影响越南未婚青年意外怀孕和堕胎的因素:文献回顾。

Tap chi y te cong cong Pub Date : 2015-12-01
Nguyen Thi Vinh, Pham Cong Tuan
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摘要

未婚青年的意外怀孕和堕胎是越南的公共卫生问题。本综述旨在利用已发表和未发表的文献分析影响未婚青年意外怀孕和流产的因素。以生态模型为概念框架,分五个层次进行分析。个人因素包括女性对婚前性行为的宽容态度和做法增加、避孕知识缺乏以及自我效能感低下。人际关系因素包括伴侣之间、父母与青少年之间在性相关问题上缺乏沟通,以及同龄人的影响。组织方面的因素包括对青少年的性教育和性健康与生殖健康服务不足。背景因素包括性别不平等、文化规范和移民。最后一个层面是缺乏单独的青少年性健康和生殖健康政策。调查结果指出了未婚青年意外怀孕和堕胎的四个主要决定因素,包括:1)文化规范,认为婚前性行为是一种禁忌;2)学校性教育缺失,性教育质量不足;3)缺乏适合青少年的性健康与健康服务;4)没有针对青少年性健康和生殖健康的单独政策。
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 UNINTENDED PREGNANCY AND ABORTION AMONG UNMARRIED YOUTH IN VIETNAM: A LITERATURE REVIEW.

FACTORS INFLUENCING UNINTENDED PREGNANCY AND ABORTION AMONG UNMARRIED YOUTH IN VIETNAM: A LITERATURE REVIEW.

FACTORS INFLUENCING UNINTENDED PREGNANCY AND ABORTION AMONG UNMARRIED YOUTH IN VIETNAM: A LITERATURE REVIEW.

Unintended pregnancy and abortion among unmarried youths arepublic health issues in Vietnam. This review aims to analyse factors influencing unintended pregnancy and abortion among unmarried youths using published and unpublished literatures. An ecological model was used as the conceptual framework with five levels of factors to guide the analysis. The intrapersonal factors include increasing permissive attitudes and practices of premarital sex, lack of knowledge on contraception, andlow self-efficacy among females. The interpersonal factors include poor communication among partners and between parents and youths on sexuality-related issues, and peer-influence. The organizational factors include inadequate sexuality education and sexual and reproductive health (SRH) services for youths. The contextual factors include gender inequality, cultural norms, and migration. The final level is lack of separate policy on youth SRH. The findings point out four major determinants of unintended pregnancy and abortion among unmarried youths, including: 1) cultural norms, which consider premarital sex is a taboo; 2) lack and inadequate quality of sexuality education in the schools; 3) lack of youth-friendly SRH services; and 4) no separate policy addressing youth SRH.

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