Naravage Wanapa, Vichit-Vadakan Nuntavarn, Sakulbumrungsil Rungpetch C, Van der Putten Marc
College of Public Health, Chulalongkorn University, 10th Floor, Institute Building 3, Soi Chulalongkorn 62, Phyathai Road, Bangkok 10330, Thailand.
Southeast Asian J Trop Med Public Health. 2005 May;36(3):775-82.
Unplanned pregnancy is one of the most difficult life experiences for young women. Women are often confused and seek help and support. When the problem occurs, a woman has three choices: parenting the baby, planning for adoption, or terminating the pregnancy. Choosing one of these three options is often difficult. This study aimed to identify the factors (variables) influencing women's decision making when choosing the options available to them. The study was conducted in five shelters and low-income communities in the Bangkok area. Data were collected for five months, November 2003 to March 2004. Young women, age 13-24, who experienced an unplanned pregnancy at least once, or currently experiencing an unplanned pregnancy, were recruited into the study. One hundred and twenty volunteer cases were recruited. Discriminant analysis was used to determine the factors that affecting the choices of young women with unplanned pregnancies. There were 6 potential influencing variables, in three broad categories of factors that influenced their choices. In this study, the influencing factors from the personal history variables were, age of the most recent unplanned pregnancy. The individual psychosocial variables were: attitude towards unplanned pregnancy, attitude towards contraception, and making a decision without consultation. The relationship variables were: relationship with partner, and consulting partner when having a problem. The results from discriminant analysis yielded 68.3% predictive accuracy. This result was satisfactory compared with a 33% chance of accuracy (classified as chance alone would yield a 33% accuracy). Knowing the influencing factors for the choices of young women with unplanned pregnancies allows us to understand the women's decisions and their utilization of services with some degree of confidence. The program managers or implementers should do as much as possible to support the decision making process in these young women in order to provide better information and services to reduce the impact, both physical and mental, of the selected choice.
意外怀孕是年轻女性最艰难的生活经历之一。女性常常感到困惑，寻求帮助和支持。当问题出现时，女性有三种选择：养育孩子、计划领养或终止妊娠。在这三种选择中做出抉择往往很困难。本研究旨在确定影响女性在选择现有选项时决策的因素（变量）。该研究在曼谷地区的五个庇护所和低收入社区进行。数据收集为期五个月，从2003年11月至2004年3月。年龄在13至24岁之间、至少经历过一次意外怀孕或目前正经历意外怀孕的年轻女性被纳入研究。招募了120个志愿者案例。判别分析用于确定影响意外怀孕年轻女性选择的因素。有6个潜在影响变量，分为影响她们选择的三大类因素。在本研究中，来自个人史变量的影响因素是最近一次意外怀孕的年龄。个体心理社会变量包括：对意外怀孕的态度、对避孕的态度以及未经咨询就做出决定。关系变量包括：与伴侣的关系以及遇到问题时咨询伴侣。判别分析的结果显示预测准确率为68.3%。与仅靠随机分类有33%准确率相比，这个结果是令人满意的。了解意外怀孕年轻女性选择的影响因素使我们能够在一定程度上自信地理解这些女性的决定及其对服务的利用情况。项目经理或实施者应尽可能支持这些年轻女性的决策过程，以便提供更好的信息和服务，以减轻所选选择对身体和心理的影响。
