许多青少年担心不孕


  May 24, 2006 (华盛顿) — 研究报告指出,将近半数的怀孕青少年并未使用避孕方法,因为他们担心无法受孕。
  
  罗德岛州普罗比登斯妇幼医院的Emily M. White医师表示,针对300位12到19岁怀孕青少年的产前访谈研究发现,将近42%的人说他们担心会不孕。
  
  White医师向Medscape表示,这些青少年长大后会有更高的性病发生率,且有性行为的时间越长,越是如此。
  
  White医师指出,令人惊讶的是,不担心受孕者的另一半,几乎都担心会怀孕,担心的程度仅次于健康问题。
  
  每年将近有800,000位年纪15到19岁之间的美国青少年怀孕,而有将近400,000位青少年生产。
  
  前述研究发现系发表于此间举行的美国妇产科医学会(ACOG)年度会议。
  
  研究中,300位青少年接受研究助理30分钟的面对面访谈,主要问题是:你对可能不会怀孕有无任何恐惧?
  
  126位担心不会怀孕的青少年中,仅有17%使用避孕方法;另外174位担心会怀孕的则有26%使用避孕方法(P = .09);White医师表示,这对生育控制来说仍是偏低的比率。
  
  有性病史者之中,有25%认为他们不会怀孕;没有性病史者则有21%认为他们不会怀孕 (P =.29)。
  
  以往有怀孕经验者之中,有30%认为他们不会怀孕;以往没有怀孕经验者则有29%认为他们不会怀孕 (P=0.87)。
  
  White医师表示,在过去有性经验超过2.6年以上者和少于2年者之间,对于怀孕之恐惧也无差异。
  
  White医师表示,这看似是教育的问题之一,而她不认为如此,研究报告指出许多青少年没有任何避孕就发生性行为而仍未怀孕,导致他们不会感到畏惧。
  
  此外,许多人家中有不孕的成员,导致他们担忧自己也会不孕。
  
  White医师表示,她相信青少年认为怀孕一事无关紧要,不是他们要怀孕,而是认为无关紧要;这是比教育更严重的问题。
  
  ACOG会员的华盛顿开业医师April Rubin,她对此研究发现不感到惊讶,此外,一如White医师,她也认为这不只是教育或者信息误导的问题。
  
  她向Medscape表示,有些来自破碎家庭的人认为有个小孩会使其生活充实,我们需要的是更多的社会资源支持,以及帮助这些青少年对生活有更佳的展望。

Many Teens Afraid They Cannot<

By
Medscape Medical News

May 24, 2006 (Washington) — Nearly half of pregnant teens in an inner city population said they did not use birth control because they were "afraid they would not be able to get pregnant," researchers report.

In the study of 300 pregnant adolescents aged 12 to 19 years presenting for initial prenatal visits, a "remarkable" 42% said they had fears about not being able to get pregnant, said Emily M. White, MD, a resident at Women and Infants' Hospital in Providence, RI.

"While we hypothesized that these teens would be older, have a higher rate of previous sexually transmitted diseases (STDs), and have been sexually active longer, this also turned out not be to the case," she told Medscape.

"Surprisingly, the teens [who had fears about becoming pregnant] had similar demographic characteristics overall, and only slight differences in their health histories compared to their counterparts without this fear," Dr. White reported.

Each year, an estimated 800,000 US adolescents aged 15 to 19 years become pregnant and approximately 400,000 children are born to teens.

The findings were presented here at the annual meeting of the American College of Obstetricians and Gynecologists (ACOG).

For the study, the 300 teens underwent 30-minute face-to-face interviews by research assistants, with the main outcome determined by question, "Did you have any fears that you wouldn't be able to get pregnant?"

Of the 126 teens who had fears they could not become pregnant, just 17% used contraception. Of the 174 teens who were afraid they could become pregnant, 26% used contraception (P = .09). "This is still an amazingly low rate of birth control use," Dr. White said.

Of those with a history of STDs, 25% thought they could not get pregnant compared with 21% of those with no such history (P = .29).

Of those with prior pregnancies, 30% thought they could not get pregnant versus 29% with had not previously been pregnant (P=0.87).

There was also no difference in fears among those who had been sexually active for more than 2.6 years vs those who had been sexually active for less than 2.0 years, Dr. White said.

While the problem might seem to be one of education, Dr. White said she does not believe that to be the case. "A pilot study showed that a lot of teens have sex without contraception and still don't get pregnant so they are just not worried," she said.

In addition, many have infertile family members, which leads them to worry that they, too, cannot get pregnant, she said.

Dr. White said she believes the adolescents are just indifferent to pregnancy. "It's not that they are trying to get pregnant, they are just indifferent. This is a bigger problem than education."

April Rubin, MD, a member of ACOG who is in private practice in Washington, DC, said she is not surprised by the findings. Also, like Dr. White, she does not think it is simply a matter of education or being misinformed.

"Some come from broken families and feel having a child will better fulfill their lives," she told Medscape. "What we need is not so much education but better social support and a way of giving these teens a better outlook on life," she said.

ACOG 54th Annual Clinical Meeting: Abstract 13S. Presented May 8, 2006.

Reviewed by Ursula Snyder, PhD

    
相关报导
高脂肪饮食与精子质量降低有关
2012/3/20 上午 10:40:33
低出生体重是青少年发生慢性疾病的风险因素之一
2011/7/29 下午 01:29:19
FDA核准第一个四阶段口服避孕药
2010/5/17 上午 09:38:00

上一页
   1   2   3   4   5   6   7   8   9   10  




回上一页