Risk Factors for Adolescent Pregnancy in Bali: Case Control Study

2016 ◽  
pp. 201
Author(s):  
Dewi Aprelia Meriyani ◽  
D.P. Yuli Kurniati ◽  
P.P. Januraga
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Primary Health Care ◽  
Adolescent Pregnancy ◽  
Family Income ◽  
Negative Influence ◽  
Case Control ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Health Care Centers

Background and purpose: Adolescents pregnancy is a public health problem in Indonesia. The 2012 Demographic and Health Survey Indonesia showed that 9.5% women age 15-19 years had given birth. The aims of this study was to identify risk factors associated with adolescent pregnancy.Methods: The study was conducted in Kintamani District, Bangli, Bali Province. Design of the study was case control with a total of 96 respondents. The cases were 32 pregnant woman age <20 years and the controls were 64 non married and non pregnant woman age <20 years. The cases were taken from register of pregnant women in Kintamani I and VI primary health care centers. The controls were randomly taken from a list of women in the youth group at the same working area of both primary health care centers. The data collection was conducted by interview in the house of each respondent. The data were analyzed using bivariate (chi square test) and multivariate logistic regression.Results: Risk factors that found associated with adolescents pregnancy were respondents with peer negative influence (AOR=71.6; 95%CI: 9.4-545.2), respondents who had opportunity to have sexual relationship (AOR=17.7: 95%CI: 3.2-98.2), lack of knowledge about reproductive health and adolescent pregnancy (AOR=12.8; 95%CI: 2.5-66.5) and higher family income (AOR=5.8: 95%CI: 1.3-26.6). Level of education and exposure to pornography was not significantly found associated with adolescent pregnancy.Conclusion: The negative influence with their peers, opportunity to have sexual intercourse, lack of knowledge and higher family income were found as risk factors of adolescents pregnancy.

scholarly journals Health Professional’s Knowledge and Attitude Regarding Adolescent Pregnancy Care in Primary Health Care Centers in Erbil City

2020 ◽  
Vol 3 (2) ◽  
pp. 91-99
Author(s):  
Srwa Mustafa ◽  
◽  
Hamdia Mirkhan ◽  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Adolescent Pregnancy ◽  
Health Professionals ◽  
Pregnancy Care ◽  
Primary Health ◽  
Knowledge And Attitude ◽  
Primary Health Care Centers ◽  
Health Care Centers ◽  
And Child Health

Background and objectives: The World Health Organization defines adolescent pregnancy as pregnancy in which the mother is under the age of 20 at the time the pregnancy ends. About 16 million girls aging between 15 and 19 years give birth every year. The study aimed to assess the level of knowledge and attitude among nurses and physicians in Erbil Primary Health Care Centers regarding adolescent pregnancy care and comparing them. Methods: A quantitative; descriptive cross-sectional study was conducted in maternal and child health care units at twenty three Primary Health Care Centers in Erbil city, between November 15th , 2018 and November 15th , 2019. Non-probability, Convenience sam-pling technique was used for selecting sample which includes 95 from the total of 100 health professionals. Data was collected through interview (face to face) by using ques-tionnaire form which was designed by the investigator. Data were analyzed using the Chi square test, Fisher’s exact test. Results: Health professionals mean age + SD was 41.95 + 8.40 years, ranging from 27 to 62 years. The median was 42 years. Less than half (42.1%) of the sample were nurses, and the rest were physicians of different specialties. The highest percentage of the nurse’s knowledge and attitude were in medium level (42.5% and 47.5%, respectively). The high-est percentage of physician’s knowledge and attitude were in high level (58.3% and 65.5% respectively). There were significant difference between them regarding their knowledge (p = 0.32) and attitude (p = 0.006). Conclusions: Health professionals working in maternal and child health care units need improving their knowledge and attitude regarding adolescent pregnancy care. Nurses need more information and training sessions regarding that.

scholarly journals Evaluating the Adherence of Primary Health Care Centers in Gaza Strip to the WHO-PEN Protocol 1: A Cross-Sectional Study

2019 ◽  
Vol 4 (5) ◽  
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Primary Health Care ◽  
Cardiovascular Risk ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Health Care Centers

Background: Cardiovascular disease (CVD) is common in the general population, affecting many of adults above 40 years of age. It is a multi-factorial disease. Some risk factors; such as family history, gender, ethnicity and age cannot be changed. Other risk factors are modifiable including high blood pressure, high cholesterol and diabetes. Patients will not necessarily develop cardiovascular disease if they have a risk factor. But the more risk factors they have the greater the likelihood that they will, unless protective measures and actions are taken to modify their risk factors and work to prevent them compromising their heart health. Objectives: The objectives of this study were: to evaluate the adherence of major primary health care centers to the WHO-PEN Protocol 1, Package of essential noncommunicable (PEN) disease interventions for primary health care, recommendations;and to provide more accurate estimate of cardiovascular risk using hypertension, type 2 diabetes mellitus and tobacco use as entry points. Methods: A cross-sectional study involving 200 patients who were already diagnosed with NCDs was conducted atprimary health care centers. Data was collected retrospectively using a self-designed questionnaire based on the WHO- PEN checklist. Patients’ files were selected randomly. Results: Based on the analysis of whole cohort (200 cases). The prevalence of type 2 diabetes was 39% and hypertension was 28.5%, whereas 32.5% had both. There were only 17 smokers among patients representing 8.5% of the sample. Using WHO/ISH, WHO/International Society of Hypertension, Risk prediction charts; half of patients were in the tenyear cardiovascular risk category of less than 10%. On the other hand, 5% had a ten-year cardiovascular risk over 40%.49% of patients had a first-degree family history of heart disease? All patients were counseled on diet, exercise and smoking cessation. Conclusion: These results demonstrate high adherence to the WHO-PEN protocol in these two centers reflecting a high quality of care and follow-up. Furthermore, the medical records were fully filled with adequate information for each item. However, there were some deficiencies in the risk estimation, which should be documented for better counseling for patients with high risk.

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