Factors associated with adolescent school girl's pregnancy in Kumbo East Health District North West region Cameroon
Factors associated with adolescent school girl's pregnancy in Kumbo East Health District North West region Cameroon
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DOI：
10.11604/pamj.2018.31.138.16888
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发表时间：
2018-10-25
影响因子：
1.2
通讯作者：
Cumber, Samuel Nambile
中科院分区：
文献类型：
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作者：
Donatus, Layu;Sama, Dohbit Julius;Cumber, Samuel Nambile
导言：少女怀孕是喀麦隆的一个社会问题，尤其是在东昆博。这对少女母亲、家庭和整个社会造成了生理、心理和社会经济后果。尽管已经和正在进行研究和采取干预措施，但昆博东卫生区的少女意外怀孕率仍然很高，这表明需要作出更多努力，以采取有效的预防措施。本研究的目的是确定相关因素与青春期女学生的怀孕在Kumbo东卫生区。研究方法：本研究采横断面描述性研究设计，并以简单随机抽样技术，选取293位15至19岁的受访者。选定了地区医院、产前诊所和保健中心。数据来自292名20岁以下的参与者，他们愿意使用通过面对面访谈进行的问卷。结果如下：研究表明，在Kumbo East卫生区抽样的产前检查诊所中，少女怀孕的发生率很高（60.75%），这是由于对与女学生怀孕有关的因素考虑不足。这项研究表明，少女初次怀孕的年龄、避孕药具使用率低、社会经济地位和身体暴力是与少女怀孕密切相关的因素。导致避孕药具使用率低的原因包括：性活动、缺乏知识、害怕副作用，包括不育、避孕套在子宫内消失以及与性伴侣的权力不平等。这项研究表明，青少年主要从学校（53%）和亲戚（20%）获得信息。结论：单独使用避孕药具可能不会减少少女怀孕，但是，双重方法非常有效，但解决贫困对青少年的影响，增强他们的权利和信息，以便做出正确的选择，是非常重要的。
Introduction: Teenage pregnancy is a social problem in Cameroon in general and in Kumbo East in particular. This results in physical, psychological and socio-economic consequences on the teenage mother, family and the society as a whole. In spite of studies and interventions that have been and are being implemented, the prevalence of unplanned teenage pregnancy in Kumbo East Health District is still high, suggesting that more efforts are required to achieve effective preventive measures. The aim of this study was to determine factors associated with adolescent school girl's pregnancy in Kumbo East health district. Methods: A cross-sectional descriptive study design was used and a simple random sampling technique was used to select 293 respondents aged 15 to 19year. The district hospital antenatal clinics and the Health Centres were selected. Data was obtained from 292 participants under the age of 20 years who were willing using a questionnaire administered through face-to-face interviews. Results: The study show a high prevalence (60.75%) of teenage pregnancy in the sampled antenatal clinics of Kumbo East Health District attributable to inadequate considerations given to factors associated with school girl's pregnancy. This study has indicated that the age of teenager at first pregnancy, low contraceptive use, socio-economic status and physical violence are factors that are greatly associated with teenage pregnancy. Among the reasons contributing to the low use of contraceptives are: sexually activity, lack of knowledge, fear of side effects, including sterility, condoms disappearing in the womb and inequality of power with sexual partners. This study shows that teenagers obtain information mainly from school (53%) and relatives (20%). Conclusion: The use of contraceptive alone may not reduce teenage pregnancy, however double method is very effective but addressing the impact of poverty on teenagers, empowering them on their rights and information in order to make right choices is very important.