Family Characteristics Associated with Adolescent Pregnancy in Eastern Taiwan

臺灣東部地區青少女孕產婦之家庭特性

10.7023/TJFM.200606.0100

李燕鳴(Yin-Ming Li)；張慈桂(Tzu-Kuei Chang)；王培東(Pair-Dong Wang)

family characteristics ； family function ； and adolescent pregnancy

台灣家庭醫學雜誌

16卷2期（2006 / 06 / 01）

100 - 111

英文

過去有關青少女懷孕之研究多探討人口學特性，其家庭功能之相關研究及資料有限，本研究目的比較懷孕青少女與成年女性在家庭特性和家庭功能上的差異。本研究是以花蓮市內兩所教學醫院內接受產前檢查或生產之孕婦為對象，是一橫斷式之面訪調查，評估孕婦之人口學、冒險行為及家庭功能。本研究以96位未成年（15-19歲）及214位成年（20-24歲）孕婦的回答進行分析。與成年孕婦比較，發現未成年孕婦明顯較多是原住民、低教育程度、學業成績較差、及懷孕時是未婚，又較高比例其生父母親之婚姻關係是分離或喪偶、及其生母或姐妹有未成年生育的經驗；未成年孕婦被界定為“嚴重的家庭失能”比例(10.8%)明顯較成年孕婦(6.5%)高；冒險行為在未成年孕婦也較常見，在家裡感到不甚愉快及父母親分離者是影響青少女懷孕的重要危險因素。建議篩檢家庭功能異常之青少女，未成年懷孕相關防治活動需考慮與其家人共同合作進行。

Adolescent pregnancy has been well studied from a demographic risk perspective, but less data examining the family function of adolescent mothers are available. We aimed to study the family characteristics and family function as associations with adolescent mothers(aged 15-19), as compared to young adults(aged 20-24) childbearing. A cross-sectional study was undertaken at two teaching hospitals in Hualien City. Subjects were interviewed and completed the following questionnaires: demographic characteristics, risk-taking behavior and Family APGAR score. Data from 96 adolescent and 214 young adult pregnant women were studied. Compared to young adult mothers, adolescent mothers were significantly more likely being aborigines, with lower education level, poorer school performance, unmarried at pregnancy and parental marital status were separated or widowed. More than half mothers or sisters in adolescent mothers had experience of child bearing in adolescence. And 10.8% adolescent mothers were classified as ”severe family dysfunction” in contrast to 6.5% of young adult mothers. Risk-taking behaviors were also more common among adolescent mothers. Less happiness at home and parents separated or divorced were important risk factors for childbearing in adolescents. It is suggested that screening adolescents for family dysfunction and prevention programs on adolescent pregnancy should be worked with their families.

1. Casper LM(1990).Does family interaction prevent adolescent pregnancy?.Fam Plann Perspec,22,109-114.
2. Chau TT,Hsiao TM,Huang CT,Liu HW(1991).A preliminary study of family APGAR index in the Chinese.Kaoshiung J Med Sci,7,27-31.
3. Chen PC,Loyle PE,Ho CK,Chang PJ,Wang JD(2000).Influence of maternal risk factors on low birth weight, preterm delivery, and small for gestational age-A prospective cohort study of pregnancy.Chin J Public Health,19,192-202.
4. Department of Health,Executive Yuan,R.O.C.(2004).2003 Republic of China: Health & Vital Statistics-(2) Vital Statistics.Taipei:Department of Health.
5. Department of Statistics,Ministry of Interior,Executive Yuan,R.O.C.(2004).Taiwan-Fuchien Demographic Fact Book, Republic of China.Taipei:Ministry of Interior.
6. Fraser AM,Brockert JE,Ward RH(1995).Association of young maternal age with adverse reproductive outcomes.N Engl J Med,332,1113-1117.
7. Fu CY,Lu JH,Wu HM,Wang MS,Chen SJ(1999).Increased risk for low birth weight and preterm birth in adolescent pregnancy.Chin J Public Health,18,228-234.
8. Guijarro S,Naranjo J,Padilla M,Gutierez R,Lammers C,Blum RW(1999).Family risk factors associated with adolescent pregnancy: study of a group of adolescent girls and their families in Ecuador.J Adol Health,25,166-172.
9. Jimenez MAR,Martin AR,Garcia JRF(2000).Comparing the biological and psychosocial risks of pregnancy between groups of adolescents and adults.European J Epidemiol,16,527-532.
10. Juijarro S,Naranjo J,Padilla M,Gutierez R,Lammers C,Blum RW(1999).Family risk factors associated with adolescent pregnancy: study of a group of adolescent girls and their families in Ecuador.J Adoles Health,25,166-172.
11. Lee MC(2001).Family and adolescent childbearing.J Adoles Health,28,307-312.
12. Lee MC,Lee SH,Chou MC(2001).Association ofrisk-taking behaviors with adolescent childbearing.J Formos Med Assoc,100,533-538.
13. Li YT,Yin CS,Chan CC(1999).Pyschoscoial risk factors of adolescent pregnancy in eastern Taiwan.Chin Med J,62,425-430.
14. Miller BC(2002).Family influences on adolescent sexual and contraceptive behavior.J Sex Res,39,22-26.
15. Moore KA,Miller BC,Glei D,Dorrison DR(1995).Adolescent Sex, Contraception, and Childbearing: a Review of Recent Research.Washington, DC:Child Trends.
16. Olausson PMO,Cnattingius S,Goldenberg RL(1997).Determinants of poor pregnancy outcomes among adolescents in Sweden.Obstet Gynecol,89,451-457.
17. Pick S,Palos PA(1995).Impact of family on sex lives of adolescents.Adolescence,30,667-675.
18. Smilkstein G(1979).A proposal for a family function test and its use by physician.J Fam Pract,6,1231-1239.
19. Stevension W,Maton KI,Teti DM(1999).Social support, relationship quality and well being among pregnancy adolescent..J Adolescence,22,109-121.
20. Tsai TS,Chen JY,Lee MC(2001).Reproductive outcomes and infant health in adolescent pregnancy in Taichung city.Acta Paediatrica Taiwanica,42,151-157.
21. Wang CS,Chou P(2001).Risk factors for low birth weight among first-time mothers in southern Taiwan.J Formos Med Assoc,100,168-172.
22. Wang CS,Cou P(1999).Risk factors for adolescent primigravida in Koahsiung County, Taiwan.Am J Prev Med,17,43-47.
23. Wessel H,Cnattingius S,Bergstrom S,Dupret A,Reitmaier P(1996).Maternal risk factors for preterm birth and low birth weight in Cape Verde.Acta Obstet Gynecol Scand,75,360-366.

1. 莊媖智、莊坤洋、洪瑋薇、莊媖智、莊坤洋、洪瑋薇、莊媖智、莊坤洋、洪瑋薇(2009)。台灣鄉鎮市區因子對青少女生育率的影響。臺灣公共衛生雜誌，28(6)，491-502。