دورية أكاديمية

Factors associated with pregnancy and induced abortion among street-involved female adolescents in two Nigerian urban cities: a mixed-method study.

التفاصيل البيبلوغرافية
العنوان: Factors associated with pregnancy and induced abortion among street-involved female adolescents in two Nigerian urban cities: a mixed-method study.
المؤلفون: Obiyan MO; Department of Demography and Social Statistics, Obafemi Awolowo University, Ile-Ife, Nigeria. maryobiyan@gmail.com., Olaleye AO; Department of Obstetrics and Gynecology, Babcock University, Ilishan, Nigeria., Oyinlola FF; Department of Demography and Social Statistics, Obafemi Awolowo University, Ile-Ife, Nigeria., Folayan MO; Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Nigeria.
المصدر: BMC health services research [BMC Health Serv Res] 2023 Jan 11; Vol. 23 (1), pp. 25. Date of Electronic Publication: 2023 Jan 11.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Abortion, Induced* , Homeless Youth* , Pregnancy in Adolescence*, Adolescent ; Adult ; Female ; Humans ; Pregnancy ; Young Adult ; Cities ; Contraception ; Pregnancy, Unplanned ; Pregnancy, Unwanted
مستخلص: Objectives: This study determined the correlates of unwanted pregnancy and induced abortion among sexually active female street-involved adolescents (SIAs) aged 10-19 years in two urban cities in South-west, Nigeria.
Methods: The data for this study were extracted from a larger mixed-method survey dataset on the sexual and reproductive health (SRH) of 1505 street-involved young people aged 10 to 24 years. For the quantitative data, the explanatory variables were age, history of school attendance, employment status, religion, living arrangement and city of residence. The study outcomes were a history of pregnancy and a history of induced abortion of last pregnancy. Binomial regression analysis was performed to determine the association between the explanatory and outcome variables. For the qualitative data generated through focus group discussions and in-depth-interviews, inductive and deductive approaches were used in conducting a thematic analysis to explore the perspectives and experiences of SIA on pregnancy and induced abortion.
Results: Of the 424 female SIAs, 270 (63.7%) reported having had sex. Sixty-four (23.7%) respondents had a history of pregnancy, of which 38 (59.4%) gave a history of induced abortion of the last pregnancy. A history of school attendance significantly reduced the likelihood of being pregnant (AOR: 0.42, 95% C.I: 0.19-0.91), while 15-19-years-old SIAs who were pregnant were significantly less likely to abort (AOR: 0.13, 95% C.I: 0.02-0.77). Qualitative reports indicated that unintended pregnancy and induced abortion was a common experience among the sexually active SIAs. Many participants were aware of the methods of, and places to induce abortion.
Conclusion: A large proportion of SIAs are sexually active with a high incidence of unintended pregnancy and a high rate of unsafe abortion. Access of female SIAs to education can reduce the risk of unintended pregnancy. Attention needs to be paid to how SIAs can have access to contraception.
(© 2023. The Author(s).)
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فهرسة مساهمة: Keywords: Female adolescents; Induced abortion; Nigeria; Street-involved young people; Teen pregnancy
تواريخ الأحداث: Date Created: 20230110 Date Completed: 20230113 Latest Revision: 20240910
رمز التحديث: 20240910
مُعرف محوري في PubMed: PMC9832642
DOI: 10.1186/s12913-022-09014-x
PMID: 36627625
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6963
DOI:10.1186/s12913-022-09014-x