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If you are from a direct culture you may wish to moderate your communication style to avoid coming across as rude or abrasive.

For example, disagreements and criticism should be handled in private, away from others.

More than a quarter of them were undergone by girls under 18. However, due to the secrecy surrounding the practice the true figure is likely to be much higher. Suicide accounts for 57 per cent of the deaths of pregnant females aged 10 to 19 in El Salvador, though it is likely many more cases have gone unreported. A newspaper poll in 2013 revealed 74 per cent of people polled in El Salvador favoured an abortion when a woman’s life is at risk. El Salvador has the highest rate of teenage pregnancy in Latin America.

According to the National Family Health Survey, more than one-fifth (23 per cent) of all teenagers aged between 15 and 19 in El Salvador have been pregnant at least once.

But, often, girls don't have much say – parents, culture and tradition decide for them. All we can see is her plaid pants and grey t-shirt.

In a new series, #15Girls, NPR explores the lives of 15-year-old girls who are seeking to take control and change their fate. Her family is across the street, in a pickup truck. She says Marcela left the house that morning with her sister.

From birth, children are raised to understand that they will have different roles and expectations in life.

However, women are increasingly becoming doctors, dentists, or teachers.

When this will carry over into the business world remains to be seen.

It is therefore important to watch what is being said, how it is being said and who is being said within earshot of.

If you think you may have offended someone it is best to apologise immediately and assure them that no slight was intended.

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