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題名：青少女之生育問題
書刊名：中華公共衛生雜誌
作者：李孟智
作者(外文)：Lee, Meng-chih
出版日期：1998
卷期：17:5
頁次：頁381-387
主題關鍵詞：青少年；生育；性；Adolescents；Childbearing；Sexuality
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(10) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:9
  • 共同引用共同引用:12
  • 點閱點閱:48
　　　　　台灣15∼19歲青少女年齡別生育率在近十年皆維持在千分之17左右，居亞洲已開發國家之冠，而1994年相同年齡層有偶青少女年齡別生育率更超越美國，高達千分之726，乃因決定繼續懷孕的青少女中85%會在生產前結婚所致。台灣既往研究結果顯示；青少女懷孕會導致多重不良後果；包括非志願結婚、婚姻不穩定、在青少年期重複生育，以及高比率的低出生體重兒、早產兒、及新生兒死亡率。本土研究亦顯示；青少女生育之相關因素包括性知識不足而性態度和性行為卻日趨開放，對青少年之避孕服務不普及，青少女家庭屬低社會經濟階層，以及青少女過早離家在外居住。此 外，台灣青少女之男伴年齡普遍偏高且教育程度偏低，其相互結合進而生育的過程及機轉值得進一步探討，其中性侵犯為可能的原因之一。青少女生育防制之道在於加強政府組織及民間組織之性教育功能，提供青少年避孕服務和生涯發展輔導，及對高危險群施予重點防制。若青少年性行為的確不可能禁絕，則避免其懷孕生子應為務實的努力方向。
　　　　　In Taiwan, the age-specific fertility rate for adolescent women aged 15-19 years has remained at 17/1000 in recent 10 years, which is the highest among developed countries in Asia. Moreover, There was a surprisingly high age-specific fertility rate for married women aged 15-19 years at 726/1000 in 1994, which was even higher than that of the United States. This figure could be explained by the fact that more than 85% of pregnant adolescents who decided to carry their pregnancy to term got married prior t o delivery. Previous studies in Taiwan indicated that adolescent childbearing causes a lot of adverse outcomes including unwanted and unstable marriage, repeated childbearing during adolescence, and increased risks of having low birth weight and preterm births, and neonatal mortality. Studies in Taiwan also showed that adolescent childbearing is associated with their poor knowledge but open attitude and behavior on sexuality, inadequate contraceptive services for the adolescents in need, and low socioeco nomic status of adolescents' families. In addition, many fathers of infants born to adolescent women were adults with a low educational level. The large age difference between the adolescent mothers and their partners could be due to sexual assault. The effective strategies for adolescent childbearing prevention range from sex education to the direct provision of contraceptive supplies, and to life options programs, especially for the adolescents with high risk. It is believed that reducing the inciden ce of adolescent childbearing is more important and practical than prohibiting adolescent sexual activity.
期刊論文
1.Chiang, C. D.(1988)。The socioeconomic characteristics and KAP of teenage mothers in Taipei City。J Popul Studies，11，163-196。  new window
2.Winter, L.、Breckenmaker, L. C.(1991)。Tailoring Family Planning Services to the Special Needs of Adolescents。Family Plan Perspective，23(1)，24-30。  new window
3.Kirby, D.、Short, L.、Rugg, D.(1994)。School-based programs to reduce risk behaviors: A review of effectiveness。Public Health Report，109，339-361。  new window
4.張明正、林惠生、陳哲嘉(1996)。台灣地區青少年之性行為、懷孕與人工流產研究。家庭計畫通訊，143，1-15。  延伸查詢new window
5.Trussel, J.(1988)。Teenage pregnancy in the United States。Family Plann Perspect，20，262-272。  new window
6.Lee, M. C.、Lu, T. H.、Chon, M. C.(1997)。Characteristics of adolescent pregnancy in Taiwan。International Journal of Adolescent Medicine and Health，9，213-216。  new window
7.Lu, T. H.、Hwang, M. N.、Suhng, L. A.、Chou, M. C.、Lee, M. C.(1998)。Demographic characteristics of fathers of infants born to adolescent mothers in Taiwan。J. Adolesc Health，22。  new window
