Universal Health Coverage, Communicable, and Non-communicable Diseases (UCN) Cluster, Neglected Tropical Diseases (NTDs) Program, WHO, Gambella, Ethiopia.
Public Health, Mettu University, Mettu, Ethiopia.
BMJ Open. 2022 Nov 17;12(11):e064732. doi: 10.1136/bmjopen-2022-064732.
The aim of this study was to assess the prevalence of pregnancy and associated factors among adolescent girls in Nguenyyiel Refugee Camp.
Cross-sectional study was employed to conduct this study.
A community-based cross-sectional study was done in Nguenyyiel Refugee Camp.
Four hundred and fourteen adolescent girls participated in this study. The systematic random sampling technique was used to select respondents. Data were collected using a well-structured and pretested questionnaire. Pregnancy test was done using the human chorionic gonadotropin test. Bivariate and multivariate logistic regression analysis was run to identify factors associated with adolescent pregnancy.
The prevalence of pregnancy among adolescent girls in the Nguenyyiel Refugee Camp was 21.7% (95% CI: 17.6% to 25.6%). Factors associated with adolescent pregnancy were age (17-19 years) (AOR): 2.79; 95% CI: 1.55 to 5.05; educational status: primary education (AOR: 7.69; 95% CI: 3.55 to 16.68) and no formal education (AOR: 3.42; 95% CI: 1.59 to 7.36); and household living arrangement: living with none of the biological parents (AOR: 2.14; 95% CI: 1.02 to 4.49) and living with either of the biological parent (AOR: 3.71; 95% CI: 1.76 to 7.81).
This study showed that there is a high prevalence of pregnancy among adolescent girls in the study setting. Age (17-19 years), educational status and household living arrangement (living with none of the biological parents and living with either of the biological parents) were among the factors significantly associated with adolescent pregnancy. Hence, health workers and other stakeholders in the camps should focus on strengthening adolescent sexual health education giving special attention to late adolescents, uneducated and living without biological family.
本研究旨在评估恩圭耶尔难民营少女妊娠的流行率及其相关因素。
采用横断面研究进行本研究。
在恩圭耶尔难民营进行了一项基于社区的横断面研究。
共有 414 名少女参加了本研究。采用系统随机抽样技术选择受访者。使用经过良好设计和预测试的问卷收集数据。使用人绒毛膜促性腺激素测试进行妊娠测试。采用双变量和多变量逻辑回归分析来确定与青少年怀孕相关的因素。
恩圭耶尔难民营少女妊娠的流行率为 21.7%（95%CI：17.6%至 25.6%）。与青少年怀孕相关的因素包括年龄（17-19 岁）（AOR）：2.79；95%CI：1.55 至 5.05；教育程度：小学教育（AOR：7.69；95%CI：3.55 至 16.68）和没有正规教育（AOR：3.42；95%CI：1.59 至 7.36）；以及家庭居住安排：与父母双方均无生活（AOR：2.14；95%CI：1.02 至 4.49）和与父母一方生活（AOR：3.71；95%CI：1.76 至 7.81）。
本研究表明，在研究环境中，少女妊娠的流行率很高。年龄（17-19 岁）、教育程度和家庭居住安排（与父母双方均无生活和与父母一方生活）是与青少年怀孕显著相关的因素。因此，营地的卫生工作者和其他利益相关者应专注于加强青少年性健康教育，特别关注晚青春期、未受教育和没有生物学家庭的青少年。
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