Depatment of Population, Family and Reproductive Health, School of Public Health, University of Ghana, Legon, Accra, Ghana.
Department of Social and Behavioural Sciences, School of Public Health, University of Ghana, Legon, Accra, Ghana.
BMC Pregnancy Childbirth. 2022 Jul 5;22(1):544. doi: 10.1186/s12884-022-04872-z.
Complications during pregnancy and childbirth are the leading cause of death among adolescent girls. In Ghana, the prevalence of adolescent pregnancy remains high. Yet, little is known about ANC utilization among adolescent and young mothers. This study aimed to assess the prevalence of obtaining 4 or more ANC visits and associated factors among adolescent and young mothers.
We analysed secondary data from the sixth round of the Ghana Multiple Indicator Cluster Survey. A total of 947 adolescent and young mothers were included in this study. Data were analysed using STATA/SE, version 16, employing descriptive statistics and Binary Logistic Regression.
It was found that majority of the participants were aged 20-24 years (70%), married/in union (61%) and non-insured (64%). The prevalence of obtaining 4 or more ANC visits was 84%. Adolescent and young mothers with junior high school education, in the second wealth quintile, exposed to the internet, and resided in the Upper East region had a higher likelihood of obtaining 4 or more ANC visits (p < 0.05).
This study demonstrated that optimal ANC utilization among adolescent and young mothers were determined by socio-economic factors. Going forward, maternal healthcare interventions must prioritize adolescent and young mothers from poor socio-economic backgrounds.
妊娠和分娩并发症是少女死亡的主要原因。在加纳，少女怀孕的比例仍然很高。然而，对于青少年和年轻母亲的 ANC 利用情况知之甚少。本研究旨在评估加纳第六轮多指标类集调查中，青少年和年轻母亲获得 4 次或更多 ANC 就诊的比例及其相关因素。
我们对加纳第六轮多指标类集调查的二级数据进行了分析。本研究共纳入 947 名青少年和年轻母亲。使用 STATA/SE 版本 16 进行数据分析，采用描述性统计和二元逻辑回归。
发现大多数参与者年龄在 20-24 岁（70%）、已婚/同居（61%）和未参保（64%）。获得 4 次或更多 ANC 就诊的比例为 84%。接受过初中教育、处于第二财富五分位、接触过互联网以及居住在上东部地区的青少年和年轻母亲，获得 4 次或更多 ANC 就诊的可能性更高（p<0.05）。
本研究表明，青少年和年轻母亲的最佳 ANC 利用情况取决于社会经济因素。未来，产妇保健干预措施必须优先考虑来自贫困社会经济背景的青少年和年轻母亲。
