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題名:青少女懷孕發生低出生體重與早產的危險性探討
書刊名:中華公共衛生雜誌
作者:傅瓊瑤陸振翮吳欣玫王銘賢陳淑貞
作者(外文):Fu, Chong-yanLu, Jen-herWu, Hsin-meiWang, Ming-shangChen, Shu-jen
出版日期:1999
卷期:18:3
頁次:頁228-234
主題關鍵詞:青少女懷孕低出生體重早產Teenage pregnancyLow birthweightPreterm birth
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(9) 博士論文(0) 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:0
  • 點閱點閱:42
     目標:近年來青少年社會問題層出不窮:暴力、雛妓、飆車、九月墮胎潮等,其中九月墮胎潮更是項隱憂。根據衛生署的統計資料,19歲以下的青少女生育,約5%左右;此部份不適育青少女,懷孕結果是否更不良,將是本研究探討的主題。方法:本研究的資料基本來源是衛生署民國82年至84年的電腦化出生通報登錄。以20-24歲為參考組,12-17、18-19歲為青少女;資料所屬醫院涵蓋榮總、門諾及馬偕;社經變項資料則另行調閱病歷,補抄錄。研究的選取條件是:懷孕週數24週以上、出生體重大於500公克、單胞胎且第一胎。資料經過整理、核對,最後得研究樣本數共約871人 ;12-19歲有296人,20-24歲(參考組)有575人。採用的統計方法有:勝算比(調整)的95% 信賴區間(CI)及邏輯斯迴歸模式。 結果:邏輯斯迴歸分析顯示:(1) 低出生體重模式(共變項:教育程度與地區別),12-17、18-19歲孕婦的勝算是20-24歲的2.63倍(95% CI: 1.07 - 6.49)、2.28倍(95%CI: 1.2 - 4.34);(2) 早產模式(共變項:產檢與性別)12-17、18-19歲孕婦的勝算是20-24歲的1.88倍(95% CI: 0.89 - 3.95)、2,22倍(95%CI: 1.38 - 3.56)。結論:適當控制社經變項後,12-17、18-19歲青少女懷孕發生低出生體重與早產的危險性明顯高於20-24歲。因此,年齡是低出生 體重與早產發生的重要因素,12-19歲是不適育的人生階段。
     Objectives: Teenage pregnancies have been and continue to be a social problem. From official reports, about 5% of births belong to teenage (<19 years old) mothers. This study compares the pregnancy results for teenage mothers with 20-24 year-old pregnant mothers. Methods: "Computerized Medical Birth Registry, 1993-1995" was the main source of data. Data was gathered from hospitals including Veterans General Hospital, Mennuo Hospital and Mackay Memorial Hospital. Meanwhile, the social economic variables wer e collected from the patients records at these three hospitals. The maternal ages of 12-17, 18-19 and 20-24 years were selected and all subjects met the following criteria: gestational age above 24 weeks, birthweight above 500g, singleton and the first parity. At total 871 births were included: 76 births with maternal age of 12-17 years, 220 births with maternal age of 18-19 years and 575 births with maternal age of 20-24 years. The statistical methods included 95% C.I. for (adjusted) odds ratio and logist ic regression model. Results: When compared with subjects with maternal age of 20-24 years, the logistic regression models showed that : maternal age of 12-17, 18-19 years had odds ratio 2.63 (95% CI:1.07-6.49), 2.28 (95%CI: 1.2-4.34) respectively for low birthweight while both education and location covariates included ; maternal age of 12-17, 18-19 years had odds ratio 1.88 (95% CI:0.89-3.95), 2.22 (95%CI: 1.38-3.56) respectively for preterm birth while both prenatal care and gender covariates included. Conclusions: Controlling for social-economic variables, teenage pregnancies had significantly higher risks for low birthweight or preterm births than mother 20-24 years old. Hence, very young age is an important risk factor for low birthweight or preterm birth.
期刊論文
1.Chen, C. P.、Wang, K. G.、Yang, Y. G.、See, L. C.(1996)。Risk factors for preterm birth in an upper middle class Chinese population。European Journal of Obstetrics, Gynecology & Reproductive Biology,70,53-59。  new window
2.陳麗美(19900700)。新店市孕產婦懷孕結果--早產及低出生體重之危險因素調查研究。公共衛生,17(2),195-207。  延伸查詢new window
3.范光宇(19850100)。臺灣省低出生體重兒之流行病學調查研究。公共衛生,11(4),448-467。  延伸查詢new window
4.丁先玲、尹長生、譚開元(19871000)。三軍總醫院軍眷婦女發生早產之危機變項分析。公共衛生,14(3),293-309。  延伸查詢new window
5.林金定、陳麗美(19950100)。臺灣地區低出生體重兒之發生率及其危險因子之研究。公共衛生,21(4),255-267。  延伸查詢new window
6.Chan, T. C.、Pang, A. J.(1982)。Teenage Delivery--A Retrospective Study。J. Obstet. Gynecology. ROC,21,7-11。  new window
7.Wessel, H.、Cnattingius, S.、Bergstrom, S.、Dupret, A.、Reitmaier, P.(1996)。Maternal risk factors for preterm birth and low birthweight in Cape Verde。Acta Obstetricia et Gynecologica Scandinavica,75,360-366。  new window
8.Meis, P. J.、Michielutte, R.、Peters, T. J.(1995)。Factors associated with preterm birth in Cardiff, Wales. I. Univariable and multivariable analysis。American Journal of Obstetrics& Gynecology,173,590-596。  new window
9.Lee, K. S.、Ferguson, R. M.、Corpuz, M.、Gartner, L. M.(1988)。Maternal age and incidence of low birth weight at term: a population study。American Journal of Obstetrics & Gynecology,158,84-89。  new window
10.Lee, K. S.、Corpuz, M.(1988)。Teenage preganacy: Trend and impact on rates of low birth weigth and fetal, maternal, and neonatal mortality in the United States。Clinics in Perinatology,15,929-942。  new window
11.Fraser, A. M.、Brockert, J. E.、Ward, R. H.(1995)。Association of young maternal age with adverse reproductive outcomes [see comments]。New England Journal of Medicine,332,1113-1117。  new window
12.Olausson, P. M.、Cnattingius, S.、Goldenberg, R. L.(1997)。Determinants of poor pregnancy outcomes among teenagers in Sweden。Obstetrics & Gynecology,89,451-457。  new window
13.Lu, J. H.、Lin, F. M.、Shen, W. Y.、Chen, S. J.(1994)。Data quality of a computerized medical birth registry。Med Inform,19,323-330。  new window
14.Mantel, N.、Haenszel, W.(1959)。Statistical Aspects of the Analysis of Data from Retrospective Studies of Disease。Journal of the National Cancer Institute,22(4),719-748。  new window
研究報告
1.行政院衛生署(1995)。衛生統計(二)生命統計。台北:行政院衛生署。  延伸查詢new window
2.行政院衛生署(1994)。衛生統計(一)公務統計。台北:行政院衛生署。  延伸查詢new window
圖書
1.Hosmer, D. W.、Lemeshow, S.(1989)。Applied Logistic Regression Analysis。New York:John Wiley and Sons, Inc.。  new window
 
 
 
 
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