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Abstract：
OBJECTIVE: The Chepang people, an indigenous ethnic group in Nepal, experience substantial marginalization and socioeconomic disadvantages, making their communities among the most vulnerable in the region. This study aimed to determine the prevalence and factors associated with adolescent pregnancy in the Chepang communities of Raksirang Rural Municipality, Makwanpur District, Bagmati Province, Nepal.
METHODS: A cross-sectional study was conducted from October 2022 to April 2023 among 231 Chepang women selected using simple random sampling from Raksirang Rural Municipality. A semi-structured questionnaire was used for interviewing the mothers. Bivariate and multivariate logistic regression analyses were performed, using odds ratios with 95% confidence intervals (CIs). Variables with a variation inflation factor of more than 2 and a p-value of more than 0.25 were excluded from the final model.
RESULTS: The study revealed that the prevalence rate of adolescent pregnancy among Chepang women was 71.4% (95% CI, 65.14 to 77.16). A large percentage of participants (72.7%) were married before the age of 18 years. Poor knowledge of adolescent pregnancy (adjusted odds ratio [aOR], 10.3; 95% CI, 8.42 to 14.87), unplanned pregnancy (aOR, 13.3; 95% CI, 10.76 to 19.2), and lack of sex education (aOR, 6.57; 95% CI, 3.85 to 11.27) were significantly associated with adolescent pregnancy.
CONCLUSIONS: The prevalence of adolescent pregnancy among the Chepang community was high. These findings highlighted the importance of raising awareness about the potential consequences of adolescent pregnancy and implementing comprehensive sexuality education programs for preventing adolescent pregnancies within this community.
METHODS: A cross-sectional study was conducted from October 2022 to April 2023 among 231 Chepang women selected using simple random sampling from Raksirang Rural Municipality. A semi-structured questionnaire was used for interviewing the mothers. Bivariate and multivariate logistic regression analyses were performed, using odds ratios with 95% confidence intervals (CIs). Variables with a variation inflation factor of more than 2 and a p-value of more than 0.25 were excluded from the final model.
RESULTS: The study revealed that the prevalence rate of adolescent pregnancy among Chepang women was 71.4% (95% CI, 65.14 to 77.16). A large percentage of participants (72.7%) were married before the age of 18 years. Poor knowledge of adolescent pregnancy (adjusted odds ratio [aOR], 10.3; 95% CI, 8.42 to 14.87), unplanned pregnancy (aOR, 13.3; 95% CI, 10.76 to 19.2), and lack of sex education (aOR, 6.57; 95% CI, 3.85 to 11.27) were significantly associated with adolescent pregnancy.
CONCLUSIONS: The prevalence of adolescent pregnancy among the Chepang community was high. These findings highlighted the importance of raising awareness about the potential consequences of adolescent pregnancy and implementing comprehensive sexuality education programs for preventing adolescent pregnancies within this community.
摘要：
■切邦人,尼泊尔的一个土著民族，经历严重的边缘化和社会经济劣势，使他们的社区成为该地区最脆弱的群体。这项研究旨在确定Raksirang农村市Chepang社区的青春期妊娠患病率和相关因素，Makwanpur区,巴格马蒂省,尼泊尔。
■从2022年10月至2023年4月，对使用简单随机抽样从Raksirang农村市中选择的231名Chepang妇女进行了横断面研究。半结构化问卷用于采访母亲。进行了双变量和多变量逻辑回归分析，使用95%CI的比值比。将变异膨胀因子大于2、p值大于0.25的变量排除在最终模型之外。
■该研究显示，切邦女性的青春期妊娠患病率为71.4%（95%CI，65.14-77.16）。大部分参与者（72.73％）在18岁之前结婚。青少年怀孕知识不足(调整后的优势比[AOR]，10.3；95%CI，8.42-14.87），计划外怀孕（AOR，13.3；95%CI，10.76-19.2），缺乏性教育(AOR，6.57；95%CI，3.85-11.27）与青春期妊娠显著相关。
■切邦社区青少年怀孕的患病率很高。这些发现强调了提高对青少年怀孕的潜在后果的认识以及在该社区内实施全面的性教育计划以预防青少年怀孕的重要性。
■从2022年10月至2023年4月，对使用简单随机抽样从Raksirang农村市中选择的231名Chepang妇女进行了横断面研究。半结构化问卷用于采访母亲。进行了双变量和多变量逻辑回归分析，使用95%CI的比值比。将变异膨胀因子大于2、p值大于0.25的变量排除在最终模型之外。
■该研究显示，切邦女性的青春期妊娠患病率为71.4%（95%CI，65.14-77.16）。大部分参与者（72.73％）在18岁之前结婚。青少年怀孕知识不足(调整后的优势比[AOR]，10.3；95%CI，8.42-14.87），计划外怀孕（AOR，13.3；95%CI，10.76-19.2），缺乏性教育(AOR，6.57；95%CI，3.85-11.27）与青春期妊娠显著相关。
■切邦社区青少年怀孕的患病率很高。这些发现强调了提高对青少年怀孕的潜在后果的认识以及在该社区内实施全面的性教育计划以预防青少年怀孕的重要性。
