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揭示努纳武特因纽特青少年对怀孕的态度。

Shedding light on attitudes towards pregnancy among Inuit adolescents from Nunavik.

机构信息

Population Health and Optimal Health Practices Research Branch, Chu de Québec Research Center - Université Laval, Quebec, Ontario, Canada.

School of Psychology, Université Laval, Quebec, Ontario, Canada.

出版信息

Int J Circumpolar Health. 2022 Dec;81(1):2051335. doi: 10.1080/22423982.2022.2051335.

Abstract

Better understanding attitudes toward pregnancy - a potent predictor of adolescent pregnancy - could help explain the high adolescent pregnancy rate in Nunavik, Canada. The objective of this study was to assess the distribution of different attitudes toward pregnancy and the factors associated with high pregnancy likelihood attitudes (HPLA; favourable, indifferent, and ambivalent), focusing on the perceived benefits of childbearing (BOC). T-tests, chi-square tests, and logistics regressions were performed based the answers of 159 Inuit women aged 16 to 20 years from the survey. About 43% were ambivalent, 16% favourable, 5% indifferent, and 35% unfavourable toward pregnancy. Bivariate analysis indicate that the HPLA group was more likely to work, to report less frequent positive interactions, and to show a higher BOC score compared to others. Multivariate analysis show that an increased BOC score was associated with HPLA (OR = 1.09, 95% CI = 1.01 - 1.18). Perceiving that a baby would strengthen the relationship with the other parent (OR = 1.65, 95% CI = 1.15 - 2.37) and that it would help to access housing were individually associated with HPLA (OR = 1.45, 95% CI = 1.02 - 2.10). Findings provide evidence to support Inuit adolescents' reproductive choices.

摘要

更好地了解青少年怀孕的态度——这是预测青少年怀孕率的一个有力指标——可能有助于解释加拿大努纳武特地区青少年怀孕率居高不下的原因。本研究的目的是评估对怀孕的不同态度的分布情况,以及与高怀孕可能性态度(赞成、中立和矛盾)相关的因素,重点关注生育的预期益处(BOC)。根据 159 名年龄在 16 至 20 岁的因纽特女性在调查中的回答,进行了 t 检验、卡方检验和逻辑回归。约 43%的人对怀孕持矛盾态度,16%的人持赞成态度,5%的人持中立态度,35%的人持反对态度。 双变量分析表明,与其他群体相比,HPLA 组更有可能工作,报告的积极互动频率较低,并且表现出更高的 BOC 评分。多变量分析表明,BOC 评分的增加与 HPLA 相关(OR=1.09,95%CI=1.01-1.18)。认为婴儿会加强与另一位父母的关系(OR=1.65,95%CI=1.15-2.37)以及认为婴儿会有助于获得住房与 HPLA 呈正相关(OR=1.45,95%CI=1.02-2.10)。研究结果为支持因纽特青少年的生殖选择提供了证据。

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