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加纳青少年(15-19 岁)生育的流行状况及其相关因素。

Prevalence and Associated Factors of Adolescent (15-19 Years) Childbearing in Ghana.

机构信息

Department of Surgery Tamale Teaching Hospital, P.O. Box TL 16, Tamale, Ghana.

Hasbi Research Consultancy, Tamale, Ghana.

出版信息

Biomed Res Int. 2024 Aug 7;2024:3237882. doi: 10.1155/2024/3237882. eCollection 2024.

DOI:10.1155/2024/3237882
PMID:39149697
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11325008/
Abstract

Adolescent pregnancies continue to be a global issue that affects more high-income, middle-income, and then low-income countries, with the latter experiencing the majority of cases. The current study looked into the prevalence and variables predicting adolescent childbearing in Ghana. Data from the Ghana Multiple Indicator Cluster Survey (MICS) 2017-2018 was used to conduct an analytical cross-sectional study. The results were examined with SPSS Version 20 (IBM Corp., 2011, and NY). Pearson's chi-square and binary logistics analyses were done for associations. A value of 0.05 was used to determine the analysis's statistical significance. The total number of adolescents isolated from the 2017 Ghana MICS dataset for this study analysis was 2974. The mean age of the study participants was 16.9 ± 1.4 years with a modal age of 15 years. The prevalence of adolescent childbearing according to this study analysis was 12.3%. The predictive factors for adolescent childbearing were increasing age, decreasing educational level, Volta regional originality, ethnic originality of the study participants, and low economic status. The prevalence of adolescent childbearing in this study was significant and needs the attention of all. Programs to improve adolescent reproductive health must take into account multiple levels of elements, such as the individual, family, community, institutions, national, and international challenges that have an impact on such programs.

摘要

青少年怀孕仍然是一个全球性问题,影响到越来越多的高收入、中等收入和低收入国家,而后者则经历了大多数案例。本研究调查了加纳青少年生育的流行率和预测因素。使用 2017-2018 年加纳多指标类集调查(MICS)的数据进行了分析性横断面研究。使用 SPSS 版本 20(IBM Corp.,2011 年,NY)对结果进行了检查。采用 Pearson's chi-square 和二元逻辑分析来关联。使用 0.05 值来确定分析的统计学意义。从 2017 年加纳 MICS 数据集确定了本研究分析的 2974 名青少年。研究参与者的平均年龄为 16.9 ± 1.4 岁,模态年龄为 15 岁。根据本研究分析,青少年生育的流行率为 12.3%。青少年生育的预测因素是年龄增加、教育水平降低、沃尔特地区的原始性、研究参与者的民族原始性以及经济地位低下。本研究中青少年生育的流行率显著,需要引起所有人的关注。改善青少年生殖健康的计划必须考虑到多个层面的因素,如个体、家庭、社区、机构、国家和国际挑战,这些因素都会对这些计划产生影响。

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本文引用的文献

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Early Sexual Debut among Ghanaian Women: Correlates and Psychological Effect.加纳女性的早期性经历:相关因素和心理影响。
Biomed Res Int. 2021 Sep 14;2021:5838510. doi: 10.1155/2021/5838510. eCollection 2021.
2
Births: Final Data for 2019.出生人数:2019 年最终数据。
Natl Vital Stat Rep. 2021 Apr;70(2):1-51.
3
Contraception for Adolescents.青少年避孕
J Clin Res Pediatr Endocrinol. 2020 Feb 6;12(Suppl 1):28-40. doi: 10.4274/jcrpe.galenos.2019.2019.S0003.
4
Prevalence and determinants of adolescent pregnancy in Africa: a systematic review and Meta-analysis.非洲青少年妊娠的流行情况及决定因素:系统评价和 Meta 分析。
Reprod Health. 2018 Nov 29;15(1):195. doi: 10.1186/s12978-018-0640-2.
5
Child marriage and associated outcomes in northern Ghana: a cross-sectional study.加纳北部的童婚及相关后果:一项横断面研究。
BMC Public Health. 2018 Feb 26;18(1):285. doi: 10.1186/s12889-018-5166-6.
6
The long-term effects of adolescent pregnancies in a community in Northern Ghana on subsequent pregnancies and births of the young mothers.加纳北部社区青少年怀孕对年轻母亲后续怀孕和生育的长期影响。
Reprod Health. 2017 Dec 29;14(1):178. doi: 10.1186/s12978-017-0443-x.
7
Beyond love: a qualitative analysis of factors associated with teenage pregnancy among young women with pregnancy experience in Bolgatanga, Ghana.超越爱:对加纳博尔加坦加有怀孕经历的年轻女性中与少女怀孕相关因素的定性分析。
Cult Health Sex. 2017 Mar;19(3):293-307. doi: 10.1080/13691058.2016.1216167. Epub 2016 Aug 16.
8
Teenage pregnancy: the impact of maternal adolescent childbearing and older sister's teenage pregnancy on a younger sister.青少年怀孕:母亲青春期生育及姐姐青少年怀孕对妹妹的影响
BMC Pregnancy Childbirth. 2016 May 25;16(1):120. doi: 10.1186/s12884-016-0911-2.
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Childbearing in adolescents aged 12-15 years in low resource countries: a neglected issue. New estimates from demographic and household surveys in 42 countries.资源匮乏国家中 12-15 岁青少年的生育问题:一个被忽视的议题。42 个国家的人口与家庭调查提供的新估计数。
Acta Obstet Gynecol Scand. 2012 Sep;91(9):1114-8. doi: 10.1111/j.1600-0412.2012.01467.x. Epub 2012 Jul 12.