The Knowledge and Effects of Teenage Pregnancies Among the Adolescent Girls Between 13 To 19 Years at Mukono Parish Kanungu District – Uganda.

Background: Teenage pregnancy prevalence is at 25%, 16% of Ugandan women are married by the age of 15 years, and 53% by the age of 18 years. Available information reveals that teenage pregnancies carry a higher health risk and girls under 15 years are five times more likely to die in childbirth than females in their twenties. An estimate of 6,000 teenagers dies annually from maternal related complications. Methodology: A descriptive cross-sectional study was conducted in February 2016 where a total of 100 respondents were selected from Mukono Parish residents’ register using a simple random sampling technique. Data was collected using a pretested questionnaire. Results: 76% had prior knowledge about sex education whereas 24% had not. 42% got the information from the school a gesture that respondents took part in the classroom discussion about sexuality, 28% from newspapers –straight talk, 16% health worker, and 14% from their parents. 45% believed that school dropout is due to social effect of teenage pregnancy, 34% said that teen mother is more likely to have no or low qualifications and 9% said that child of a teen mother is more likely to abuse drugs, 12% don’t know any of the social effects. Conclusion and recommendations: Teenagers in Uganda are informed about sex education. The government in conjunction with the development partners needs to include sex education in the school curriculum. The girl child needs to be educated on how to protect herself and avoid becoming a victim of teenage pregnancy. Parents should not shy away from educating their children about sex education while they are still young, by so doing the teens grow knowing the consequences of early pregnancy. Pregnant teenagers need to be encouraged to attend antenatal care as well as welcomed into society without stigmatization.

Knowledge and Effects of Teenage Pregnancies Among the Adolescent Girls Between 13 To 19 Years at Mukono Parish Kanungu District – Uganda.

Background: Teenage pregnancy prevalence is at 25%, 16% of Ugandan women are married by the age of 15 years and 53% by the age of 18 years. Available information reveals that teenage pregnancies carry a higher health risk and girls under 15 years are five times more likely to die in childbirth than females in their twenties. An estimate of 6,000 teenagers dies annually from maternal related complications. Methodology: A descriptive cross-sectional study was conducted in February 2016 where a total of 100 respondents were selected from Mukono Parish residents’ register using a simple random sampling technique. Data was collected using a pretested questionnaire. Results: 76% had prior knowledge about sex education whereas 24% had not. 42% got the information from the school a gesture that respondents took part in the classroom discussion about sexuality, 28% from newspapers –straight talk, 16% health worker, and 14% from their parents. 45% believed that school dropout is due to social effect of teenage pregnancy, 34% said that teen mother is more likely to have no or low qualifications and 9% said that child of a teen mother is more likely to abuse drugs, 12% don’t know any of the social effects. Conclusion and recommendations: Teenagers in Uganda are informed about sex education. The government in conjunction with the development partners needs to include sex education in the school curriculum. The girl child needs to be educated on how to protect herself and avoid becoming a victim of teenage pregnancy. Parents should not shy away from educating their children about sex education while they are still young, by so doing the teens grow knowing the consequences of early pregnancy. Pregnant teenagers need to be encouraged to attend antenatal care as well as welcomed into society without stigmatization.

Knowledge and Effects of Teenage Pregnancies Among the Adolescent Girls Between 13 To 19 Years at Mukono Parish Kanungu District – Uganda.

Background: Teenage pregnancy prevalence is at 25%, 16% of Ugandan women are married by the age of 15 years, and 53% by the age of 18 years. Available information reveals that teenage pregnancies carry a higher health risk and girls under 15 years are five times more likely to die in childbirth than females in their twenties. An estimate of 6,000 teenagers dies annually from maternal related complications. Methodology: A descriptive cross-sectional study was conducted in February 2016 where a total of 100 respondents were selected from Mukono Parish residents’ register using a simple random sampling technique. Data was collected using a pretested questionnaire. Results: 76% had prior knowledge about sex education whereas 24% had not. 42% got the information from the school a gesture that respondents took part in the classroom discussion about sexuality, 28% from newspapers –straight talk, 16% health worker, and 14% from their parents. 45% believed that school dropout is due to social effect of teenage pregnancy, 34% said that teen mother is more likely to have no or low qualifications and 9% said that child of a teen mother is more likely to abuse drugs, 12% don’t know any of the social effects. Conclusion and recommendations: Teenagers in Uganda are informed about sex education. The government in conjunction with the development partners needs to include sex education in the school curriculum. The girl child needs to be educated on how to protect herself and avoid becoming a victim of teenage pregnancy. Parents should not shy away from educating their children about sex education while they are still young, by so doing the teens grow knowing the consequences of early pregnancy. Pregnant teenagers need to be encouraged to attend antenatal care as well as welcomed into society without stigmatization.

