Factors Associated with Pregnancy among Primigravida Adolescents at King Chulalongkorn Memorial Hospital

Main Article Content

Ubolwan Promwong
Somsak Suthutvoravut
Sanya Patrachai
Vajira Singhakajen

Abstract

Background: Adolescent pregnancy has become an important health issue in Thailand. It is not only a health problem for the mother and child but it is also associated with socioeconomic and demographic implications.


Objective: To study factors associated with pregnancy among primigravida adolescents.


Setting: Postpartum ward at King Chulalongkorn Memorial Hospital


Material and Method: The case control study of 110 adolescents under 20 years of age (55 adolescent with pregnancy and 55 nonpregnant adolescents from the 1st of July to the 31st of August, 2009. Gases and controls were matched by aged and socioeconomic. Associated factors with pregnancy were frequency, percentage, mean, and standard deviation. Chi-square test, Fisher's exact test, relative risk and odds ratio were used to test the association between these variables with a = 0.05.


Results: The results showed that there were 7 factors significantly associated with adolescent pregnancy. They were occupation (housewife) OR = 5.13 (95% CI 2.26, 11.62), level of education (secondary) OR = 4.6 (95% CI 2.08, 10.48), grade point average (GPA < 2.00) OR = 3.75 (95% CI 1.26, 11.20), staying with a friend or husband OR = 2.98 (95% CI 1.30, 6.86), personality (self-confident) OR = 2.23 (95% CI 1.02, 5.28), low family income (< 8.000 Baht/ month) OR-2.44 (95% CI 1.13, 5.25) and low level of sexual knowledge OR = 3.89 (95% CI 1.76, 8.59)


Conclusion: Socioeconomic situations were significantly associated with pregnancy among adolescents. From the previously mentioned associated factors, it can be concluded that prevention should begin at home and then involve schools, teachers and friends.

Article Details

How to Cite
1.
Promwong U, Suthutvoravut S, Patrachai S, Singhakajen V. Factors Associated with Pregnancy among Primigravida Adolescents at King Chulalongkorn Memorial Hospital. Rama Med J [Internet]. 2010 Dec. 27 [cited 2024 Mar. 29];33(4):236-41. Available from: https://he02.tci-thaijo.org/index.php/ramajournal/article/view/152225
Section
Original Articles

References

Bonell C, Allen E, Strange V, Copas A, Oakley A, Stephenson J, et al. The effect of dislike of school on risk of teenage pregnancy: testing of hypothesis using longitudinal data from a randomized trial of sex education. J Epidemiol Community Health. 2005;59(3):223-30. doi:10.1136/jech.2004.023374.

Wellings K, Nanchahal K, Macdowall W, McManus S, Erens B, Mercer CH, et al. Sexual behaviour in Britain: early heterosexual experience. Lancet. 2001;358(9296):1843-50. doi:10.1016/S0140-6736(01)06885-4.

World Health Organization. Adolescent Pregnancy: Unmet Needs and Undone Deeds: A Review of the Literature and Programmes. Geneva: World Health Organization; 2007.

Boonyathan W. Factors Associated With Adolescent Pregnancy Amomg Adolescent Primigravida Attending Antenatal Care Clinic at Samutsakhon Hospital [master’s thesis]. Bangkok: Mahidol University; 2006:206.

Srangsriwong S. Sex education, contraception, and teenage pregnancy. Reg 6-7 Med J. 2006;25(1):107-15.

Pathfinder International. Comprehensive Reproductive Health and Family Planning Training Curriculum: Module 16: Reproductive Health Services for Adolescents. Watertown, MA: Pathfinder International; 2002.

World Health Organization. Adolescent Pregnancy: Issues in Adolescent Health and Development. Geneva: Department of Child and Adolescent Health and Development, World Health Organization; 2004:18-24. Available from: https://apps.who.int/iris/bitstream/handle/10665/42903/9241591455_eng.pdf;jsessionid=40561571E96E5FC84BC77C71B389D038?sequence=1.

Siriwattanakan K. Sexual Behavior and Factors Influence to Sexual Relationship Among Single Adolescents in Udonthani Non-Formal Education Center [master’s thesis]. Bangkok: Mahidol University; 1998:152.

Weruvanaruk C. Relationships Between Opinions On Premarital Sex, Conformity To Peer Groups, Living Arrangement and Sexual Relationships Among Female Adolescents in Ubonratchathani [master’s thesis]. Bangkok: Mahidol University; 2002:110.

Jacobs JE, Vernon MK, Eccles JS. Relations between social self-perceptions, time use, and prosocial or problem behaviors during adolescence. Journal of Adolescent Research. 2004;19(1):45-62. doi:10.1177/0743558403258225.

Kriaswekwisai N. Sexual behavior among M.S.3 Students in Ubonratchathani Province [master’s thesis]. Bangkok: Mahidol University; 2003:103.