Swenson I, Erickson D, Ehlinger E, Carlson G, Swaney S
University of North Carolina, School of Nursing, Chapel Hill 27599.
Adolescence. 1989 Fall;24(95):647-54.
This study compares fertility and menstrual characteristics and contraceptive practices of white, black, and Southeast Asian refugee adolescents participating in the Minneapolis Health Department's Maternal and Infant Care Program between 1980 and 1982. Mean ages were similar among all racial groups; however, half the Hmong adolescents had a live birth as compared to less than 25% of the other racial groups. More than 75% of the Hmong and other Southeast Asian adolescents were married as compared to 11% of the whites and 8% of the blacks. Menarche was significantly later (2 years) for Hmong and other Southeast Asians, and the interval between menarche and first pregnancy was significantly shorter for the Hmong. While more than half of the whites and blacks previously used contraception, 14% of the Hmong and 29% of the other Southeast Asians had used contraception. Oral contraceptives were the most frequently used method for whites, blacks, and Southeast Asians; the Hmong were equally likely to choose oral contraceptives or barrier methods. The Hmong were less likely to choose contraception postpartum than were the other groups.
本研究比较了1980年至1982年间参与明尼阿波利斯卫生部门母婴护理项目的白人、黑人及东南亚难民青少年的生育情况、月经特征和避孕措施。所有种族群体的平均年龄相似;然而,苗族青少年中有一半生育过活产婴儿,而其他种族群体这一比例不到25%。苗族及其他东南亚青少年中超过75%已婚,相比之下,白人中有11%、黑人中有8%已婚。苗族及其他东南亚青少年月经初潮明显较晚(晚2年),且苗族从月经初潮到首次怀孕的间隔明显更短。虽然超过一半的白人和黑人之前使用过避孕措施,但苗族中只有14%、其他东南亚青少年中只有29%使用过避孕措施。口服避孕药是白人、黑人及东南亚人最常使用的避孕方法;苗族选择口服避孕药或屏障避孕法的可能性相同。苗族产后选择避孕措施的可能性低于其他群体。