Salim Lutfi Agus, Heriteluna Marselinus
Faculty of Public Health, UNAIR, Surabaya, Jawa Timur, Indonesia.
Department of Epidemiology, Population Biostatistics and Health Promotion, Faculty of Public Health, UNAIR, Surabaya, Jawa Timur, Indonesia.
J Public Health Res. 2023 Sep 21;12(3):22799036231197195. doi: 10.1177/22799036231197195. eCollection 2023 Jul.
Teenage pregnancy is an international phenomenon without a definite solution to date. Globally, an estimated 16 million girls aged 15-19 give birth each year. Husbands need to play their assistance role in order to thwart the negative impact of the outcome of teenage pregnancy.
To identify the effect of the development of Pregnancy Classes with the Husband's Assistance on the Outcome of Teenage Pregnancy in the Dayak community, Central Kalimantan.
This was a quasi-experimental study with the posttest-only non-equivalent control group design involving the husband's assistance in pregnancy classes. The respondents were 60 individuals where 30 of them were given the pregnancy class assistance intervention while the other 30 were not given any intervention (control group).
Pregnancy class with Assistance by the husband increases positive pregnancy outcomes 2.4 times compared to without the husband's assistance. Family support increases positive pregnancy outcomes 2.5 times compared to pregnant women without support from the family. Pregnant women that are highly motivated regarding antenatal care are likely to have positive pregnancy outcomes 5.4 times greater than pregnant women with low motivation. Based on the analysis, then the variables that have no effect are the history of antenatal care, frequency of antenatal care, and support from health workers.
Pregnancy class with husband's assistance affects positive outcomes of teenage pregnancy. Other factors with meaningful influence on pregnancy outcomes include family support and motivation to seek teenage antenatal care. Furthermore, other factors that have no influence include the teenager's age, history of antenatal care, frequency of antenatal care, and support from health workers. An intervention is needed that involves the husband/partner in the form of active assistance.
青少年怀孕是一个国际现象，至今尚无确切的解决方案。全球范围内，估计每年有1600万15至19岁的女孩生育。丈夫需要发挥其协助作用，以避免青少年怀孕所带来的负面影响。
确定在丈夫协助下开展孕期课程对加里曼丹中部达雅克族社区青少年怀孕结局的影响。
这是一项采用仅后测非等效对照组设计的准实验研究，其中包括丈夫协助的孕期课程。研究对象为60人，其中30人接受了孕期课程协助干预，另外30人未接受任何干预（对照组）。
在丈夫协助下的孕期课程使积极妊娠结局增加的倍数是无丈夫协助时的2.4倍。与没有家庭支持的孕妇相比，家庭支持使积极妊娠结局增加的倍数为2.5倍。对产前护理积极性高的孕妇获得积极妊娠结局的可能性比积极性低的孕妇高5.4倍。基于分析，对妊娠结局无影响的变量包括产前护理史、产前护理频率和医护人员的支持。
在丈夫协助下的孕期课程会影响青少年怀孕的积极结局。对妊娠结局有显著影响的其他因素包括家庭支持和寻求青少年产前护理的积极性。此外，其他无影响的因素包括青少年的年龄、产前护理史、产前护理频率和医护人员的支持。需要一种干预措施，即丈夫/伴侣以积极协助的形式参与其中。
