北方邦和比哈尔邦青少年怀孕、母亲身份和不良妊娠结局的流行情况及其相关因素。

Prevalence and correlates of adolescent pregnancy, motherhood and adverse pregnancy outcomes in Uttar Pradesh and Bihar.

机构信息

Department of Survey research and Data analytics, International Institute for Population Sciences (IIPS), Mumbai, 400088, India.

Department of Fertility and Social Demography, International Institute for Population Sciences (IIPS), Mumbai, 400088, India.

出版信息

BMC Pregnancy Childbirth. 2023 Jan 26;23(1):66. doi: 10.1186/s12884-023-05354-6.

Abstract

Pregnancy during adolescence is a major risk factor for adverse pregnancy outcomes. Further, Motherhood during the adolescent period is identified as a major global health burden. Considering the widely known importance of the negative impact of adolescent pregnancy, motherhood at an early age, and adverse pregnancy outcomes, this paper aims to provide insight into correlates of teen pregnancy, adolescent motherhood and adverse pregnancy outcome. This study utilizes the data from UDAYA survey conducted in Uttar Pradesh and Bihar. The eligible sample size for the study was 4897 married adolescent girls between the ages of 15 and 19 years. Bivariate analysis with a chi-square test of association and Multivariable logistic regression analysis was performed to fulfill the aim of the study. Our study shows that a major proportion of married adolescents (61%) got pregnant before the age of 20 years and around 42% of all adolescent married women gave birth to a child before reaching the age of 20 years. Adolescents who married before the age of 18 years were 1.79 times more likely to experience pregnancy (OR: 1.79; CI: 1.39-2.30) and 3.21 times more likely to experience motherhood (OR: 3.21; CI: 2.33-4.43). In the present study, women who experienced physical violence were at higher risk for having an adverse pregnancy outcome (OR: 1.41; CI: 1.08-1.84) than those who did not experience physical violence. To conclude, regional and national level efforts focused on improving early marriage, education and empowering women and girls can be beneficial.

摘要

少女怀孕是不良妊娠结局的主要危险因素之一。此外,青少年期成为母亲被认为是全球主要的健康负担之一。鉴于众所周知的少女怀孕、未成年母亲和不良妊娠结局的负面影响的重要性,本文旨在深入了解少女怀孕、未成年母亲和不良妊娠结局的相关因素。本研究利用了在北方邦和比哈尔邦进行的 UDAYA 调查的数据。该研究的合格样本量为 4897 名年龄在 15 至 19 岁之间的已婚少女。采用卡方检验和多变量逻辑回归分析进行了双变量分析,以实现研究的目的。我们的研究表明,很大一部分已婚少女(61%)在 20 岁之前怀孕,大约 42%的所有未成年已婚妇女在 20 岁之前生育。18 岁以下结婚的青少年怀孕的可能性是其他青少年的 1.79 倍(OR:1.79;CI:1.39-2.30),成为母亲的可能性是其他青少年的 3.21 倍(OR:3.21;CI:2.33-4.43)。在本研究中,经历过身体暴力的女性发生不良妊娠结局的风险更高(OR:1.41;CI:1.08-1.84)比没有经历过身体暴力的女性。总之,注重改善早婚、教育和增强妇女和女孩权能的区域和国家一级的努力可能是有益的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f885/9878888/5218bc812edd/12884_2023_5354_Fig1_HTML.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索