孟加拉国妇女青少年婚内怀孕的决定因素:cox比例风险模型分析

IF 5 Q1 PSYCHIATRY
M. Sarder, Sharlene Alauddin, Benojir Ahammed
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引用次数: 5

摘要

青少年婚内怀孕是造成母亲和儿童复杂和危及生命的健康问题的一个关键问题。本研究旨在确定导致孟加拉国少女怀孕的各种人口、社会经济和空间因素。方法:本研究使用2014年孟加拉国人口与健康调查数据。4608名青少年(年龄<20岁)已婚妇女被纳入分析。Kaplan Meier产品极限法用于估计青少年怀孕的平均值和中位数,log-rank检验用于检验两个(或多个)组是否相等。最后,采用Cox比例风险模型确定少女怀孕的危险因素。结果:在参与者中,大约90%的人经历过少女怀孕。青少年怀孕的平均(±标准差)年龄为17.7(±2.79)岁。在人口和社会经济因素中,妇女及其丈夫受教育程度较低、财富指数最低、伊斯兰信仰、失业和无法接触大众媒体是与少女怀孕相关的危险因素。此外,从空间变量来看,居住在Rangpur地区和农村地区也有较高的青少年怀孕几率。结论:政府应采取不同的保护和预防措施,减少早婚和早孕,包括提高女性入学率和教育完成率,鼓励女性就业机会,通过财政支持和技术技能发展提高妇女财富指数,并在个人和社区层面加强利用宗教文本和知识在人群中的计划生育利用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Determinants of teenage marital pregnancy among bangladeshi women: An analysis by the cox proportional hazard model
Introduction: Teenage marital pregnancy is a critical issue responsible for complex and life threatening health problems of both mother and children. This study aimed to determine various demographic, socioeconomic, and spatial factors responsible for teenage pregnancy in Bangladesh. Methods: This study used Bangladesh Demographic and Health Survey 2014 data. A sample of 4,608 teenage (age<20years) married women were included in the analysis. Kaplan Meier Product Limit approach was used to estimate the mean and median teenage pregnancy, and the log-rank test was used to test whether two (or more) groups were equal or not. Finally, Cox proportional hazard model was used to determine the risk factors of teenage pregnancy. Results: Among participants, approximately 90% had experienced teenage pregnancy. The mean (±standard deviation) age of the teenage pregnancy was 17.7 (±2.79) years. Among the demographic and socioeconomic factors, women's and their husband's lower education, lowest wealth index, Islamic faith, unemployment, and no access to mass media were the risk factors associated with the teenage pregnancy. Furthermore, spatial variables, residence in Rangpur division, and rural areas also had higher odds of getting pregnant at teenage. Conclusion: Government should initiate different protective and preventive measures to minimize early marriage and pregnancy, including improvement of female enrolment and completion rate of education, encouragement of female employment opportunities to increase wealth index for women through financial support and technical skill development, and reinforcement family planning utilization using religious texts and knowledge among people at individual and community levels.
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来源期刊
Asian Journal of Social Health and Behavior
Asian Journal of Social Health and Behavior Social Sciences-Health (social science)
CiteScore
8.50
自引率
0.00%
发文量
18
审稿时长
17 weeks
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