Factors Influencing Unintended Pregnancies amongst Adolescent Girls and Young Women in Cambodia

Rizvi, Farwa; Williams, Joanne; Hoban, Elizabeth

doi:10.3390/ijerph16204006

Cited by 28 publications

(49 citation statements)

References 25 publications

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“…Two-stage stratified sampling and probability systematic sampling were used for participants selection (DHS, CNIS & ICF, 2015). All the details for the survey methodology are already mentioned in another study (Rizvi, Williams & Hoban, 2019). The data used in our study came from the 2014 CDHS individual questionnaire (DHS, CNIS & ICF, 2015).…”

Section: Methodsmentioning

confidence: 99%

“…This study is theory based and uses the modified social ecological model (SEM) by Koren & Mawn (2010) and Rizvi, Williams & Hoban (2019) as adapted from Bronfenbrenner's SEM (Bronfenbrenner, 1979;Koren & Mawn, 2010;Rizvi, Williams & Hoban, 2019). The SEM for unmet need includes factors operating at three levels including individual, microenvironment, and macroenvironment (Bronfenbrenner, 1979;Rizvi, Williams & Hoban, 2019). These multiple factors at different levels can influence a woman's behaviour patterns for using contraception methods.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

“…The individual level includes personal characteristics like age, sociodemographic details including area of residence (urban or rural), occupation, and education. The microenvironment level includes interpersonal and societal factors like family, friends and partners; and the macroenvironment level includes relevant policy laws and regulations, media messages for family planning and distance from the health care facilities (Bronfenbrenner, 1979;Rizvi, Williams & Hoban, 2019). Using the SEM model provides an understanding of the various factors concurrently functioning at multiple levels and their association with the unmet need, as well as the identification of prospective gaps in knowledge.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

“…We posit that health-seeking behaviours in these younger females are deeply influenced by the ingrained societal norms which originate from a patriarchal culture. Studies from Cambodia, as well as from many LMICs in Asia, and some African countries show that women's decision to access health care, including contraception, are usually made either by their husband or by another family member (elder) in the household (Chandra-Mouli et al, 2014;Gupta et al, 2015;Rizvi, Williams & Hoban, 2019) . In many situations it is the mother-in-law, or the father-in-law who make these decisions (Gupta et al, 2015).…”

Section: Microenvironment Level Of Semmentioning

confidence: 99%

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Factors influencing unmet need for contraception amongst adolescent girls and women in Cambodia

Rizvi

Williams

Bowe

et al. 2020

PeerJ

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Background Unmet need is the gap between women’s need and their practice of using contraception. Unmet need for contraception in female adolescents and women in Cambodia is a public health concern which may lead to unintended pregnancies or abortions that can contribute to maternal morbidity and mortality. Methods Bronfenbrenner’s Social Ecological Model was used as a theoretical framework to analyze data from the 2014 Cambodian Demographic and Health Survey to ascertain demographic and social factors potentially associated with unmet need for contraception. Bivariate and weighted multiple logistic regression analyses with adjusted odds ratios (AOR) were conducted for 4,823 Cambodian, sexually active females aged 15–29 years. Results The percentage of unmet need for contraception was 11.7%. At the individual level of the Social Ecological Model, there was an increased likelihood of unmet need in adolescent girls 15–19 years and women 20–24 years. Unmet need was decreased in currently employed women. At the microenvironment level, there was an increased likelihood of unmet need with the husband’s desire for more children and when the decision for a woman’s access to healthcare was made by someone else in the household. At the macroenvironment level, unmet need was decreased in women who could access a health facility near their residence to obtain medical care. There were no urban rural differences found in the Cambodian sample population. Conclusion Unmet need for contraception in Cambodian females adolescents and women is associated with younger age, unemployment and low personal autonomy for accessing healthcare but not with education or wealth status. There is a need to implement culturally appropriate reproductive and sexual health literacy programs to increase access to modern contraception and to raise women’s autonomy.

