Mathewos Samuel, Mekuria Aleme
Department of Public Health, Arba Minch College of Health Sciences, Arba Minch, Ethiopia.
Ethiop J Health Sci. 2018 May;28(3):287-298. doi: 10.4314/ejhs.v28i3.6.
Teenage pregnancy has long been a worldwide social, economic and educational concern for the developed, developing and underdeveloped countries. Studies on adolescent sexuality and pregnancy are very limited in our country. Therefore, this study aims to assess the prevalence of teenage pregnancy and its associated factors among school adolescents of Arba Minch Town.
Institution-based, cross-sectional study was conducted from 20-30 March 2014. Systematic sampling technique was used to select a total of 578 students from four schools of the town. Data were collected by trained data collectors using a pre-tested, self-administered structured questionnaire. Analysis was made using SPSS version 20.0 statistical packages. Multivariate logistic regression was used to identify the predictors of teenage pregnancy.
The prevalence of teenage pregnancy among school adolescents of Arba Minch Town was 7.7%. Being grade 11 student (AOR=4.6;95%CI:1.4,9.3), grade 12 students (AOR=5.8;95% CI:1.3,14.4), not knowing the exact time to take emergency contraceptives (AOR=3.3;95%CI:1.4,7.4), substance use (AOR=3.1;95%CI:1.1,8.8), living with either of biological parents (AOR=3.3;95%CI:1.1,8.7) and poor parent-daughter interaction (AOR=3.1;95%CI:1.1,8.7) were found to be significant predictors of teenage pregnancy.
This study revealed high level of teenage pregnancy among school adolescents of Arba Minch Town. A significant number of adolescent female students were at risk of facing the challenges of teenage pregnancy in the study area. School-based reproductive health education and strong parent-daughter relationships are recommended.
长期以来,青少年怀孕一直是发达国家、发展中国家和不发达国家在社会、经济和教育方面的全球性问题。我国关于青少年性行为和怀孕的研究非常有限。因此,本研究旨在评估阿尔巴明奇镇在校青少年中青少年怀孕的患病率及其相关因素。
于2014年3月20日至30日进行了一项基于机构的横断面研究。采用系统抽样技术从该镇四所学校共选取578名学生。由经过培训的数据收集员使用预先测试的、自行填写的结构化问卷收集数据。使用SPSS 20.0统计软件包进行分析。采用多因素逻辑回归来确定青少年怀孕的预测因素。
阿尔巴明奇镇在校青少年中青少年怀孕的患病率为7.7%。发现11年级学生(调整后比值比[AOR]=4.6;95%置信区间[CI]:1.4,9.3)、12年级学生(AOR=5.8;95%CI:1.3,14.4)、不知道服用紧急避孕药的确切时间(AOR=3.3;95%CI:1.4,7.4)、使用毒品(AOR=3.1;95%CI:1.1,8.8)、与亲生父母一方生活在一起(AOR=3.3;95%CI:1.1,8.7)以及父母与女儿互动不良(AOR=3.1;95%CI:1.1,8.7)是青少年怀孕的重要预测因素。
本研究显示阿尔巴明奇镇在校青少年中青少年怀孕率较高。在研究地区,大量青春期女学生面临青少年怀孕挑战的风险。建议开展以学校为基础的生殖健康教育并建立牢固的父母与女儿关系。