多米尼加共和国早期青少年怀孕的隐形问题:描述性分析
Elena González-Rodríguez1,2, Ángel Gil de Miguel3, Raúl Bravo-Infantes1,2
1Master of Tropical Medicine and Develop Cooperation, Rey Juan Carlos University, Madrid, Spain.
Preventive medicine reports
|June 7, 2024
概括
在多米尼加共和国,在2001年至2021年期间,15岁以下女孩的怀孕率下降. 建议使用一个新的指标,即预估青春期早期怀孕率 (ERPEA),以更好地追踪这个问题及其对健康的影响.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 青少年健康 青少年健康
背景情况:
- 童年怀孕对母亲和孩子都有很大的风险,包括低出生体重.
- 传统的生育率指标可能会低估特定年龄组的怀孕情况,特别是青少年.
- 多米尼加共和国在准确测量和处理青少年怀孕方面面临挑战.
研究的目的:
- 描述从2000年到2021年多米尼加共和国15岁以下女孩怀孕的问题.
- 开发和提出一个特定的指标来跟踪这个年龄段的怀孕.
- 确定与早期青少年怀孕相关的因素和后果.
主要方法:
- 一项探索性生态研究,利用来自国家统计局和公共卫生部的二次数据.
- 计算青春期早期的生育率和怀孕率.
- 确定因素和健康后果的分析,包括根据残疾调整的寿命年 (DALYs) 和失去了生命年 (YLL).
主要成果:
- 在2001-2021年期间,青春期早期的生育率 (FREA) 从每千人中的6.27下降到1.04
- 在2015-2021年,早期青春期怀孕的平均估计率 (ERPEA) 为3.39.
- 在15岁以下群体中,低出生体重 (LBW) 的患病率为14.2%,DALY为11,620年,YLL为9,665.9年.
结论:
- 童年怀孕与低出生体重等不良结果有关.
- 官方的生育率被严重低估,需要更准确的测量.
- 建议提出ERPEA指标,以更好地监测青少年怀孕和实现可持续发展目标3.7.2.2.的进展.
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