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Section: Methodsmentioning

confidence: 99%

Section: Theoretical Frameworkmentioning

confidence: 99%

Section: Theoretical Frameworkmentioning

confidence: 99%

Section: Microenvironment Level Of Semmentioning

confidence: 99%

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Factors influencing unmet need for contraception amongst adolescent girls and women in Cambodia

Rizvi

Williams

Bowe

et al. 2020

PeerJ

Self Cite

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“…A woman who has an unwanted pregnancy does not want to be pregnant or have any children. A woman who has a mistimed pregnancy does not want to be pregnant at this time but wants the pregnancy later 7 .…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Unintended Pregnancies among Childbearing Age Women in Indonesia

Laksono

Wulandari

2020

Preprint

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Background: Unintended pregnancy can cause pregnancy termination, which leads to safety risks. The purpose of the study was to analyze the factors that influence unintended pregnancies in Indonesia.Methods: The analysis unit was women aged 15-49 years old who gave birth to the last 5 years. The sample size was 36,472 women. In addition to unintended pregnancy as the dependent variable, other variables analyzed were the place of residence, age, education, husband/partner, employment, wealth, parity, pregnancy termination, the person deciding woman's access to health care, heard about family planning messages on radio, television, and newspaper/magazines. The final stage analysis uses binary logistic regression.Results: Women in urban areas were 1.834 times more likely than women in rural areas to experience an unintended pregnancy. The 20-24 age group was 0.202 times more than the 15-19, while the 45-49 was 1.916 times compared to the 15-19 to experience an unintended pregnancy. Secondary education women were 1.447 times more likely than no education women, while the poorer women were 1.190 times more likely than the poorest women to experience an unintended pregnancy. Parity was found to be a strong determinant of unintended pregnancy. History of pregnancy, decision making by husbandpartner, and heard about family planning messages on radio and television in the last few months are risk factors for unintended pregnancy.Conclusions: Eight variables affect unintended pregnancy, namely age, education, wealth, parity, pregnancy termination, the person deciding woman's access to health care, and heard about family planning messages on radio and television.

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Moderating Effect of Gender on the Relationship Between Sexual Knowledge and Sexual Activity Among Adolescents

Czaderny

2023

Sex Res Soc Policy

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Introduction Adolescent sexual activity is an important topic for public health policies and can be shaped by them. This study examines the relationship between sexual knowledge and sexual activity and tests the moderating effect of gender. Methods This study uses a random sample of 1246 Polish adolescents aged 18−19 years. The methods of partial least squares path modeling and bootstrap testing are utilized. Results Among boys, unlike among girls, a low level of sexual knowledge was associated with early and intense sexual activity represented by an early age of sexual initiation, a high number of sexual partners, and a short time since last sexual intercourse. Additionally, the average level of sexual knowledge was lower among boys than among girls. More specifically, the difference in knowledge of every element of the male reproductive system between boys and girls was not significant; however, girls were more aware of the female reproductive system than boys. Conclusions Gender differentiated the relationship between sexual knowledge and sexual activity. The revealed moderating effect could reflect gender differences in the motives of sexual activity of adolescent men and women. The early and intense sexual activity exhibited by boys with limited sexual knowledge exposed them to sexually transmitted diseases and unintended parenthood. Policy Implications The self-selection of boys with low sexual knowledge levels into early and intense sexual activity may be of interest to public health.

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Factors Influencing Unintended Pregnancies amongst Adolescent Girls and Young Women in Cambodia

Cited by 28 publications

References 25 publications

Factors influencing unmet need for contraception amongst adolescent girls and women in Cambodia

Factors influencing unmet need for contraception amongst adolescent girls and women in Cambodia

Factors Influencing Unintended Pregnancies among Childbearing Age Women in Indonesia

Moderating Effect of Gender on the Relationship Between Sexual Knowledge and Sexual Activity Among Adolescents

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