Fulpagare Prakash H, Saraswat Abhishek, Dinachandra Konsam, Surani Nikita, Parhi Rabi N, Bhattacharjee Sourav, S Somya, Purty Apollo, Mohapatra Babita, Kejrewal Nita, Agrawal Neeraj, Bhatia Vikas, Ruikar Manisha, Gope Raj Kumar, Murira Zivai, De Wagt Arjan, Sethi Vani
International Institute for Population Sciences, Mumbai, India.
Independent Consultant, New Delhi, India.
Front Public Health. 2019 Dec 12;7:369. doi: 10.3389/fpubh.2019.00369. eCollection 2019.
Pregnant adolescent girls (15-19 years) are more vulnerable to poor health and nutrition than adult pregnant women because of marginalization and lack of knowledge about the antenatal care (ANC) services. The present study aims to test this hypothesis and assess determinants of ANC service utilization among currently adolescent pregnant women. Data were drawn from the baseline survey of SWABHIMAAN project, which had been conducted in three states of India: Bihar, Chhattisgarh, and Odisha. Out of a total 2,573 pregnant women (15-49 years) included in the sample, about 10% ( = 278) were adolescent girls (15-19 years) at the time of the survey, and the rest were adults. Sample was selected from the population using simple random sampling, and information was collected using pretested questionnaires. For all indicators of ANC service utilization, performance of adolescent pregnant women was better than adult pregnant women. However, significant variations were reported in the level of services received by adult pregnant women for different indicators. Religion, wealth, food insecurity, Village Health Sanitation and Nutrition Day meeting, Public Distribution System and Integrated Child Development Services entitlements, and knowledge of family planning methods had a significant effect on the ANC service utilization. Adolescent pregnant women have shown better utilization of selected indicators than their adult counterparts. Utilization of full ANC services starting from first trimester itself for adolescent pregnant women is an urgent need in present context. Intervention program must pay attention to such adolescent married girls who are entering into the motherhood phase of their lives.
由于被边缘化以及缺乏关于产前保健（ANC）服务的知识，怀孕的少女（15 - 19岁）比成年孕妇更容易出现健康和营养问题。本研究旨在验证这一假设，并评估当前处于青春期的孕妇利用ANC服务的决定因素。数据取自SWABHIMAAN项目的基线调查，该调查在印度的三个邦进行：比哈尔邦、恰蒂斯加尔邦和奥里萨邦。在样本中纳入的总共2573名孕妇（15 - 49岁）中，调查时约10%（ = 278）为少女（15 - 19岁），其余为成年人。样本从总体中采用简单随机抽样选取，并使用经过预测试的问卷收集信息。对于ANC服务利用的所有指标，青春期孕妇的表现优于成年孕妇。然而，据报告成年孕妇在不同指标上获得的服务水平存在显著差异。宗教、财富、粮食不安全、乡村卫生和营养日会议、公共分配系统和综合儿童发展服务权益以及计划生育方法的知识对ANC服务利用有显著影响。青春期孕妇在选定指标上的利用率高于成年孕妇。在当前情况下，迫切需要青春期孕妇从孕早期就开始充分利用ANC服务。干预项目必须关注那些进入人生母亲阶段的青春期已婚女孩。
