青少年懷孕及其相關因素之研究

中山醫學大學機構典藏 CSMUIR > 附設醫院 > 研究計劃 > Item 310902500/2922

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Title:	青少年懷孕及其相關因素之研究 A Study on Adolescent Pregnancy and Its Correlates
Authors:	李孟智;許耕榮;張明正;李啟澤;李淑杏 Lee, Meng-Chih;Hsu, Keng-Jung;Chang, Ming-Chang;Li, Chi-Tse;Lee, Shu-Hsin
Contributors:	中山醫學院附設醫院
Keywords:	青少年;懷孕;病例對照研究 Adolescent;Pregnancy;Case control study
Date:	1999
Issue Date:	2010-11-29T04:34:16Z (UTC)
Abstract:	為探討青少女生育之危險因素,本研究自台中市各區戶政事務所民國86年1月至12月所有出生證明中,選取出生嬰兒的母親年齡小於20歲且屬單胞胎初產婦為病例組,就每一病例自其鄰居中選取同年齡層未生育青少女為對照組,經由問卷訪談獲取兩組在病例組懷孕前當時之基本特性、求學、工作、交友、家庭、不利健康行為、及性行為等資料加以分析。結果顯示;198位合於病例組之青少女中,完成訪視者計162人,故訪視完成率為81.8%。病例組青少女懷孕前之平均年齡為18.7.plmin.1.1歲、其平均受教育年數為10.5.plmin.2.1年、當時仍在求學者僅17.3%、住在原屬家庭者佔58.6%,第一次性行為有避孕者佔20.8%,及男伴很注意避孕者佔19.8%,以上均顯著地低於對照組。而病例組青少女在懷孕前有中輟學者(36.0%)、有被記過者(31.1%)、在校學業成績屬班上後1/3者(23.6%)、曾在特種行業工作過者(27.2%)、家庭功能屬重度障礙者(30.3%)、家庭結構屬單親家庭者(23.5%)、有家庭暴力經驗者(7.3%)、有抽煙者(38.3%)、有喝酒者(31.5%)、有飆車者(13.6%)、及有打架受傷經驗者(8.7%)、均顯著高於對照組。以上變項經多重邏輯迴歸分析,求取調整後勝算比及百分之九十五信賴區間,亦多呈現為青少女生育之顯著危險因子。此外,青少女生育組之生產結果含低出生體重兒(6.2%)、新生兒死亡率(1.2%)、及先天性疾病罹病率(8.6%)均較產自20-29歲生育婦女者為高。本研究所得各項危險因子,可為日後青少女生育或懷孕防制計畫之著力之處。 To determine the risk factors of adolescent childbearing, a total of 198 adolescent mothers with primiparous singleton births as the cases were drawn from all certificates of live births of Taichung City between January and December, 1997, and the age-matched controls were selected from the adolescent neighbors without the experience of childbearing. A self-administered questionnaire was used to collect information about sociodemography, schooling, working, making friends, family, health-risk behaviors, and sexuality. There were 162 cases and 162 controls who completed the questionnaire, a response rate of 81.8%. The results of this study showed that for the cases the average age was 18.7.plmin.1.1 years and the average duration of education received was 10.5.plmin.2.1 years. Among the cases before their pregnancies, the proportion rates of schooling (17.3%), living in home (58.6%), having contraception during their first sexual intercourses (20.8%), and their male partners who very concerned about the contraception (19.8%) were statistically lower than those in the controls. On the other hand, for the cases the proportion rates of interrupted schooling (36.0%), violating school rules (31.1%), poor academic performance (23.6%), working at illegal settings, severe family dysfunction (30.3%), single-parent family (23.5%), family violence (9.3%), smoking (38.3%), drinking (31.5%)), rush riding motorcycle (13.6%), and fighting with hurt (8.7%) were statistically higher than those in the controls. Most of above variables were also defined to be the risk factors for adolescent childbearing by a multiple logistic regression analysis. Infants born to adolescent mothers had a high prevalence of low birth weight (6.2%), neonatal mortality (1.2%), and congenital diseases (8.6%) than those born to mothers aged 20-29 years. The risk factors found by this study should be the targets for related intervention programs in the future.
URI:	https://ir.csmu.edu.tw:8080/handle/310902500/2922
Appears in Collections:	[附設醫院] 研究計劃

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PG88BO-0117.pdf		878Kb	Adobe PDF	297	View/Open
李孟智.pdf	國科會計劃報告書	878Kb	Adobe PDF	816	View/Open

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