Laksono Agung Dwi, Wulandari Ratna Dwi, Rukmini Rukmini
National Institute of Health Research and Development, Indonesia Ministry of Health, Jakarta.
Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
J Public Health Res. 2021 Jan 20;10(1):1890. doi: 10.4081/jphr.2021.1890. eCollection 2021 Jan 14.
Young people is a vulnerable period of the emergence of various problems that may occur especially to those who are pregnant. The study was aimed to analyze the determinants of healthcare childbirth among young people in Indonesia in 2017. The samples of this study were young people (15-24 yo.) who labored in the last 5 years, and there were 3,235 female young people involved. The study analyzed some variables, such as childbirth healthcare, a type of residence, age, education, employment, marital, parity, wealth, insurance, the autonomy of family finances, the autonomy of health, knowledge of pregnancy danger signs, and ANC. The data were analyzed by binary logistic regression. Young people in urban were 2.23 times more likely to attend healthcare childbirth than those in rural (95%CI 1.84-2.70). Young people who completed secondary education were 4.12 times more likely to undergo delivery care than no education (95% CI 1.51-11.23). The richest were 5.60 times more likely to experience delivery care than the poorest (95%CI 3.52-8.93). Health insurance gave 1.44 possibilities for undergoing labor and delivery care (95%CI 1.22-1.70). Besides, knowing the danger signs of pregnancy allowed 1.50 times the possibilities for them to access labor and delivery care (95%CI 1.27-1.78). Young people with ANC visits of ≥4 times had more 1.68 times possibilities for taking healthcare childbirth compared to those with that of <4 times (95%CI 1.38-2.06). The study concluded that the determinants of healthcare childbirth among female adolescents in Indonesia included a residence, education, wealth, insurance, knowledge of pregnancy danger signs, and ANC.
年轻人是各种问题出现的脆弱时期，尤其是对那些怀孕的人来说。该研究旨在分析2017年印度尼西亚年轻人中医疗分娩的决定因素。本研究的样本是过去5年中分娩的年轻人（15 - 24岁），共有3235名年轻女性参与。该研究分析了一些变量，如分娩医疗保健、居住类型、年龄、教育程度、就业情况、婚姻状况、胎次、财富、保险、家庭财务自主权、健康自主权、对怀孕危险信号的了解以及产前检查。数据采用二元逻辑回归进行分析。城市年轻人接受医疗分娩的可能性是农村年轻人的2.23倍（95%置信区间1.84 - 2.70）。完成中等教育的年轻人接受分娩护理的可能性是未接受教育者的4.12倍（95%置信区间1.51 - 11.23）。最富有的人接受分娩护理的可能性是最贫穷者的5.60倍（95%置信区间3.52 - 8.93）。医疗保险使接受分娩护理的可能性增加1.44倍（95%置信区间1.22 - 1.70）。此外，了解怀孕危险信号使他们获得分娩护理的可能性增加1.50倍（95%置信区间1.27 - 1.78）。产前检查次数≥4次的年轻人接受医疗分娩的可能性比产前检查次数<4次的年轻人高1.68倍（95%置信区间1.38 - 2.06）。该研究得出结论，印度尼西亚女性青少年医疗分娩的决定因素包括居住、教育、财富、保险、对怀孕危险信号的了解以及产前检查。
