Mccurdy Rebekah J, Schnatz Peter F, Weinbaum Paul J, Zhu Junjia
Conn Med. 2014 May;78(5):261-72.
Failure to use contraceptives contributes to an unacceptably high rate of undesired pregnancy in Sub-Saharan adolescents with associated maternal and neonatal mortality/morbidity. Evidence-based research is needed to understand contraceptive usage in Sub-Saharan adolescents and to enable appropriate allocation of donor resources.
Nationally-representative USAID (U.S. Agency for International Development) Demographic and Health Surveys from 18 least developed Sub-Saharan African nations.
212,819 Sub-Saharan African women (45,054 were 15-19 years old).
The percentages of adolescents using contraception, as well as their preferred contraceptive methods and desired family size, were reported.
Contraceptive Use, Neonatal Mortality, Undesired Pregnancy, Pregnancy Terminations.
Most adolescents (92.4%) surveyed reported no contraceptive use, although 21.6% reported recent sexual activity. A current pregnancy was reported in 6.6% (n = 2,951) of adolescents with 29.9% of these pregnancies being unwanted. Many surveyed adolescents (18.8%) had at least one prior birth. A death of the previous child was reported in 6.6% (n = 560) with half of these deaths (n = 276) occurring within the first month of life. Many adolescents planned to delay childbearing for at least two years (37.1%) or were unsure about future timing (33.3%), and 2.2% reported a history of at least one pregnancy termination. Most adolescents (73.1%) felt it would be a problem if they became pregnant. Adolescents indicated injectable medications and contraceptive pills were the preferred future contraceptives at 39.9% and 31.4% respectively.
Sub-Saharan African adolescents report a mismatch between desire for contraception and use; preferred methods are oral and injectable contraceptives.
在撒哈拉以南地区，青少年不使用避孕药具导致意外怀孕率高得令人无法接受，这还会引发相关的孕产妇和新生儿死亡/发病情况。需要开展循证研究，以了解撒哈拉以南地区青少年的避孕措施使用情况，并合理分配捐助资源。
来自撒哈拉以南非洲18个最不发达国家的具有全国代表性的美国国际开发署（USAID）人口与健康调查。
212,819名撒哈拉以南非洲女性（其中45,054名年龄在15至19岁之间）。
报告了使用避孕措施的青少年的百分比、他们偏爱的避孕方法以及期望的家庭规模。
避孕措施使用情况、新生儿死亡率、意外怀孕、终止妊娠。
大多数接受调查的青少年（92.4%）表示未使用避孕措施，尽管有21.6%的青少年报告近期有性行为。6.6%（n = 2,951）的青少年报告当前怀孕，其中29.9%的怀孕是意外怀孕。许多接受调查的青少年（18.8%）至少有过一次生育经历。报告前一个孩子死亡的比例为6.6%（n = 560），其中一半（n = 276）的死亡发生在出生后的第一个月内。许多青少年计划至少推迟两年生育（37.1%），或者不确定未来的生育时间（33.3%），2.2%的青少年报告至少有过一次终止妊娠的经历。大多数青少年（73.1%）认为如果自己怀孕会是个问题。青少年表示，未来首选的避孕方法分别是注射用药和避孕药丸，占比分别为39.9%和31.4%。
撒哈拉以南非洲青少年表示，他们对避孕措施的需求与实际使用情况不匹配；首选方法是口服避孕药和注射用避孕药。
