针对农村青少年怀孕:可修改的保护因素和避孕药的使用
Carolyn G Curry1, Devon J Hensel2, Teresa M Imburgia1
1Division of Adolescent Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
概括
在农村地区,更高的性自我效能和父母联系与增加有效的避孕措施的使用有关. 干预措施应支持这些因素,并为青少年提供创伤信息和语言.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 农村卫生 农村卫生
背景情况:
- 农村青少年怀孕是一个重大的公共卫生问题,通常与低避孕药使用有关.
- 现有的青少年避孕研究主要集中在城市人口,在了解农村环境方面存在差距.
- 积极的青年发展框架被用来探索影响农村青少年避孕选择的保护因素.
研究的目的:
- 检查可修改的保护因子和农村环境中青少年的避孕使用之间的联系.
- 确定可以在改善避孕措施使用和减少农村青年意外怀孕的干预措施中准的关键因素.
主要方法:
- 在教育计划之前,对两个农村学校的10年级学生进行了调查.
- 使用避孕措施被分为没有,仅使用避孕套或荷尔蒙避孕.
- 预测因素包括性自我效能,父母联系,语言认同,学校联系和不良童年经历,通过多变量逻辑顺序回归分析.
主要成果:
- 这项研究包括287名青少年,其中52%是女性,48%是拉丁裔,49%是白人.
- 增加的性自我效能和父母联系与使用更有效的避孕方法的更高几率显著相关.
- 更高的语言习惯 (在家里说另一种语言) 与使用有效的避孕方法的几率较低有关;学校联系和不良童年经历并不显著.
结论:
- 促进农村社区避孕的干预措施必须包含可修改的保护因素,如自我有效性和父母联系.
- 未来的干预措施应该是创伤信息和语言可访问,以有效地达到农村青少年人口.
- 解决这些因素可以帮助减少意外怀孕,并改善农村青年的生殖健康结果.
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