School of Public Health, Makerere University, P. O. Box, Kampala, 7072, Uganda.
KEMRI-Wellcome Trust Research Programme, P.O .Box 230-80108, Kilifi, Kenya.
BMC Pregnancy Childbirth. 2019 Jun 24;19(1):211. doi: 10.1186/s12884-019-2347-y.
Teenage pregnancy is a serious public health and social problem, with 95% occurring in developing countries. The aim of the study was to investigate the behavioural, familial and social factors associated with teenage pregnancy among girls aged 13-19 years in Lira District, Uganda.
Primary data from a case-control study of teenage girls (aged 13-19 years) in Lira District, Uganda was analysed. A Structured questionnaire was administered using face-to-face interviews to collect data on 495 participants, identified through simple random sampling from 32 villages in two counties in Lira District. Data analyses were done using SPSS Statistics 23 for descriptive, bivariate (i.e. Chi-square tests) and multivariable analyses (i.e. logistics regression) used for determining independent associations.
A total of 495 teenage girls participated in the study, however, final analyses were undertaken for 480 respondents. At bivariable analysis, all variables except alcohol consumption were significantly associated with teenage pregnancy. Among the behavioural factors assessed, multivariable analyses showed that having multiple sexual partners, frequent sex and irregular contraceptive use increased the likelihood of teenage pregnancy. Among familial factors, being married was found to increase the likelihood of teenage pregnancy. Peer pressure, sexual abuse and lack of control over sex was observed to increase the likelihood of teenage pregnancy.
Demographic, behavioural, familial and social factors are important predictors of teenage pregnancy in Lira District. Interventions focussing on: retaining pregnant and married girls at school, information on sexual and reproductive health of teenage girls, improving access to and information about contraceptive use among teenage girls, improving socio-economic status of households, and law enforcement on sexual abuse among girls may come a long way to improving adolescent sexual and health services in the low-income settings.
青少年怀孕是一个严重的公共卫生和社会问题，其中 95%发生在发展中国家。本研究旨在调查乌干达利拉地区 13-19 岁少女怀孕与行为、家庭和社会因素的关系。
对乌干达利拉地区的青少年少女（13-19 岁）进行了病例对照研究，对通过简单随机抽样从利拉区两个县的 32 个村庄中确定的 495 名参与者进行了面对面访谈，以使用结构化问卷收集数据。使用 SPSS Statistics 23 进行数据分析，进行描述性、双变量（即卡方检验）和多变量分析（即逻辑回归），以确定独立关联。
共有 495 名青少年少女参加了这项研究，但最终分析是针对 480 名受访者进行的。在双变量分析中，除了饮酒外，所有变量都与青少年怀孕显著相关。在所评估的行为因素中，多变量分析表明，有多个性伴侣、频繁性行为和不规则使用避孕药具会增加青少年怀孕的可能性。在家庭因素中，已婚被发现会增加青少年怀孕的可能性。同伴压力、性虐待和对性行为缺乏控制被认为会增加青少年怀孕的可能性。
人口统计学、行为、家庭和社会因素是利拉地区青少年怀孕的重要预测因素。以：让怀孕和已婚少女留在学校、为少女提供性和生殖健康信息、改善少女获得和了解避孕药具的途径、改善家庭的社会经济地位以及对女孩的性虐待执法为重点的干预措施可能会极大地改善低收入环境中的青少年性健康服务。
