Amenu Mekdes, Tediso Dansamo, Feleke Tihun, Fantahun Selam, Woldesemayat Endrias Markos
Hula Woreda Health Office, Hula Woreda, Eastern Sidama Zone, Sidama Region, Ethiopia.
Department of public Health, Hawassa College of Health Sciences, Hawassa, Sidama Region, Ethiopia.
Front Reprod Health. 2024 Sep 6;6:1367436. doi: 10.3389/frph.2024.1367436. eCollection 2024.
Teenage pregnancy causes serious health, social, and economic consequences, with 95% occurring in developing countries. A significant number of girls start childbearing at an early age in Ethiopia, which contributes to high infant and maternal morbidity and mortality. However, the information on teenage pregnancy and related variables is limited in the study area.
To assess the prevalence of teenage pregnancy and its associated factors among teenage females in the Hula District, Sidama, Ethiopia.
A community-based cross-sectional study was employed among 518 teenagers, randomly selected between 15 February and 15 March 2023. An interviewer-administered questionnaire was used for data collection. Bivariate and multivariate logistic regression analyses were applied to assess the relationship under study.
Living in rural areas compared to urban [adjusted odds ratio (AOR) = 3.90; 95% confidence interval (CI): 1.30-11.3], lack of awareness about family planning methods (AOR = 5.90; 95% CI: 1.60-22.24), unfamiliarity with the availability of family planning services (AOR = 3.20; 95% CI: 1.08-9.24), and inadequate communication about sexual issues with parents (AOR = 3.61; 95% CI: 1.14-11.56) were independently associated with teenage pregnancy.
The prevalence of teenage pregnancies in the Hula District was high. Factors such as residing in rural areas, limited access to information on family planning methods and services, as well as a lack of open discussions about sexual health were associated with teenage pregnancy.
青少年怀孕会导致严重的健康、社会和经济后果，其中95%发生在发展中国家。在埃塞俄比亚，大量女孩在早年开始生育，这导致婴儿和孕产妇的发病率和死亡率居高不下。然而，在研究区域，关于青少年怀孕及相关变量的信息有限。
评估埃塞俄比亚锡达马胡拉区青少年女性中青少年怀孕的患病率及其相关因素。
2023年2月15日至3月15日期间，对518名青少年进行了一项基于社区的横断面研究，这些青少年是随机选取的。采用访谈式问卷进行数据收集。应用二元和多元逻辑回归分析来评估所研究的关系。
与城市地区相比，居住在农村地区[调整后的优势比（AOR）=3.90；95%置信区间（CI）：1.30 - 11.3]、对计划生育方法缺乏认识（AOR = 5.90；95% CI：1.60 - 22.24）、不了解计划生育服务的可获得性（AOR = 3.20；95% CI：1.08 - 9.24）以及与父母就性问题沟通不足（AOR = 3.61；95% CI：1.14 - 11.56）与青少年怀孕独立相关。
胡拉区青少年怀孕的患病率很高。居住在农村地区、获取计划生育方法和服务信息有限以及缺乏关于性健康的公开讨论等因素与青少年怀孕有关。
