Knowledge and practice of family planning and HIV-prevention behaviour among just delivered adolescents in Ecuador: The problem of adolescent pregnancies

被引：7
作者：
Chedraui P. [1 ]
Van Ardenne R. [1 ,2 ]
Wendte J.F. [2 ]
Quintero J.C. [1 ]
Hidalgo L. [1 ]
机构：
[1] Labor Unit, Enrique C. Sotomayor Obstetrics and Gynecology Hospital, Guayaquil, PO Box 09-01-4671
[2] Department of Social Medicine, Academic Medical Centre, University of Amsterdam, Amsterdam
来源：
Archives of Gynecology and Obstetrics | 2007年 / 276卷 / 2期
关键词：
Adolescent pregnancy; Contraception; HIV/AIDS; Knowledge; Sexually transmitted diseases;
D O I：
10.1007/s00404-007-0325-5
中图分类号：
学科分类号：
摘要：
Background: Adolescents constitute a high risk population for the spreading of sexually transmitted diseases, among them HIV/AIDS. Knowledge regarding reproductive issues among them is a key point in order to establish appropriate prevention programs. Objective: Obtain information regarding the knowledge and practice related to family planning and HIV-prevention behaviour among adolescents of low income. Methods: Adolescents aged 19 or less delivering at the Enrique C. Sotomayor Obstetrics and Gynecology Hospital, Guayaquil, Ecuador were surveyed in the immediate postpartum period with a structured questionnaire designed for the purpose. Results: During the study period, 357 pregnant adolescents were surveyed. Mean age was 17.2 ± 1.4 years, 30.8% were aged 16 or less. Demographical and obstetrical history differences were found when comparing adolescents in relation to age and educational level. A high rate of mothers had unplanned pregnancies (63.3%) or did not know what family planning was (49.6%). Despite high knowledge of what a condom or an oral contraceptive was, few had used them in the past. The most frequently known family planning methods in this series, which was age dependent, were: oral contraceptives (90.2%), condoms (84.9%), parenteral (66.7%) and intrauterine devices (63.3%). The majority knew what HIV/AIDS infection was, the most important sources of knowledge being: television, high school source, and family or relatives. A high rate of adolescents had never had an HIV test performed in the past with one prior tested adolescent resulting in a positive result. There was a high rate of knowledge regarding the most frequent HIV transmission routes: sexual intercourse, contact with infected blood and vertical transmission. In this series, although condom use was the most known way for HIV protection, only 22.2% answered having intercourse protected with this method. Conclusion: In this adolescent series, older age was related to higher knowledge in family planning methods; in global despite finding a relatively high knowledge in family planning and HIV related issues, contraception use and HIV protection behaviour was low. © 2007 Springer-Verlag.
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页码：139 / 144
页数：5
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