Keywords
leadership, university teacher, pregnancy prevention, public health
leadership, university teacher, pregnancy prevention, public health
In low- and middle-income countries, there are about 16 million young women, aged 15–19, and approximately 1 million girls less than 15 years old, who give birth over one year. Problems that occur during pregnancy and childbirth are the second leading cause of death of these women, worldwide. Also, every year about 3 million girls aged 15–19 undergo unsafe abortions (UNICEF, 2014). For this reason, pregnancy of adolescents and young women is a significant public health issue in South America, as it reduces the chances of educational development of pregnant woman and by this, it amplifies the risk of their poverty. To address these issues, there is an increasing number of studies that examine the role of teachers and lecturers in sexual education and prevention in the Latin American region (Anzoategui, 2015; Arroyave et al., 2015; Newman et al., 2008; Rosario, 2012). According to Arroyave & co-workers (2015), students are aware of the demanding responsibility of motherhood and fatherhood, nevertheless, they do not practice safe sex. Ramírez & Contreras (2013) emphasized that unfortunately, high school and university professors do not have sufficient knowledge related to this topic, for example, the ways in which HIV is transmitted. Therefore, they are not prepared to provide efficient sexual education. Reátegui & Carranza (2016) concluded that teaching style was likely the most important contributor to preventing adolescent pregnancy. Here, we present a correlation analysis between teaching leadership styles (transformational, transactional, and laissez faire) and the prevention of adolescence pregnancy among university students at Universidad César Vallejo, in Peru.
We performed a non-experimental, quantitative, cross-sectional study, with a correlational descriptive design.
The study was conducted from June 8, 2018 to July 20, 2018. Questionnaires were handed to students every Friday. Survey questions were administered in the classrooms, on the Universidad César Vallejo campus, a subsidiary on the Tarapoto campus. Average time of 25 min was allowed for completing the questionnaires.
To strive for completeness and diversity, we invited all students in person during classes enrolled in the starting two semesters at Universidad César Vallejo, Peru. Students were only included if they (1) agreed to participate in the study voluntarily; and (2) had physical and mental capacity to answer the questionnaires.
Our sample population consisted of 793 students, which equaled all students within the eligibility criteria.
Our questionnaire described below was validated by exploring (i) ACE (Adverse childhood experiences), including possible emotional, physical, or sexual abuse experienced at the age of less than 18 years; this was tested in a randomized manner, on 40 students (this number represents 5% of the total number of students tested in our study); next a (ii) preliminary pilot testing was performed by engaging 80 students (this number represents 10% of the total number of students tested in our study), and finally, (iii) reliability testing was conducted on internal consistency, test-retest, and inter-rater. Result of our preliminary testing validated the survey, such that no changes had to be implemented.
The questionnaire comprised three sections: (I) General demographic data, (II) Teacher leadership styles, and (III) Pregnancy prevention teachings. Sections II and III had a rating scale from 1 to 5, according to the Likert scale (Boone & Boone, 2012). A copy of the questionnaire can be retrieved from the Extended data (Contreras & Lowy, 2020).
Section II contained 17 questions for transformational leadership, 14 questions for transactional leadership, and 9 for laissez faire leadership, to sum to a total of 40 questions. Based on results of section II, teaching leadership styles were grouped into three categories according to Vásquez (2012), namely (i) Transformational (high control and low acceptance), (ii) Transactional (high control and high acceptance), and (iii) Laissez faire (low control and high acceptance) (Table 1).
Dimensions | Max. score | Min. score | Low | Medium | High |
---|---|---|---|---|---|
Transformational | 85 | 17 | 20 -41 | 42 – 63 | 64 – 85 |
Transactional | 70 | 14 | 14 – 32 | 33 – 51 | 52 – 70 |
Laissez-faire | 45 | 9 | 9 – 21 | 22 – 33 | 34 – 45 |
Total | 200 | 40 | 40 – 93 | 94 - 146 | 147 - 200 |
Section III addressed 10 questions on primary prevention, 5 questions on secondary prevention, and 4 questions on tertiary prevention. Answers allowed to assess, whether the teacher provided low, medium, or high level teaching for each type of prevention, as follows: for > 63, high teaching level was assigned; at ≤ 63-42, medium teaching level was considered; while < 42 corresponded to low teaching level .
We applied Chi-Square for statistical analysis, using SPSS (version 26) to reveal possible correlations between teaching leadership styles and prevention of adolescence pregnancy. Significant correlations were accepted at the p <0.05 level, as widely applied in public health-related studies.
The committee of the Vicerrectorado de Investigación, Universidad César Vallejo approved this study (021-2018-VI-UCV) on April 16, 2018. All participants were informed on the scope and content of the survey, on their rights as participants, and for additional information and possible questions, they were provided the name and electronic address of a designated contact person. All participants signed a consent form.
Participant characteristics are listed in Table 2.
Based on the survey test results, there is no significant difference between the distribution of the various teaching leadership styles, e.g., according to students’ insight, the transformational, transactional, and laissez daire styles were 50.4, 51.5, and 55.5, respectively, at high perspective level (Table 3).
