{"title":"加纳意外怀孕的患病率及其相关因素:2014年加纳人口与健康调查分析","authors":"Edward Kwabena Ameyaw","doi":"10.1186/s40748-018-0085-1","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Unintended pregnancies increase levels of stress, adoption of risky behaviours and impact on women's general quality of life. In Ghana, in spite of the paucity of literature on unintended pregnancies, the phenomenon is high especially among women in the early years of their reproductive health. This study therefore sought to investigate the prevalence and correlates of unintended pregnancies in Ghana.</p><p><strong>Methods: </strong>This study made use of data from the 2014 Ghana Demographic and Health Survey. Descriptive statistics were conducted whereby prevalence of unintended pregnancy was presented in proportions. This was followed by binary logistic regression to investigate correlates associated with unintended pregnancy.</p><p><strong>Results: </strong>Descriptively, unintended pregnancies were high among women aged 15-19 years (69.4%), unmarried women (45.1%) and non-working women (40.0%). Factors found to be associated with the phenomenon were age, parity and level of education. The binary logistic regression revealed that women in middle wealth category were 1.42 times more probable of having unintended pregnancy than poor women whilst rich women were less likely to experience unintended pregnancy [OR = 0.89, CI = 0.35-0.79] as compared to poor women. Again, urban women were more likely to experience unintended pregnancies as compared rural women [OR = 1.39, CI = 0.86-1.95].</p><p><strong>Conclusion: </strong>The study has indicated that specific interventions must be targeted at different categories of women. The Reproductive and Child Health unit of the Ghana Health Service ought to collaborate with non-governmental organisations to intensify access to well-tailored family planning services among adolescents and young women, women out of marriage and the non-working category.</p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2018-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40748-018-0085-1","citationCount":"34","resultStr":"{\"title\":\"Prevalence and correlates of unintended pregnancy in Ghana: Analysis of 2014 Ghana Demographic and Health Survey.\",\"authors\":\"Edward Kwabena Ameyaw\",\"doi\":\"10.1186/s40748-018-0085-1\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Unintended pregnancies increase levels of stress, adoption of risky behaviours and impact on women's general quality of life. In Ghana, in spite of the paucity of literature on unintended pregnancies, the phenomenon is high especially among women in the early years of their reproductive health. This study therefore sought to investigate the prevalence and correlates of unintended pregnancies in Ghana.</p><p><strong>Methods: </strong>This study made use of data from the 2014 Ghana Demographic and Health Survey. Descriptive statistics were conducted whereby prevalence of unintended pregnancy was presented in proportions. This was followed by binary logistic regression to investigate correlates associated with unintended pregnancy.</p><p><strong>Results: </strong>Descriptively, unintended pregnancies were high among women aged 15-19 years (69.4%), unmarried women (45.1%) and non-working women (40.0%). Factors found to be associated with the phenomenon were age, parity and level of education. The binary logistic regression revealed that women in middle wealth category were 1.42 times more probable of having unintended pregnancy than poor women whilst rich women were less likely to experience unintended pregnancy [OR = 0.89, CI = 0.35-0.79] as compared to poor women. Again, urban women were more likely to experience unintended pregnancies as compared rural women [OR = 1.39, CI = 0.86-1.95].</p><p><strong>Conclusion: </strong>The study has indicated that specific interventions must be targeted at different categories of women. The Reproductive and Child Health unit of the Ghana Health Service ought to collaborate with non-governmental organisations to intensify access to well-tailored family planning services among adolescents and young women, women out of marriage and the non-working category.</p>\",\"PeriodicalId\":74120,\"journal\":{\"name\":\"Maternal health, neonatology and perinatology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2018-09-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1186/s40748-018-0085-1\",\"citationCount\":\"34\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Maternal health, neonatology and perinatology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1186/s40748-018-0085-1\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2018/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Maternal health, neonatology and perinatology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s40748-018-0085-1","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2018/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 34
摘要
背景:意外怀孕增加压力水平,采取危险行为并影响妇女的总体生活质量。在加纳,尽管关于意外怀孕的文献很少,但这种现象很高,特别是在生殖健康初期的妇女中。因此,本研究旨在调查加纳意外怀孕的患病率及其相关因素。方法:本研究利用2014年加纳人口与健康调查数据。进行了描述性统计,其中意外怀孕的流行率按比例呈现。随后进行了二元逻辑回归,以调查与意外怀孕相关的因素。结果:15-19岁女性意外妊娠发生率较高(69.4%),未婚女性意外妊娠发生率较高(45.1%),非工作女性意外妊娠发生率较高(40.0%)。与这一现象相关的因素有年龄、性别平等和教育水平。二元logistic回归显示,中等财富女性意外怀孕的可能性是贫困女性的1.42倍,而富裕女性意外怀孕的可能性比贫困女性低[OR = 0.89, CI = 0.35-0.79]。同样,与农村妇女相比,城市妇女更有可能经历意外怀孕[OR = 1.39, CI = 0.86-1.95]。结论:研究表明,具体的干预措施必须针对不同类别的妇女。加纳卫生服务局的生殖和儿童保健股应与非政府组织合作,加强青少年和年轻妇女、未婚妇女和非工作妇女获得量身定制的计划生育服务的机会。
Prevalence and correlates of unintended pregnancy in Ghana: Analysis of 2014 Ghana Demographic and Health Survey.
Background: Unintended pregnancies increase levels of stress, adoption of risky behaviours and impact on women's general quality of life. In Ghana, in spite of the paucity of literature on unintended pregnancies, the phenomenon is high especially among women in the early years of their reproductive health. This study therefore sought to investigate the prevalence and correlates of unintended pregnancies in Ghana.
Methods: This study made use of data from the 2014 Ghana Demographic and Health Survey. Descriptive statistics were conducted whereby prevalence of unintended pregnancy was presented in proportions. This was followed by binary logistic regression to investigate correlates associated with unintended pregnancy.
Results: Descriptively, unintended pregnancies were high among women aged 15-19 years (69.4%), unmarried women (45.1%) and non-working women (40.0%). Factors found to be associated with the phenomenon were age, parity and level of education. The binary logistic regression revealed that women in middle wealth category were 1.42 times more probable of having unintended pregnancy than poor women whilst rich women were less likely to experience unintended pregnancy [OR = 0.89, CI = 0.35-0.79] as compared to poor women. Again, urban women were more likely to experience unintended pregnancies as compared rural women [OR = 1.39, CI = 0.86-1.95].
Conclusion: The study has indicated that specific interventions must be targeted at different categories of women. The Reproductive and Child Health unit of the Ghana Health Service ought to collaborate with non-governmental organisations to intensify access to well-tailored family planning services among adolescents and young women, women out of marriage and the non-working category.