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乌干达阿帕克地区13 - 19岁女孩的青少年怀孕及其相关因素:一项基于社区的横断面研究

Teenage Pregnancy and Its Associated Factors Among Girls Aged 13-19 Years in Apac District, Uganda: A Community-Based Cross-Sectional Study.

作者信息

Faith Ewach Gracious, Ikwara Emmanuel Asher, Marvin Musinguzi, Isiko Isaac

机构信息

Department of Environmental Health and Disease Control, Faculty of Public Health Lira University Lira Uganda.

Department of Public Health and Nutrition, Faculty of Health Sciences Victoria University Kampala Uganda.

出版信息

Health Sci Rep. 2025 Feb 16;8(2):e70471. doi: 10.1002/hsr2.70471. eCollection 2025 Feb.

Abstract

BACKGROUND

This study examined teenage pregnancy among girls aged 13-19 years in Apac District, Uganda, focusing on socioeconomic, cultural, and behavioral factors. It aimed to identify prevalence and key contributors to inform targeted interventions and improve adolescent reproductive health.

METHODS

This study employed a descriptive cross-sectional design in Apac District, Uganda. It surveyed 432 teenage girls (13-19) using structured questionnaires to examine sociodemographic, behavioral, and sociocultural factors affecting teenage pregnancy. Data analysis was conducted in Excel and SPSS.

RESULTS

This study identified critical factors influencing teenage pregnancy among girls aged 13-19. A striking 84.1% of pregnant adolescents are aged 13-14, demonstrating age as a primary risk factor. Educational disparities emerge, with no formal education significantly lowering pregnancy odds (AOR: 0.16, CI: 0.03-0.80). Conversely, higher parental education correlates with increased risk (AOR: 3.50, CI: 1.50-8.15). Cultural influences are notable; Muslim (AOR: 4.60, CI: 1.56-13.58) and Protestant affiliations (AOR: 2.09, CI: 1.08-4.09) elevate risks, while early marriage (AOR: 7.57, CI: 3.44-16.64) and schooling challenges (AOR: 6.97, CI: 3.18-15.31) further exacerbate vulnerability.

CONCLUSION

This study highlights the critical factors contributing to teenage pregnancy in Apac District, Uganda, including younger age, educational disparities, and cultural affiliations. Early marriage and schooling challenges also increase vulnerability, emphasizing the need for targeted interventions to improve maternal health outcomes.

摘要

背景

本研究调查了乌干达阿帕克区13至19岁女孩的少女怀孕情况,重点关注社会经济、文化和行为因素。其目的是确定患病率和关键影响因素,为有针对性的干预措施提供依据,并改善青少年生殖健康。

方法

本研究在乌干达阿帕克区采用描述性横断面设计。通过结构化问卷对432名13至19岁的少女进行调查,以研究影响少女怀孕的社会人口学、行为和社会文化因素。数据分析在Excel和SPSS中进行。

结果

本研究确定了影响13至19岁女孩少女怀孕的关键因素。令人震惊的是,84.1%的怀孕青少年年龄在13至14岁,这表明年龄是一个主要风险因素。出现了教育差异,未接受过正规教育显著降低了怀孕几率(调整后比值比:0.16,置信区间:0.03 - 0.80)。相反,父母教育程度较高与风险增加相关(调整后比值比:3.50,置信区间:1.50 - 8.15)。文化影响显著;穆斯林(调整后比值比:4.60,置信区间:1.56 - 13.58)和新教信仰(调整后比值比:2.09,置信区间:1.08 - 4.09)会增加风险,而早婚(调整后比值比:7.57,置信区间:3.44 - 16.64)和上学困难(调整后比值比:6.97,置信区间:3.18 - 15.31)会进一步加剧脆弱性。

结论

本研究突出了乌干达阿帕克区少女怀孕的关键因素,包括年龄较小、教育差异和文化信仰。早婚和上学困难也增加了脆弱性,强调需要采取有针对性的干预措施来改善孕产妇健康结果。

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