Introduction: Malaysia is a multiethnic country that allows freedom of religion with Islam being the most professed religion. Under the Islamic teachings, premarital sex is forbidden. Nonetheless, at present, there is an increasing number of teenage pregnancies among the Malay Muslims as a consequence of premarital sex. The objective was to obtain a detailed understanding of how pregnant teenagers make sense of their experience with unwanted pregnancy from a psycho-emotional perspective. Methods: Purposive sampling through the application of Interpretative Phenomenological Analysis (IPA) was employed. Face to face interviews were conducted with 10 participants that were 17 years old. Results: Three themes emerged from the present research (a) transformation of self, (b) transition to motherhood and; (c) spiritual strengthening. Conclusion: All participants experienced turning points in their lives in which they made sense of their experience resulting in positive changes.
Psycho-emotional ; Teenagers

OBJECTIVE: Vaccine hesitancy has been a public health issue for some time now, but gained more attention during COVID-19 pandemic. This systematic review aimed to estimate the prevalence of COVID-19 vaccination hesitancy and identify factors affecting it among adolescents. MATERIALS AND METHODS: The preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P 2020) was used. A search was performed in PubMed/ MEDLINE, EMBASE, Google Scholar, Herdin, and Cochrane databases on September 2023 using the key words: (COVID-19 OR SARS-COV OR corona virus) AND (Vaccination OR immunization) AND (adolescence OR teenagers OR youth) AND (hesitancy OR acceptance). Observational studies which determined the prevalence or risk factors for COVID-19 vaccine hesitancy among adolescents aged 10-19 years old were included. RESULTS: There were 5 good quality cross-sectional studies included. The prevalence of adolescents who did not want to be vaccinated ranged between 8.4% and 61.0%; while the prevalence of being unsure if they want to be vaccinated was between 31.6% and 88.0%. Factors associated with vaccine hesitancy included being economically disadvantaged, not having influenza vaccination, worrying about its effectiveness and safety, and low perceived necessity. CONCLUSION There is good quality evidence that COVID-19 vaccine hesitancy exists among adolescents. It is recommended that health workers should conduct information and education campaigns to iterate the effectiveness, safety, and misconceptions about of COVID-19 vaccination. Vaccination programs should also reach out to economically disadvantaged adolescents, and tapping parents and social media may be an effective strategy to improve vaccination acceptance among adolescents.
COVID-19 ; SARS-COV ; Severe acute respiratory syndrome-related coronavirus ; Vaccination ; Immunization ; Adolescent ; Adolescence ; Teenagers ; Youth