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• W1979461245 abstract "Experiences and Perceptions of Pregnant Unmarried Adolescent Girls in Nigeria by Priscilla N. Asonye MSN, Temple University, 2000 BSN, Temple University, 1991 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Public Health Walden University October 2014 Abstract Sexual activity among unmarried adolescents is a major public health problem in Nigeria, because unmarried pregnant girls are more likely to have multiple sex partners and are less likely to use contraceptives, putting them at greater risk for sexually transmitted diseases (STD), unplanned pregnancy, abortion, social isolation, and poverty. Teen pregnancy and STD rates are on the rise in Nigeria, yet few data exist on the experienceSexual activity among unmarried adolescents is a major public health problem in Nigeria, because unmarried pregnant girls are more likely to have multiple sex partners and are less likely to use contraceptives, putting them at greater risk for sexually transmitted diseases (STD), unplanned pregnancy, abortion, social isolation, and poverty. Teen pregnancy and STD rates are on the rise in Nigeria, yet few data exist on the experience of the adolescents themselves. This phenomenological study was designed to explore the in-depth experiences of 10 pregnant, unmarried adolescent girls aged 16–19, including the factors contributing to their sexual activity. An ecological model served as the conceptual framework to permit individual experiences to be understood in their social and ecological context. Semistructured interviews and Hycner’s method of analysis were used to collect and analyze the data. Results showed that the decision to initiate sexual activity among these girls was influenced by many factors, including: the need for financial support and a socially condoned system of “sugar daddies” who support girls in return for sex; peer pressure to have a sex partner; a romantic knowledge of sexual behavior based primarily on the mass media; and inadequate sex education. As a result of their pregnancy, the girls experienced negative reactions from their families and community, and serious psychological and financial concerns about their prospects for future marriage and their child’s identity. A comprehensive community-based reproductive health program is called for, with reliable sex education, cooperation from the mass media, and support from family and community members. The social change implication of this study is to potentially lead to a decrease in unplanned pregnancy, STDs, social isolation, and poverty among adolescent girls in Nigeria. Experiences and Perceptions of Pregnant Unmarried Adolescent Girls in Nigeria by Priscilla N. Asonye MSN, Temple University, 2000 BSN, Temple University, 1991 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Public Health Walden University October 2014 All rights reserved INFORMATION TO ALL USERS The quality of this reproduction is dependent upon the quality of the copy submitted. In the unlikely event that the author did not send a complete manuscript and there are missing pages, these will be noted. Also, if material had to be removed, a note will indicate the deletion. Microform Edition © ProQuest LLC. All rights reserved. This work is protected against unauthorized copying under Title 17, United States Code ProQuest LLC. 789 East Eisenhower Parkway P.O. Box 1346 Ann Arbor, MI 48106 1346 UMI 3667804 Published by ProQuest LLC (2014). Copyright in the Dissertation held by the Author. UMI Number: 3667804 Dedication First of all, this dissertation is dedicated to my Lord God for his unfailing love, guidance, protection, strength, and courage throughout this long journey. Second, to my brother-in-law, Chief Eric Aluka (Ome mgbe Ogbaraike 1) and his wife Lady Bridget Aluka, who took me in during my earlier years in life and not only showered me with love, but taught me values, gave me confidence, and allowed me to dream and become whatever my heart desired. My thanks are beyond measure. Daddy, the seed you sowed and watered not only survived, but it is blossoming. Third, to my parents, Mr. George Nnajiofor (Nwokezuike) and Mrs. Susana Nnajiofor, who are no longer with us in this world, I thank you for loving me so much and having such a confidence in me that you made that early decision to instill the love of God in me, then allowing me a better life. Papa and Mama, there is no doubt that, as a result of your insightful decision early in my life, the rejected stone has become the corner of the house. I am sure you are proud of the outcome of your decision. Acknowledgments My greatest thanks go to my God who has remained faithful to his words in spite of the ups and downs in my life during this whole process. To my dissertation chairperson and my committee members, Dr. Schwab, Dr. Refaat, and Dr. Ferraro, I cannot thank you enough for your tireless efforts in directing, guiding, encouraging, and supporting, and your patience and understanding in times of frustration. Dr. Schwab, I thank you so much for your soft, kind, and encouraging words and persistence in directing me. It would have been impossible to achieve this greatest academic goal of my life without you. I remain grateful for the prayers and support of my sisters, Mrs. Bridget Aluka, Mrs. Grace Anyoha, Mrs. Victoria Okpara, and my sisters-in-law, Mrs. Martina Obiesie and Mrs. Jacinta Ekwem; my nieces, Dr. Mrs. G. Duru, Mrs. U. Onyegesi, Ms. Ogochukwu Okpara, Ms. Chinonso Okpara, Ms. Obianuju Aluka, and my nephews, Mr. Emeka Aluka (nwokediegwu) and Ikenna Aluka. My sincere thanks go to my fellow classmates for their support and encouragement during this challenging time: Dr. V. Okparaeke, Dr. Raymond Chimezie, and Mrs. Carmen Bartley. My special thanks to Mr. Anaten Bassey for all his effort and support. My special thanks go to Mrs. Susan Blatnik, who served as the editor for the study. I am grateful to and appreciate the Orlu health department and all the participants for the opportunity and experiences for this research study. My greatest gratitude in this life long journey goes to my family, especially my husband, Dr. Eugene Asonye, who not only inspired me but encouraged me to start the doctoral program and continued to support me throughout the journey. To our children, Chi-Chi, Chimdindu, and Chiebuka, I thank you so much for your understanding, for all the family activities we missed due to my unavailability, for all your encouragement and all your help. Chi-Chi, thanks so much for all your technical help. To all of our family members, I thank you for every support and understanding in this long journey." @default.
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• W1979461245 title "Experiences and Perceptions of Pregnant Unmarried Adolescent Girls in Nigeria" @default.
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