Sarnquist Clea, Sinclair Jake, Omondi Mboya Benjamin, Langat Nickson, Paiva Lee, Halpern-Felsher Bonnie, Golden Neville H, Maldonado Yvonne A, Baiocchi Michael T
1 Stanford University, Stanford, CA, USA.
2 UJAMAA USA, San Francisco, CA, USA.
Health Educ Behav. 2017 Apr;44(2):297-303. doi: 10.1177/1090198116657777. Epub 2016 Jul 11.
To evaluate the effect of behavioral, empowerment-focused interventions on the incidence of pregnancy-related school dropout among girls in Nairobi's informal settlements.
Retrospective data on pregnancy-related school dropout from two cohorts were analyzed using a matched-pairs quasi-experimental design. The primary outcome was the change in the number of school dropouts due to pregnancy from 1 year before to 1 year after the interventions.
Annual incidence of school dropout due to pregnancy decreased by 46% in the intervention schools (from 3.9% at baseline to 2.1% at follow-up), whereas the comparison schools remained essentially unchanged ( p < .029). Sensitivity analysis shows that the findings are robust to small levels of unobserved bias.
Results suggest that these behavioral interventions significantly reduced the number of school dropouts due to pregnancy. As there are limited promising studies on behavioral interventions that decrease adolescent pregnancy in low-income settings, this intervention may be an important addition to this toolkit.
评估以行为和赋权为重点的干预措施对内罗毕非正式定居点女孩与怀孕相关的辍学率的影响。
采用配对准实验设计，分析了来自两个队列的与怀孕相关的辍学回顾性数据。主要结果是干预前1年至干预后1年因怀孕而辍学的学生人数变化。
干预学校因怀孕导致的年辍学率下降了46%（从基线时的3.9%降至随访时的2.1%），而对照学校基本保持不变（p < 0.029）。敏感性分析表明，研究结果对小程度的未观察到的偏差具有稳健性。
结果表明，这些行为干预措施显著减少了因怀孕而辍学的学生人数。由于在低收入环境中减少青少年怀孕的行为干预研究有限，这种干预措施可能是该工具包的重要补充。