8.Lee, M. C.、Suhng, L. A.、Lu, T. H.、Chou, M. C.(1998)。Association of parental characteristics with adverse outcomes of adolescent pregnancy。Fam Pract，15，336-342。  new window
9.Cernada, G. P.、Chang, M. C.、Lin, H. S.、Sun, T. H.(1990)。Adolescent sexuality: implications for a national secondary school education policy。J. of Population Studies，13，1-19。  new window
10.周明智、陳伯修、李淑杏、李孟智(19950200)。非醫學院大學生接受醫學通識課程之成效評估。高雄醫學科學雜誌，11(2)，88-97。  延伸查詢new window
11.Flanigan, B. J.、Hitch, M. A.(1986)。Alcohol use, sexual intercourse and contraception: an explanatory study。J Alcoh Drug Ed，31，6-40。  new window
12.Donovan, J. E.、Jessor, R.(1985)。Structure of problem behavior in adolescence and young adulthood。J Consult Clin Psychol，53，890-904。  new window
13.晏涵文(19920900)。青少年之性與愛。臺灣醫界，35(9)，61-63。  延伸查詢new window
14.鍾蝶起、嚴建藏、吳慧美、王月珠(19960300)。高雄市青少年保健門診個案性知識與醫療需求之調查研究。The Kaohsiung Journal of Medical Sciences，12(3)，174-182。  延伸查詢new window
15.Elster, A. B.、Ketterlinus, R. D.、Lamb, M. E.(1990)。The association between parenthood and problem behavior in a national sample of adolescent women。Pediatrics，85，1044-1050。  new window
16.Elster, A. B.、Lamb, M. E.、Tavare, J.(1987)。Association between behavioral and school problems and fatherhood in a national sample of adolescent yooths。J Pediatr，111，932-936。  new window
17.Allen, J. P.、Philliber, S.、Hoggson, N.(1990)。School-based prevention of teenage pregnancy and school dropout: process evaluation of the National Replication of the Teen Outreach Program。Am. J. Community Psychology，18，505-524。  new window
18.Lee, M. C.、Lee, S. H.、Chou, M. C.、Yen, Y. E. T.(1997)。The experiences of Adolescent health care at a college hospital in Taiwan。Int. J. Adolesc Med and Health，9，187-202。  new window
19.Kirby, D.、Waszak, C.、Ziegler, J.(1991)。Six school-based clinics: their reproductive health services and impact on sexual behavior。Family Plann Perspect，23，6-16。  new window
20.Yamaguchi, K.、Kandel, D.(1987)。Drug use and other determinants of premarital pregnancy and its outcome: A dynamic analysis of competing life events。Journal of marriage and the family，49(2)，257-270。  new window
21.晏涵文、李蘭、林燕卿、秦玉梅(19941200)。國中性教育效果研究。中華公共衛生雜誌，13(6)，506-515。new window  延伸查詢new window
22.李棟明(19880600)。臺灣地區育齡有偶婦女初婚的穩定性研究--從初婚年齡､婚前懷孕與婚姻的決定方式層面探討。人口學刊，11，33-54。new window  延伸查詢new window
研究報告
1.台灣省婦幼衛生研究所(1996)。婦幼衛生之主要統計。台中：台灣省婦幼衛生研究所。  延伸查詢new window
2.林惠生、林淑惠(1997)。台灣地區高中、高職及 五專在校學生性知識、態度與行為研究調查報告書。台中：台灣省家庭計畫研究所。  延伸查詢new window
3.伊慶春(1992)。雛妓問題防範途徑及研究報告書。台北：行政院研究發展考核委員會。  延伸查詢new window
學位論文
1.林義哲(1997)。臺中縣嬰兒死亡之危險因子:病例-對照研究(碩士論文)。中山醫學院。  延伸查詢new window
2.秦玉梅(1987)。高職三年級學生性知識、態度和行為及家長、教師對性教育之看法調查研究(碩士論文)。國立臺灣師範大學。  延伸查詢new window
圖書
1.Alan Guttmacher Institute(1994)。Sex and american's teenagers。New York：Alan Guttmacher Institute。  new window
2.US Congress, Office of Technology Assessment(1991)。Adolescent health-volume II: background and the effectiveness of selected prevention and treatment services。Washington DC：US Government Printing Office。  new window
3.法務部犯罪研究中心(1994)。犯罪狀況及分析。台北：法務部犯罪研究中心。  延伸查詢new window
4.National Adolescent Health Information Center(1995)。Adolescent pregnancy prevention: effective strategies。San Francisco：University of California。  new window
其他
1.Yen, E. H.(1995)。Sexuality education development--a non-governmental organization experience in Taiwan，Taipei。  new window
圖書論文
1.Neinstein, L. S.、Rabinovitz, S. J.、Schneir, A.(1996)。Teenage pregnancy。Adolescent health care: a practical guide。Media：Williams, Wilkins。  new window
 
 
 
 
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