1 Institute of Population Research, Peking University, Beijing, China.
2 APEC Health Science Academy (HeSAY), Peking University, Beijing, China.
Am J Mens Health. 2019 Jan-Feb;13(1):1557988319831900. doi: 10.1177/1557988319831900.
Little is known about the male experience of premarital pregnancy (MEPP) and the sociodemographic characteristics of unmarried male youths involved in pregnancy. This study estimates the prevalence of MEPP and identifies the sociodemographic factors associated with it among Chinese unmarried youths aged 15-24 years, using data from the Survey of Youth Access to Reproductive Health in China. Descriptive analyses and χ tests were applied to explore the number and prevalence of MEPP, and logistic regressions were used to identify the associated factors. As a result, among 2,853 sexually experienced male youths, 597 individuals reported 852 partner pregnancies caused by them during their lifetime, with a weighted prevalence rate of 20.87% (95% CI [18.85%, 22.88%]). Among these pregnancies, 78.05% ended in induced abortion. Factors like living with only the father (OR: 4.16, 95% CI [2.22, 7.8]) and the low level of education of the father (junior high school or below, OR: 1.60, 95% CI [1.04, 2.46]) were associated with MEPP among unmarried male youth. Furthermore, there is a marked difference between the rural and urban youth in factors associated with MEPP. The findings in this study highlight the importance of and need for strategies and interventions targeting male youths, in order to improve sexual education and reproductive services.
人们对未婚男性经历婚前怀孕（MEPP）的情况以及涉及怀孕的未婚青年男性的社会人口学特征知之甚少。本研究使用中国青少年生殖健康调查的数据，估计了中国 15-24 岁未婚青年中 MEPP 的流行率，并确定了与之相关的社会人口学因素。采用描述性分析和 χ 检验来探讨 MEPP 的数量和流行率，并使用逻辑回归来确定相关因素。结果显示，在 2853 名有性经验的男性青年中，有 597 人报告了 852 次由他们导致的伴侣怀孕，加权流行率为 20.87%（95%CI[18.85%，22.88%]）。在这些怀孕中，78.05%以人工流产告终。与未婚男性青年 MEPP 相关的因素包括仅与父亲同住（OR：4.16，95%CI[2.22，7.8]）和父亲的低教育水平（初中及以下，OR：1.60，95%CI[1.04，2.46]）。此外，农村和城市青年在与 MEPP 相关的因素方面存在显著差异。本研究的结果强调了针对男性青年制定和实施策略和干预措施的重要性和必要性，以改善性教育和生殖服务。