Nursing Students Attitude Towards Teenage Pregnancy

BACKGROUNDTeenage pregnancy is a multifaceted problem which is influenced by numerous issues including individual, family, and community characteristics. Its consequences affect the health, social and economic wellbeing of the teenagers and their children. The attitudes and behaviors of maternal healthcare providers were an essential component of quality as they impacted both positively and negatively on how the clients, their partners, and families observed and experienced maternal healthcare. This study was conducted to determine the general attitudes of student nurses towards teenage pregnancy and also to determine whether socio-demographic characteristics of the student nurses affected their attitude towards teenage pregnancy.METHODA quantitative descriptive, cross-sectional study was done in 2018. A total of 87 randomly selected fourth year student nurses completed a self-administered questionnaire. The data were analyzed using SPSS (Statistical Package for the Social Sciences). The study was approved by our local ethical boards and all ethical considerations were adhered to.RESULTSThe results of the study revealed that majority of the participants (93.1%) were single and attended church (90.8%). The majority of the sample was female (96.6%) between the ages 18–24 years old. The respondents' attitudes towards teen mothers were not affected by their relationship status, their age or gender or church attendance The results further revealed that the nursing students' had a moderately positive attitude towards teenage pregnancy. The only sociodemographic variable that affected attitude was the respondents having a teen mother in the family. The respondents with a teen mother in the family accounted for 29.9%.CONCLUSIONThis study adds to the body of knowledge on the attitudes of nursing students towards teenage pregnancy. The findings support the nursing curriculum that accentuates patient-centered care, reduce bias, and promotes professional values in Jamaica in order to deliver care to this vulnerable group.

Social Determinants Associated with Pediatric Burn Injury: A Population-Based, Case–Control Study

Social determinants of health (SDoH) influence risk of injury. We conducted a population-based, case–control study to identify which social determinants influence burn injury in children. Children (≤16 years of age) admitted to a Canadian regional burn center between January 1, 1999 and March 30, 2017 were matched based on age, sex, and geographic location 1:5 with an uninjured control cohort from the general population. Population-level administrative data describing the SDoH at the Manitoba Center for Health Policy (MCHP) were compared between the cohorts. Specific SDoH were chosen based on a published systematic review conducted by the research team. In the final multivariable model, children from a low-income household odds ratio (OR) (95% confidence interval) 1.97 (1.46, 2.65), in care 1.57 (1.11, 2.21), from a family that received income assistance 1.71 (1.33, 2.19) and born to a teen mother 1.43 (1.13, 1.81) were significantly associated with an increased risk of pediatric burn injury. This study identified SDoH that are associated with an increased risk of burn injury. This case–control study supports the finding that children from a low-income household, children in care, from a family that received income assistance, and children born to a teen mother are at an elevated risk of burn injury. Identifying children at increased potential risk allows targeting of burn risk reduction and home safety programs.

754 Social Determinants Associated with Paediatric Burn Injury: A Population Based, Case-control Study

Introduction Children are disproportionately represented as victims of burn injury compared to adults. Life-long sequelae post-burn manifest as increased rates of mental and physical illness, substance abuse, and suicide. Social determinants of health (SDoH) influence risk of injury, however the extent and influence of SDoH on burn injury is less clear. To determine which social determinants influence burn injury in children, a retrospective case-control study was conducted. Methods Children (< 17 years of age) admitted to a regional burn centre between January 1 1999 and March 30 2017 were matched based on age, sex and geographic location 1:5 with an uninjured cohort. Population level administrative data describing the SDoH, at the regional administrative multifaceted data repository were compared between the cohorts. Thirteen SDoH were chosen based on a systematic review conducted by the research team. Results No significant differences existed in descriptive statistics between the burn and control cohorts. Mean age at burn injury = 5.46 (± 5.23), average TBSA (%) = 10.5 (± 13.4). The most common mechanism of burn injury was scald (42.03%) Upon multivariable logistic regression, children: from a low-income household (O.R. 1.97 (1.46, 2.65)); in foster care (O.R. 1.57 (1.11, 2.21)); from a family that received income assistance (O.R. 1.71 (1.33, 2.19)); or born to a teen mother (O.R. 1.43 (1.13, 1.81)) were associated with an increased risk of burn injury. Conclusions This study identified SDoH associated with an increased risk of burn injury. This case-control study supports the finding that children from a low-income household, children in care, from a family that received income assistance, and children born to a teen mother are at an elevated risk of burn injury. Applicability of Research to Practice Identifying children at increased potential risk provides an opportunity to prevent burn injuries, bypassing the associated long-term physical disfigurement, life-long mental health consequences and mortality. This study also has merit in maximizing the efficiency of a burn prevention budget through targeted burn safety and risk reduction programs.