Student perspective | Transformational | Transactional | Laissez faire | |||
---|---|---|---|---|---|---|
Fi | % | Fi | % | Fi | % | |
High | 400 | 50.4 | 408 | 51.5 | 440 | 55.5 |
Medium | 343 | 43.3 | 351 | 44.3 | 309 | 39.0 |
Low | 50 | 6.3 | 34 | 4.3 | 44 | 5.5 |
Total | 793 | 100.0 | 793 | 100.0 | 793 | 100.0 |
We found that the types of pregnancy prevention, used by students were the following: 44.4% apply “high” level of “primary prevention”, 36.6% “medium” level of “tertiary prevention,” while 36.2% utilize a “low” level of “secondary prevention” (Table 4).
Level of prevention | First | Second | Third | |||
---|---|---|---|---|---|---|
Fi | % | Fi | % | Fi | % | |
High | 352 | 44.4 | 287 | 36.2 | 295 | 37.2 |
Medium | 267 | 33.7 | 273 | 34.4 | 290 | 36.6 |
Low | 174 | 21.9 | 233 | 29.4 | 208 | 26.2 |
Total | 793 | 100.0 | 793 | 100.0 | 793 | 100.0 |
Via the non-parametric Chi square test, we determined that leadership styles transformational, Transactional, and Laissez Faire significantly impact the prevention of pregnancy (X2 = 136.390, p = 0.0000; X2 = 95.539, p = 0.0000; and X2 = 80.557, p = 0.0000, respectively) (Table 5). We evidenced a substantial correlation between the leadership variable and prevention of pregnancy of higher education students (X2 = 110.634; p = 0.0000 <0.05). Our results agree with findings by Jordán & Blanco (2015), i.e., that health education is unsatisfactory in the higher education system.
Leadership implies an influential relationship between two or more people; therefore, the leadership of teachers constitutes a fundamental axis in education, training, and personal-social development of college students. Classroom education is triggered by a series of interactions between teachers and students, among students, and between diverse groups of students, all these collaborations being guided by rules of coexistence. Overall, these processes enable learning and integral development of students. Also important is the effectiveness of teachers in creating an appropriate climate for learning and collaboration.
Direct relationship between teaching leadership and coexistence sets the necessary characteristics for reducing pregnancy of college students and by this, to avoid consequences of desertion, low learning, discrimination, and more importantly, to prevent perinatal maternal morbidity and mortality. Our study documents the significant interconnection between leadership variables and pregnancy prevention of higher education students. Teaching leadership has been demonstrated as a key factor in pregnancy prevention, regardless of leadership style. From students’ perspective, the leadership style of university teachers is rated as 55.5% high level Laissez Faire leadership. Regarding types of pregnancy prevention, we found that 44.4% are a result of teachers high level instruction of primary prevention.
Limitations and bias may be related to answers provided by college students in the presence of their teacher, or because of misinterpretation/misunderstanding of some questions. This inconvenience was avoided by allowing students to answer questions in the absence of the teacher and providing the research team’s assistance in clarifying doubts or mistakes that may arise. Hence, the research group contributed to elucidate unclear situations that occur during the survey. Directors of César Vallejo University authorized the development of the study and approved the time for its application.
Results can be considered as part of a general situation that exists at different universities of the country, as students starting their studies have the highest dropout rate, caused by pregnancy. In addition, the teacher is not only the facilitator of learning, but also a dynamic person, who exercises leadership by advising, mentoring, and guiding university students toward sustainable learning. Teachers are engaged active human beings, who can make positive decisions on students’ lives.
Based on our statistical analysis, one can conclude that for college students, teaching leadership style significantly affects the prevention of adolescent pregnancy. We believe that this is an important finding, which complements a prior study (Jordán & Blanco, 2015) that focused on the importance of health education in the higher education system.
Figshare: Datasets, https://doi.org/10.6084/m9.figshare.13385612.v1 (Contreras, 2020).
Figshare: Survey, https://doi.org/10.6084/m9.figshare.13385405.v1 (Contreras & Lowy, 2020).
Data are available under the terms of the Creative Commons Attribution 4.0 International license (CC-BY 4.0).
The authors express special thanks to all members of the Genesis Sustainable Future, Ltd., Sárospatak, Hungary, for their assistance in manuscript preparation and statistical analysis.
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Is the work clearly and accurately presented and does it cite the current literature?
No
Is the study design appropriate and is the work technically sound?
Partly
Are sufficient details of methods and analysis provided to allow replication by others?
No
If applicable, is the statistical analysis and its interpretation appropriate?
Partly
Are all the source data underlying the results available to ensure full reproducibility?
Partly
Are the conclusions drawn adequately supported by the results?
Yes
Competing Interests: No competing interests were disclosed.
Reviewer Expertise: Social Medicine/Sexual Health, Sexual Medicine
Alongside their report, reviewers assign a status to the article:
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Version 1 24 Mar 21 |
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