与北乌干达帕拉贝克难民营难民青少年怀孕相关的因素。
Factors associated with teenage pregnancy among refugees in Palabek refugee settlement, Northern Uganda.
机构信息
Faculty of Public Health, Department of Community Health, Lira University, Lira City, Uganda.
Faculty of Public Health, Department of Environmental Health, Lira University, Lira City, Uganda.
出版信息
BMC Pregnancy Childbirth. 2024 Oct 29;24(1):708. doi: 10.1186/s12884-024-06909-x.
BACKGROUND
Globally, teenage pregnancy is a public health problem. Low- and middle-income countries in the Sub-Saharan region are more affected with teenage pregnancy. It is worse with teenage girls who have other vulnerabilities like living in refugee camps. However, there is little information about teenage pregnancy in refugee camps especially in resource limited areas like Northern Uganda.
OBJECTIVE
To determine the prevalence and the factors associated with teenage pregnancy among refugees in Palabek refugee settlement, Northern Uganda.
METHODS
This was a cross-sectional study conducted among teenage girls in Palabek refugee settlement in Northern Uganda. The study estimated a total sample size of 316 teenage girls and they were sampled using systematic random sampling. Data was collected using researcher administered questionnaire. Conditional logistics regression was employed to identify the associated factors for teenage pregnancy.
RESULTS
A total of 306 teenagers participated in the study with a response rate of 98.6%. The study showed that the prevalence of teenage pregnancy among teenage girls in Palabek refugee settlement, Northern Uganda was 41.2%. The factors associated with teenage pregnancy among teenage girls in Palabek refugee settlement included: being in the 15-19 years age group (AOR = 6.3, 95%CI: 1.8-22.8), not being in school (AOR = 5, 95%CI: 2.3-10.9), not being married (AOR = 0.2, 95%CI: 0.1-0.5), delayed sexual debut (AOR = 2.4, 95%CI: 1.1-5.5), having multiple sexual partners (AOR = 0.3, 95% CI: 0.1-0.7), alcohol use (AOR = 6.7, 95%CI: 2.2-18.4), being aware of sexual reproductive health services (AOR = 0.4, 95%CI: 0.2-0.9), and having divorced families (AOR = 2.4, 95% CI: 1.2-4.9).
CONCLUSION
Study results reveal that 4 in 10 teenage girls in Palabek, Northern Uganda, are pregnant, influenced by individual, community, and health system factors. This highlights vulnerabilities in refugee camps, urging prioritization of sexual and reproductive health for adolescent girls in refugee camps.
背景
在全球范围内，青少年怀孕是一个公共卫生问题。撒哈拉以南非洲地区的中低收入国家受青少年怀孕问题的影响更为严重，而生活在难民营中的青少年少女除了这一问题之外，还面临着更多的脆弱性。然而，关于难民营中的青少年怀孕问题，特别是在资源有限的乌干达北部地区，相关信息却很少。
目的
在乌干达北部的帕拉贝克难民营中，确定难民少女怀孕的流行率及其相关因素。
方法
这是一项在乌干达北部帕拉贝克难民营中的少女中进行的横断面研究。该研究估计了 316 名少女的总样本量，并使用系统随机抽样进行了抽样。数据通过研究者管理的问卷收集。条件逻辑回归用于确定青少年怀孕的相关因素。
结果
共有 306 名青少年参加了这项研究，响应率为 98.6%。研究表明，乌干达北部帕拉贝克难民营中少女怀孕的流行率为 41.2%。与帕拉贝克难民营中少女怀孕相关的因素包括：年龄在 15-19 岁之间（比值比（AOR）= 6.3，95%置信区间（CI）：1.8-22.8）、不在校（AOR=5，95%CI：2.3-10.9）、未婚（AOR=0.2，95%CI：0.1-0.5）、性初潮延迟（AOR=2.4，95%CI：1.1-5.5）、有多个性伴侣（AOR=0.3，95%CI：0.1-0.7）、饮酒（AOR=6.7，95%CI：2.2-18.4）、了解性生殖健康服务（AOR=0.4，95%CI：0.2-0.9）和来自离异家庭（AOR=2.4，95%CI：1.2-4.9）。
结论
研究结果表明，乌干达北部帕拉贝克有 40%的少女怀孕，这受到个人、社区和卫生系统因素的影响。这突显了难民营中的脆弱性，呼吁优先考虑难民营中少女的性和生殖健康。
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