By Judith Senderowitz
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Extra info for Adolescent health: reassessing the passage of adulthood, Parts 63-272
Adolescents face other consequences from earlier sexual activity. There is increased incidence among adolescents of sexually transmitted diseases, including human immunodeficiency Page 2 virus (HIV). In many areas HIV infection is increasing faster among young women than among young men. The nutritional status of female adolescents involves special concerns, relating in part to their reproductive role. Because the onset of adolescence triggers a growth rate greater than that in any other stage except the first year of life, adolescents have higher nutritional needs.
These ages, which range from 12 for females and 14 for males in some Latin American countries to 20 and 22 in China, are most commonly 16 for women and 18 for men (UN 1989; Paxman and Zuckerman 1987). In the past 20 years 54 countries have altered their legal age of marriagegenerally by raising it and usually after the actual age at marriage had already risen (Paxman and Zuckerman 1987). While the effect of laws governing the marriage age is debatable, tradition usually takes precedence over new laws.
According to Senanayake (1990), the two main risks to the mother are pre-eclamptic toxemia and cephalopelvic disproportion. In a Nigerian study pre-eclamptic toxemia developed among 17 percent of 14-year-olds giving birth but coy 7 percent of 16-year-olds and 3 percent of 20- to 34-year-olds (WHO 1989h). Young mothers are at increased risk of cephalopelvic disproportion because the birth canal does not complete its bone growth until two to three years after growth in height has stopped (Harrison and others 1985).
Adolescent health: reassessing the passage of adulthood, Parts 63-272 by Judith Senderowitz