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Abstract：
BACKGROUND: Antenatal care (ANC) is crucial to reducing maternal and neonatal deaths, but few studies examined adolescent girls\' and young women\'s ANC utilisation and knowledge in Ghana.
OBJECTIVE: To assess adolescents\' and young mothers\' knowledge of ANC, utilisation and factors influencing its use in Ghana.
METHODS: Tano North Municipality, Ahafo Region.
METHODS: This community-based, cross-sectional study involved 440 adolescent and young mothers (between 10 and 24 years). A structured questionnaire was employed to collect data face-to-face. Descriptive and statistical analyses were performed, and p 0.05 was considered statistically significant.
RESULTS: Of the 440 respondents, most were aged 20-24 years (61.2%), married (30.0%), Christians (78.2%), completed junior high school (JHS) (47.8%) and traders (38.9%). Postnatal mothers were 71.6% (315), and all had utilised ANC services. Antenatal care knowledge was good among 75% (330) respondents, with no significant variation by age. Religion influenced knowledge, with Muslims having lower knowledge. Antenatal care utilisation was high ( 50%) among those aged 15-19 years, married, Christians, JHS graduates and traders. Age, marital status and employment type significantly influenced ANC utilisation. Individuals in the age group 15-19 years and married women demonstrated higher odds of utilising ANC services. Casual workers and unemployed respondents were found to have lower odds of utilising ANC services compared to traders.
CONCLUSIONS: Age, marital status, and employment type influenced ANC utilisation in the Ahafo Region. Adolescent mothers under 15 years had lower rates, requiring targeted interventions to improve pregnancy outcomes.Contribution: This study highlights the knowledge and factors influencing ANC use in Ahafo Region and adds to the existing research evidence on ANC.
OBJECTIVE: To assess adolescents\' and young mothers\' knowledge of ANC, utilisation and factors influencing its use in Ghana.
METHODS: Tano North Municipality, Ahafo Region.
METHODS: This community-based, cross-sectional study involved 440 adolescent and young mothers (between 10 and 24 years). A structured questionnaire was employed to collect data face-to-face. Descriptive and statistical analyses were performed, and p 0.05 was considered statistically significant.
RESULTS: Of the 440 respondents, most were aged 20-24 years (61.2%), married (30.0%), Christians (78.2%), completed junior high school (JHS) (47.8%) and traders (38.9%). Postnatal mothers were 71.6% (315), and all had utilised ANC services. Antenatal care knowledge was good among 75% (330) respondents, with no significant variation by age. Religion influenced knowledge, with Muslims having lower knowledge. Antenatal care utilisation was high ( 50%) among those aged 15-19 years, married, Christians, JHS graduates and traders. Age, marital status and employment type significantly influenced ANC utilisation. Individuals in the age group 15-19 years and married women demonstrated higher odds of utilising ANC services. Casual workers and unemployed respondents were found to have lower odds of utilising ANC services compared to traders.
CONCLUSIONS: Age, marital status, and employment type influenced ANC utilisation in the Ahafo Region. Adolescent mothers under 15 years had lower rates, requiring targeted interventions to improve pregnancy outcomes.Contribution: This study highlights the knowledge and factors influencing ANC use in Ahafo Region and adds to the existing research evidence on ANC.
摘要：
背景：产前护理（ANC）对于减少孕产妇和新生儿死亡至关重要，但很少有研究调查加纳的青春期女孩和年轻女性的ANC利用率和知识。
目的：评估青少年和年轻母亲对ANC的知识，加纳的利用率和影响其使用的因素。
方法：塔诺北市，阿哈福地区。
方法：这个基于社区的，横断面研究涉及440名青少年和年轻母亲(10至24岁).采用结构化问卷面对面收集数据。进行了描述性和统计分析，p<0.05被认为具有统计学意义。
结果：在440名受访者中，大多数人年龄在20-24岁(61.2%)，已婚(30.0%)，基督徒（78.2%）完成初中(JHS)(47.8%)和交易员(38.9%)。产后母亲占71.6％（315），所有人都使用了ANC服务。75%(330名)受访者的产前保健知识良好，年龄没有明显变化。宗教影响了知识，穆斯林的知识水平较低。15-19岁人群的产前护理使用率很高（50%），已婚,基督徒,JHS毕业生和交易员。年龄,婚姻状况和就业类型显著影响ANC利用率。15-19岁年龄组的个人和已婚妇女使用ANC服务的几率更高。与贸易商相比，临时工和失业受访者使用ANC服务的几率较低。
结论：年龄，婚姻状况,就业类型影响了阿哈福地区非国大的利用率。15岁以下的青少年母亲比例较低，需要有针对性的干预措施来改善妊娠结局。贡献：本研究强调了Ahafo地区影响ANC使用的知识和因素，并增加了有关ANC的现有研究证据。
目的：评估青少年和年轻母亲对ANC的知识，加纳的利用率和影响其使用的因素。
方法：塔诺北市，阿哈福地区。
方法：这个基于社区的，横断面研究涉及440名青少年和年轻母亲(10至24岁).采用结构化问卷面对面收集数据。进行了描述性和统计分析，p<0.05被认为具有统计学意义。
结果：在440名受访者中，大多数人年龄在20-24岁(61.2%)，已婚(30.0%)，基督徒（78.2%）完成初中(JHS)(47.8%)和交易员(38.9%)。产后母亲占71.6％（315），所有人都使用了ANC服务。75%(330名)受访者的产前保健知识良好，年龄没有明显变化。宗教影响了知识，穆斯林的知识水平较低。15-19岁人群的产前护理使用率很高（50%），已婚,基督徒,JHS毕业生和交易员。年龄,婚姻状况和就业类型显著影响ANC利用率。15-19岁年龄组的个人和已婚妇女使用ANC服务的几率更高。与贸易商相比，临时工和失业受访者使用ANC服务的几率较低。
结论：年龄，婚姻状况,就业类型影响了阿哈福地区非国大的利用率。15岁以下的青少年母亲比例较低，需要有针对性的干预措施来改善妊娠结局。贡献：本研究强调了Ahafo地区影响ANC使用的知识和因素，并增加了有关ANC的现有研究证据。
