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目的了解与少女妊娠的相关因素,尤其是妊娠少女的家庭状况,探讨少女妊娠的家庭危险因素。方法病例组来自上海市几个妇产科医院就诊的19岁以下确诊妊娠的126名少女,对照组为上海市几个高中、技校和大学的确定未怀孕的97名少女学生进行调查。参加调查的少女完成以下问卷:一般情况调查、生殖健康知识调查、家庭功能问卷。结果妊娠少女的父母教育水平较低,母亲更多是家庭妇女,而非妊娠少女家庭亲子关系较好,父母婚姻状况较好,家庭功能相对良好,教育期望值比较高;所有受试者的生殖健康知识都很缺乏。结论家庭在少女妊娠中的作用不容忽视,不良的家庭环境可能是少女妊娠的危险因素;对青少年的性生殖健康知识的教育迫在眉睫。
Objective To understand the factors associated with teenage pregnancies, especially the family status of teenage pregnant women, and explore the family risk factors for teenage pregnancies. Methods The case group consisted of 126 males and females under 19 years of age who were diagnosed with pregnancy at several obstetrics and gynecology hospitals in Shanghai. The control group was surveyed by 97 teenage girls who were determined not to be pregnant in several high schools, technical schools and universities in Shanghai. The girls participating in the survey completed the following questionnaires: general survey, reproductive health knowledge survey and family function questionnaire. As a result, pregnant women had lower education level of their parents and more mothers were domestic women than non-pregnant girls. Their families had better parent-child relationship, parents’ marital status was better, their family functions were relatively good and their educational expectations were higher. All subjects had reproductive health Lack of knowledge. Conclusions The role of family in teenage pregnancy should not be overlooked. Adverse family environment may be a risk factor for teenage pregnancy. Education on adolescent sexual reproductive health is imminent.