Department of Assisted Reproduction, Hanoi Obstetrics and Gynecology Hospital, Hanoi, Vietnam.
Department of Obstetrics and Gynecology, Vietnam National University, Hanoi-University of Medicine and Pharmacy, Vietnam.
Med Arch. 2024;78(2):139-145. doi: 10.5455/medarh.2024.78.139-145.
Adolescent pregnancy is a global issue. The majority of these adolescents experience unintended pregnancy ending in abortion. Knowledge gaps and misconceptions about reproductive health are the main reasons for unintended pregnancy among adolescents.
This study aims to identify knowledge, attitudes, practices, and related factors of reproductive health among adolescent post-abortion or those seeking abortion at Hanoi Obstetrics and Gynecology Hospital (HOGH), a tertiary hospital in Vietnam.
Ours was a descriptive cross-sectional study of 103 adolescents who sought induced abortions between January 1, 2022 and June 30, 2023. Participants were interviewed directly via questionnaires to collect information.
The mean age of participants was 16.3 years. 64.1% of the population did not have general knowledge regarding reproductive health, 42.7% of subjects displayed incorrect attitudes regarding reproductive health. As a result, lack of knowledge and incorrect attitudes led to unsafe sex. The percentage of adolescents practicing unsafe sex is incredibly high (90.3%) thus causing unintended pregnancies. Education levels and family economic status were the main factors linked to knowledge, attitudes, and practices (KAP) regarding reproductive health.
Most adolescents seeking abortion had poor KAP regarding reproductive health. Their KAP of reproductive health were linked to levels of education and family economic status. The findings emphasize the need to provide reproductive health care information and services for adolescents, and the need for appropriate attention from both family and society to the target group. We believe this will result in the improvement of their health and the avoidance of unfortunate consequences.
青少年怀孕是一个全球性问题。这些青少年大多经历意外怀孕并最终堕胎。知识差距和对生殖健康的误解是青少年意外怀孕的主要原因。
本研究旨在确定越南河内妇产科医院（HOGH）堕胎或寻求堕胎的青少年的生殖健康知识、态度、实践和相关因素。
这是一项描述性的横断面研究，纳入了 2022 年 1 月 1 日至 2023 年 6 月 30 日期间在 HOGH 寻求人工流产的 103 名青少年。通过问卷直接访谈收集信息。
参与者的平均年龄为 16.3 岁。64.1%的人对生殖健康没有一般知识，42.7%的人对生殖健康的态度不正确。因此，缺乏知识和错误的态度导致不安全的性行为。青少年不安全性行为的比例非常高（90.3%），从而导致意外怀孕。教育水平和家庭经济状况是与生殖健康知识、态度和实践（KAP）相关的主要因素。
大多数寻求堕胎的青少年对生殖健康的 KAP 较差。他们的生殖健康 KAP 与教育水平和家庭经济状况有关。研究结果强调了为青少年提供生殖健康护理信息和服务的必要性，以及家庭和社会都需要适当关注目标群体。我们相信这将改善他们的健康状况，避免不幸的后果。
