重要他人对澳大利亚青少年怀孕决定的影响。

A. Evans
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引用次数: 48

摘要

青少年关于如何解决怀孕问题的决定是在社会、家庭和与伴侣的关系的背景下做出的。然而,人们对这些决定是如何做出的知之甚少,尤其是在澳大利亚。方法:本文使用来自澳大利亚1324名怀孕少女的病例对照研究数据,研究了重要他人的直接和间接影响与少女决定终止或继续怀孕之间的关系。使用双变量分析来探讨妊娠决议与对流产或分娩的直接或间接影响之间的关系。在控制青少年女性背景特征的情况下,采用多因素logistic回归分析对显著他人影响与青少年怀孕决定的关系进行建模。结果报告其伴侣影响其堕胎的青少年选择堕胎的几率显著增加(10.4),而那些伴侣影响其成为母亲的青少年选择堕胎的几率显著降低(0.5)。父母对堕胎或做母亲的直接影响与青少年的决定没有显著关联。然而,母亲是间接影响的重要来源:母亲在青少年时期成为母亲的青少年选择堕胎的几率降低(0.4),而母亲曾经堕胎的青少年选择堕胎的几率增加(2)。1).姐姐曾经堕胎的青少年选择堕胎的几率显著增加(2.4)。结论:虽然大多数年轻女性报告说,在决定继续或终止妊娠时,她们没有受到重要的另一半的直接影响,但决定妊娠的决定往往受到家庭和伴侣的间接影响。这些发现对向这些年轻妇女提供服务的方式具有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The influence of significant others on Australian teenagers' decisions about pregnancy resolution.
CONTEXT Teenagers' decisions about how to resolve a pregnancy are made in the context of a society, a family and a relationship with a partner. Little is known about how such decisions are made, however, particularly in Australia. METHODS The association between the influence--both direct and indirect--of significant others and adolescent women's decisions to terminate or continue a pregnancy is examined here using data from a case-control study on 1,324 pregnant teenagers in Australia. Bivariate analyses were used to explore the association between pregnancy resolution and direct or indirect influence toward abortion or birth. Multivariate logistic regression analyses were used to model the association between significant others' influence and teenagers'pregnancy resolution decisions while controlling for adolescent women's background characteristics. RESULTS Teenagers who reported that their partner influenced them toward abortion had significantly increased odds of choosing abortion (10.4), and those whose partner influenced them toward motherhood had significantly reduced odds of choosing abortion (0.5). Direct influence from parents toward either abortion or motherhood was not significantly associated with teenagers' decisions. Mothers are an important source of indirect influence, however: Teenagers whose mother had become a mother as a teenager had reduced odds of choosing abortion (0.4), and those whose mother had ever had an abortion had increased odds of choosing abortion (2. 1). Teenagers who had a sister who had ever had an abortion had significantly increased odds of choosing abortion (2.4). CONCLUSION While most young women report they were not directly influenced by a significant other in their decision to continue or terminate a pregnancy, pregnancy resolution decisions are affected by families and partners, often indirectly. These findings have important implications for the manner in which services are delivered to these young women.
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