影响乌干达布申伊坎帕拉国际大学教学医院就诊少女怀孕的因素

Alal Levi Tema
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摘要

在发达国家和发展中国家,少女怀孕及随后不到 20 岁的女性生育仍然是全球关注的一个主要公共卫生问题,受影响的少女和年轻女性超过 1600 万,估计占全球新生儿总数的 11%。本研究确定了在布塞尼区 KIU-TH 接受产前保健的 13-19 岁少女中少女怀孕的影响因素。本研究采用了横断面研究设计。通过结构化访谈收集定量数据。先检查问卷工具的准确性和数据的完整性,然后对数据进行编码并输入 Epi Info 7 版,再导出到 SPSS 22.0 版进行分析。采用二元逻辑回归模型确定决定因素。利用容差进行了共线性诊断检测,以检查自变量和交互效应之间是否存在共线性。二变量分析中的变量如果 p 值小于 0.2,则考虑进行多变量分析,以调整混杂因素。统计学关联的强度和存在与否由 OR、P 值和 95% 置信区间(95% CI)来评估。P值≤0.05的变量被认为是少女怀孕的重要统计学决定因素。Hosmer-Lemeshow goodness-offit 检验(p = 0.9289)用于评估模型的适宜性。共有 310 名青少年参与了研究,回复率为 100%。大多数(39.7%)青少年的年龄在 16-17 岁之间,超过一半(59.0%)的青少年来自农村地区。研究参与者中少女怀孕的比例为 19.0。在多变量逻辑回归模型中,年龄、居住地、父母婚姻状况、教育程度、月收入、药物滥用、避孕药具使用史、初次性接触年龄和安全性行为意识均具有统计学意义。研究表明,少女怀孕的发生率很高。研究发现,年龄、居住地、父母婚姻状况、教育水平、月收入、药物滥用、避孕药具使用史、初次性接触年龄和安全性行为意识在统计学上有显著关联。关键词少女怀孕 分娩 女孩 婚姻状况 年龄
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors influencing Teenage Pregnancy among Girls attending Kampala International University Teaching Hospital, Bushenyi, Uganda
Teenage pregnancy and subsequent childbirth to women less than 20 years of age continue to be a major global public health concern in both developed and developing countries, affecting more than 16 million girls and young women, or an estimated 11% of all births worldwide. This study determined the factors influencing teenage pregnancy among teenage girls aged 13–19 attending ANC at KIU-TH, Bushenyi District. A cross-sectional study design was employed for this study. Quantitative data was collected using structured interviews. Questionnaire tools were checked for their accuracy and data completeness, then the data was coded and entered into Epi Info version 7, then exported into SPSS version 22.0 for analysis. A binary logistic regression model was used to identify the determinant factors. A collinearity diagnostic test was conducted using tolerance to check for collinearity between independent variables and the interaction effect. Variables in the bivariable analysis having a p-value <0.2 were considered for the multivariate analysis to adjust the confounders. The strength and presence of a statistical association were assessed by the OR, p-value, and 95% confidence interval (95% CI). Variables with a p-value ≤0.05 were considered statistically significant determinants of teenage pregnancy. The Hosmer-Lemeshow goodness-offit test (p = 0.9289) was used to assess the fitness of the model. A total of 310 adolescents were included in the study, with a response rate of 100%. The majority (39.7%) were aged 16–17, and more than half (59.0%) were from rural areas. The proportion of teenage pregnancies among study participants was 19.0. In the multivariate logistic regression model, age, residence, parents’ marital status, level of education, monthly income, substance abuse, history of use of contraceptives, age of first sexual contact, and awareness of safe sex were statistically significant. The study showed a high prevalence of teenage pregnancy. Age, residence, parents’ marital status, level of education, monthly income, substance abuse, history of use of contraceptives, age of first sexual contact, and awareness of safe sex were found to have a statistically significant association. Keywords: Teenage pregnancy, Childbirth, Girls, Marital status, Age.
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