Unintended pregnancy and women's psychological well-being in Indonesia
Unintended pregnancy and women's psychological well-being in Indonesia
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DOI：
10.1017/s0021932003006321
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发表时间：
2004-09-01
影响因子：
1.5
通讯作者：
Hull, TH
中科院分区：
文献类型：
--
作者：
Hardee, K;Egglestont, E;Hull, TH
很少有研究探讨意外怀孕对发展中国家妇女的影响。本文探讨了意外怀孕对印度尼西亚妇女的心理健康的影响。据推测，经历意外怀孕与较低的心理健康有关，计划生育和小家庭规模与较高的心理健康水平有关。数据来自1996年对印度尼西亚楠榜和南苏门答腊两省796名15-49岁妇女的调查。这篇文章的重点是71%的妇女（n=562）谁回答了所有41个调查项目有关的心理健康。在聚类分析中，妇女被分为三组，根据她们在通过因素分析确定的四个幸福量表上的得分进行区分（一般负面情绪、对关系的满意度、对经济/家庭/个人条件的满意度和对家庭问题的负面情绪）。第3组妇女的主要特点是心理健康水平高。第1组妇女的福祉水平最低，第2组妇女的福祉水平居中。多项逻辑回归被用来联合评估意外怀孕，避孕药具的使用，孩子的数量和其他因素对妇女的心理健康水平的影响。意外怀孕与心理健康水平较低有关，避孕药具的使用与心理健康水平较高有关，而孩子的数量与健康水平无关。经历过意外怀孕的妇女不太可能属于高心理社会健康集群，而不是中等和低集群。此外，使用避孕药具的妇女更有可能被归类为高幸福群组，而不是低或中等幸福群组。
Few studies have examined the impact of unintended pregnancy on women in developing countries. This paper examines the impact of unintended pregnancy on Indonesian women's psychological well-being. It is hypothesized that experiencing unintended pregnancy is associated with lower psychological well-being and that use of family planning and small family size are associated with higher levels of psychological well-being. Data are drawn from a 1996 survey of 796 women aged 15-49 from two Indonesian provinces, Lampung and South Sumatra. This article focuses on the 71% of women (n=562) who answered all 41 survey items related to psychological well-being. In cluster analysis, women grouped into three clusters, differentiated by their scores on four scales of well-being established through factor analysis (general negative feelings, satisfaction with relationships, satisfaction with economic/family/personal conditions, and negative feelings regarding domestic issues). Women in cluster 3 were characterized mainly by their high level of psychological well-being. Women in cluster 1 had the lowest level of well-being, and women in cluster 2 were in the middle. Multinomial logistic regression was used to assess jointly the effect of unintended pregnancy, contraceptive use, number of children and other factors on a woman's level of psychological well-being. Unintended pregnancy was associated with lower levels of psychological well-being and contraceptive use was associated with higher levels of psychological well-being, while number of children was not associated with level of well-being. Women who had experienced an unintended pregnancy were less likely to be in the high psychosocial wellbeing cluster versus both the medium and low clusters. In addition, women using contraception were more likely to be classified in the high than in the low or medium well-being clusters.