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Objective: The purpose of this article is to describe influential factors associated with sex and gender that promote the occurrence of adolescent pregnancy in the Haitian context, as perceived by pregnant adolescents and other involved parties. Method: A qualitative research design adapted from Dewey’s social survey was used. Data were collected from pregnant teens, healthcare professionals, relatives of pregnant teens (parents, partners, guardians, and sisters), and organization leaders. Thematic analyses were conducted using these data, which were entered into qualitative data analysis software (QDA miner, 6.0.5). A process of inductive and deductive analysis was conducted in field and post field. Results: The search revealed that influential factors for teenage pregnancy occur at several levels: individual, interpersonal, and community. Many of these are social determinants that remain beyond the control of Haitian adolescents. A combination of social, religious, cultural, economic, and environmental factors make these adolescents vulnerable to pregnancy. Conclusion: The data emerging from the study indicate that teenage pregnancy is influenced by a set of factors that occur at several levels at the intersection of various issues related to inequalities within girls’ living environments. It was concluded that teenage pregnancy prevention programs should address factors associated with relatives, and the living environments of teenage girls.