Belay Dagnachew, Alem Abebaw, Zerihun Salle, Antehun Gashaw, Nega Zewuditu, Zeleke Balew, Workineh Yinager, Melese Addisu, Dessie Getenet, Ayalew Emiru
Department of Nursing, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
Department of Medical Laboratory Science, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
Heliyon. 2020 Jun 27;6(6):e04309. doi: 10.1016/j.heliyon.2020.e04309. eCollection 2020 Jun.
Unintended pregnancy is a mistimed, unplanned or unwanted pregnancy at the time of conception. Unintended pregnancy has a number of adverse physical, mental, and social impacts. It brings illegal and unsafe abortions which are causes of maternal morbidity and mortality in the developing countries like Ethiopia. Even if such problem has significant impact on the community, there is scarcity of evidence on this issue in Ethiopian higher institutions. Therefore, this study was aimed to assess unintended pregnancy and associated factors among unmarried female students in Bahir Dar University, North West Ethiopia.
A descriptive, cross-sectional study was conducted among unmarried female students at Bahir Dar University from March 1 - 30, 2018. Data were collected by self-administered questionnaire. Data were entered, cleaned, coded and analyzed using SPSS version 23.0. The statistical association between dependent and independent variables was assessed using logistic regressions. P-value <0.05 in the multivariable analysis was set to statistically significant.
Three hundred eighty-nine students had participated in the study making the response rate 92.00%. The prevalence of unintended pregnancy was 10.00%. Getting money from family (AOR: 0.16, 95% CI: [0.06, 0.42], p < 0.001) and being Health Science student (AOR: 0.40, 95% CI [0.16, 0.98], p < 0.001) were the preventive factors of unintended pregnancy. Being age of less than or equals to 18 years in the first sexual intercourse time (AOR: 6.31, 95% CI: [2.56, 15.53], p < 0.001) was positively associated with unintended pregnancy.
In the current study the prevalence of unintended pregnancy was high among unmarried female University students. Unintended pregnancy was determined by the source of money, field of study and age at first sexual intercourse. Hence, students should use family as a source of money, abstain from early sexual intercourse and share experiences from Health Science students about the prevention of unintended pregnancies. In line with the alleviation of modifiable factors, health professionals should provide comprehensive reproductive health and contraceptive services to University students.
意外怀孕是指在受孕时时机不当、计划外或意外的怀孕。意外怀孕会对身体、心理和社会产生诸多不利影响。它会导致非法和不安全堕胎,而这是埃塞俄比亚等发展中国家孕产妇发病和死亡的原因。即便此类问题对社区有重大影响,但在埃塞俄比亚的高等院校中,关于这一问题的证据却很匮乏。因此,本研究旨在评估埃塞俄比亚西北部巴希尔达尔大学未婚女学生中的意外怀孕情况及相关因素。
2018年3月1日至30日,在巴希尔达尔大学的未婚女学生中开展了一项描述性横断面研究。通过自填问卷收集数据。使用SPSS 23.0软件录入、清理、编码和分析数据。使用逻辑回归评估因变量和自变量之间的统计关联。多变量分析中P值<0.05被设定为具有统计学意义。
389名学生参与了本研究,应答率为92.00%。意外怀孕的患病率为10.00%。从家庭获得资金(调整后比值比:0.16,95%置信区间:[0.06, 0.42],p<0.001)以及是健康科学专业学生(调整后比值比:0.40,95%置信区间[0.16, 0.98],p<0.001)是意外怀孕的预防因素。首次发生性行为时年龄小于或等于18岁(调整后比值比:6.31,95%置信区间:[2.56, 15.53],p<0.001)与意外怀孕呈正相关。
在本研究中,未婚女大学生中意外怀孕的患病率较高。意外怀孕由资金来源、研究领域和首次性行为的年龄决定。因此,学生应以家庭作为资金来源,避免过早发生性行为,并分享健康科学专业学生关于预防意外怀孕的经验。为减轻可改变因素的影响,卫生专业人员应为大学生提供全面的生殖健康和避孕服务。