act. 1998. http:\/\/jafbase.fr\/DocAmeriques\/Guyana\/LoiMariage.pdf [last accessed 30 July 2010]."},{"key":"2025090511030536000_42.2.116.5","unstructured":"Guyana Sexual Offenses Act No. 7. 2010. http:\/\/scm.oas.org\/pdfs\/2010\/CIM02920T-2.pdf [last accessed 30 July 2015]."},{"key":"2025090511030536000_42.2.116.6","unstructured":"Guyana Ministry of Labour, Human Services and Social Security. http:\/\/www.mlhsss.gov.gy [last accessed 30 July 2015]."},{"key":"2025090511030536000_42.2.116.7","unstructured":"Cleland J . Illustrative questionnaire for interview-surveys with young people. In: Cleland J , Ingham R , Stone N , eds. Asking Young People About Sexual and Reproductive Behaviors. Illustrative Core Instruments. Geneva: WHO, 2001."},{"key":"2025090511030536000_42.2.116.8","unstructured":"World Health Organization. Early Marriages, Adolescent and Young Pregnancies. Report by the Secretariat. Geneva: WHO, 2012."}],"container-title":["Journal of Family Planning and Reproductive Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jfprhc-2014-100994","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T18:28:26Z","timestamp":1757096906000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1136\/jfprhc-2014-100994"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9,24]]},"references-count":8,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2016,4,11]]},"published-print":{"date-parts":[[2016,4]]}},"alternative-id":["10.1136\/jfprhc-2014-100994"],"URL":"https:\/\/doi.org\/10.1136\/jfprhc-2014-100994","relation":{},"ISSN":["1471-1893","2045-2098"],"issn-type":[{"value":"1471-1893","type":"print"},{"value":"2045-2098","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9,24]]}}}