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青少年怀孕在尼日利亚持续:家庭主人的年龄是否重要?
Christian Otado Mbulu1, Li Yang1, Gwenyth R Wallen1
1Department of Health and Human Services, National Institutes of Health, Clinical Center, Translational Biobehavioral and Health Disparities Branch, Bethesda, Maryland, United States America.
PLOS global public health
|May 15, 2024
概括
尼日利亚年轻的男性家庭主管与更高的青少年怀孕风险有关,特别是在农村地区. 干预措施应考虑社会生态因素,以制定有效的预防策略.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 社会学 社会学 社会学
背景情况:
- 青少年怀孕对全球健康构成重大挑战,发展中国家每年约有70万人死亡.
- 尼日利亚持续的青少年怀孕需要了解近邻因素对这个人口群体的影响.
- 家长的特点是青少年怀孕动态中至关重要的,但尚未被探索的近位因素.
研究的目的:
- 调查家庭主管年龄与性别以及尼日利亚青少年怀孕之间的关联.
- 确定特定的家庭主管人口统计数据是否是2013年至2018年间青少年怀孕的风险因素.
主要方法:
- 这是一项采用2018年尼日利亚人口和健康调查 (NDHS) 数据的横截面研究.
- 分析包括8448名在研究期间怀孕的青少年女孩.
- 使用多重逻辑回归来评估家庭主管年龄/性别和青少年怀孕之间的关联.
主要成果:
- 与同一个年龄组的女性主管相比,45岁以上的男性家庭主管的女孩在青春期怀孕的几率较低 (OR = 0.619).
- 年轻的男性家庭主管 (15-24,25-34,35-44) 与年长的女性家庭主管相比,青少年怀孕的几率明显更高.
- 与45岁以上的家庭主管相比,15-24岁和25-34岁的家庭主管的青少年怀孕风险更高.
- 农村地区的女孩与年轻的家庭主管面临更高的青少年怀孕的风险.
结论:
- 家长的年龄和性别是影响尼日利亚青少年怀孕的关键因素.
- 年轻的男性家庭主管,特别是在农村地区,代表了青少年怀孕的高风险群体.
- 干预措施必须采用社会生态方法,考虑多层次因素,以有效解决青少年怀孕问题.
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