与印度马哈拉施特拉州青少年怀孕相关的因素:一种混合方法研究
Shruti Shukla1, Andrés F Castro Torres2, Rucha Vasumati Satish3
1PhD Candidate and Research Associate, TUM School of Social Sciences and Technology, Technical University of Munich, Munich, Germany.
Sexual and reproductive health matters
|September 15, 2023
概括
印度马哈拉施特拉州的青少年怀孕与社会经济地位,COVID-19的影响和教育水平有关. 关键预测因素包括年龄,婚姻,多个伴侣和经济脆弱性,而农村居住和教育提供了保护.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 人口统计学 人口统计学
背景情况:
- 青少年怀孕是一个关键的全球卫生问题,对15-19岁的孕产妇死亡率做出了重大贡献,并阻碍了可持续发展目标.
- 在南亚,青少年出生率仍然很高,印度每年约有9%的15-19岁女孩怀孕.
研究的目的:
- 确定印度马哈拉施特拉州13-18岁女孩中青少年怀孕的预测因素,特别是在COVID-19大流行背景下.
- 探索社会经济,社会,行为和流行病相关因素对青少年怀孕风险的影响.
主要方法:
- 一种混合方法的方法,结合了定量调查 (n=3049) 和质量深度访谈 (n=7) 与马哈拉施特拉州的青少年女孩.
- 通过面对面采访收集的定量数据评估了家庭,社会,行为因素和COVID-19的影响.
- 从主题上分析定性数据,以了解导致青少年怀孕的途径.
主要成果:
- 来自低社会经济背景的女孩,年长的女孩,已婚的女孩,多个性伴侣和经历了COVID-19相关的经济脆弱性,青少年怀孕的风险更高.
- 相反,农村居住,中学/高中教育和更高的母亲教育与青少年怀孕的可能性降低有关.
- 伴侣的情绪虐待也与伴侣女孩更高的青少年怀孕率相关. 定性发现强调经济困难,早婚,安全问题,社会规范和避孕知识差距是关键途径.
结论:
- 社会经济地位,行为因素和外部冲击,如COVID-19大流行,显著预测了马哈拉施特拉州的青少年怀孕.
- 干预措施应解决经济差距,促进教育,挑战社会规范,改善避孕措施的获取,并加强青少年女孩的个人安全.
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