BACKGROUND Pregnancy in adolescence is higher among internally displaced women in Colombia than non-displaced women. It is defined as a problem with significant negative outcomes by both biomedical and epidemiological approaches. However, little is known about pregnancy during adolescence from the perspective of women who experienced this in the specific context of armed conflict and displacement. AIM This article focuses on how internally displaced women understand their experiences of pregnancy in adolescence in the context of armed conflict through an ethnographic approach in a receptor community of internally displaced women in Bogotá, Colombia. METHODS Based on 10 years of experience in the community, we conducted 1 year of fieldwork, using an ethnographic approach. We collected life stories of 20 internally displaced women through in-depth interviews and ran 8 workshops with them and other women from the community. We used thematic analysis to analyse the responses of internally-displaced women and understand how they made meaning around their experiences of adolescent pregnancy in the context of displacement. RESULTS The main themes that emerged from participants' experiences include rural violence, early family life (characterized by violence and mistreatment at home), meanings of pregnancy at an early age (including being challenged and feelings of love), and reactions to their pregnancies during adolescence (such as stigmatization) from their families and partners. CONCLUSION Our analysis of the in-depth interviews and the workshops suggests that adolescent pregnancy among women who are internally displaced has complex dynamics, characterized by the violent context of the rural areas, but primarily by the violence experienced during their childhood. The experience of pregnancy during adolescence brings feelings of ownership and also challenges, together with the forced displacement. This understanding will provide insights for policy makers and healthcare providers on how to work with this specific population who have experienced pregnancy in adolescence.

中文翻译：

---

波哥大境内流离失所妇女青春期的怀孕经历：人种学方法。

背景技术哥伦比亚境内流离失所妇女的青春期怀孕率高于非流离失所妇女。生物医学和流行病学方法均将其定义为具有重大负面后果的问题。但是，从在武装冲突和流离失所的特定情况下经历过这种情况的妇女的角度，对青春期怀孕的了解很少。目的本文关注的是国内流离失所妇女如何通过民族志方法在哥伦比亚波哥大境内流离失所妇女的接受者群体中了解武装冲突背景下青春期的怀孕经历。方法基于社区的10年经验，我们使用人种志方法进行了1年的田野调查。我们通过深入访谈收集了20名国内流离失所妇女的生活故事，并与她们和社区中的其他妇女一起举办了8次讲习班。我们使用主题分析来分析内部流离失所妇女的反应，并了解她们在流离失所情况下如何根据自己的青春期怀孕经历产生意义。结果参与者经历的主要主题包括农村暴力，家庭早期生活（以暴力和在家中的虐待为特征），早年的怀孕含义（包括受到挑战和爱的感觉）以及在怀孕期间对其怀孕的反应家人和伴侣的青春期（例如污名化）。结论我们对深入访谈和讲习班的分析表明，国内流离失所妇女的青春期妊娠具有复杂的动力，其特征是农村地区的暴力环境，但主要表现在其童年时期经历的暴力。青春期的怀孕经历带来了主人翁感和挑战，以及被迫流离失所。这种理解将为决策者和医疗保健提供者提供有关如何与在青春期经历过怀孕的特定人群一起工作的见识。连同被迫流离失所。这种理解将为决策者和医疗保健提供者提供有关如何与在青春期经历过怀孕的特定人群一起工作的见识。连同被迫流离失所。这种理解将为决策者和医疗保健提供者提供有关如何与在青春期经历过怀孕的特定人群一起工作的见识。