Model Development for teenage pregnancy prevention
Keywords:
รูปแบบการป้องกันวัยรุ่นตั้งครรภ์, วัยรุ่นตั้งครรภ์Abstract
Increasingly, the problem of teenage pregnancy has been present in several regions of Thailand including Phichit province. The causes and related factors are objected to be identified. Consequently, the means of pregnancy prevention for the Phichit teenagers could be developed and the efficiency trial was undertaken. The research and development were designed for studies with 3 student groups including the high school, college and non-formal education. There were four steps of the investigation that firstly, the causes and factors affecting the problem were observed together with the obstacles for the pregnancy prevention. The data were collected by using both quantitative and qualitative methods. Secondly, the model for preventing teenage pregnancy was developed and the trials were provided with the above 3 student ones for the third. Lastly, the efficacy was evaluated. It was present that the causes and the related factors affecting the teenage pregnancy ad well as the obstacles for the implementation of pregnancy prevention were verified. They were happened due to the negative conditions from several circumstances such as family life-being impact, surrounding social media, control management of education places and own self teenagers. It is concluded that the practical model for pregnancy prevention in Phichit teenage requires a cooperation of 3 institutes such as family, school and community through learning system namely, Teenage focused: Health and Education Approach. The working staffs must be formulated as a team with their sincerity in remedy. The cooperation is assigned by the whole 3 units as follows. 1. Family based: a family performance must basically be complete in cope with the management and administration of timing, loving and carefulness regularly. The good idols are present with their abilities to give any advice or suggestions and the skills to teach children how to strengthen their own living. 2. School based: It is defined as the role of the school administration system for instance, keeping the good image, making skill addition, giving any advice or suggestions. The risky student group is screened for the additional teaching and training courses besides the normal education provision. Such activities would contribute the student to know how to strengthen their living as immune developed in the body. The skill is developed for taking care of environment within the school. There are also the other activities beneficial to the students i.e. information media promotion in school, good free-time arrangement, some recreations. The policy for child problem management should be established clearly. Additionally, cooperation with nursing may encourage the detection and protection procedures. 3. Community based: The community has also a role for the regulation including good example consideration, carefulness, strictness, dormitory rule and social law. By the way, the teenager control development must be established emphasizing on the promotion of their immune addition. It can be operated by an increase in living skill, better attitude creation, good thinking and looking changes, higher awareness, own self love and gratify. On the other hand, the practice not corresponding and not following to her friends must be strictly employed. Subsequently, understanding on pregnant prevention is made while as continuously consistent learning has to be followed. The research and development were conducted using the participatory action research procedure. It is a way for the development of pregnant prevention method for the teenagers. The research was carried out following to the process of the potential development of the teenager both the technical and mental conditions. There was the participation on research activity and execution, learning regulation group, encouragement among students, teachers and general researchers as an immense solution. Apart from the mention method of unplanned teenage pregnancy prevention, strengthen and learning development of the teenagers were also achieved. The participation of the procedure development is made so that permanent solution and expansion of research and development occur continuously.
References
กนกวรรณ อังกะสิทธิ์(2540).. พฤติกรรมสุขภาพและการเห็นคุณค่าของตนเองของคนพิการวิทยานิพนธ์ศึกษาศาสตร์.มหาบัณฑิต,มหาวิทยาลัยเชียงใหม่; หน้า 16.
กรมสุขภาพจิต กระทรวงสาธารณสุข. (2544). คู่มือการสอนทักษะชีวิตเพื่อป้องกันโรคเอดส์. กรุงเทพ : กรมสุขภา จิตกระทรวงสาธารณสุข.
ชื่นฤทัย กาญจนะจิตรา และคณะ. (2546). สุขภาพคนไทย2546. รายงานการวิจัยสถาบันวิจัยประชากรและสังคม มหาวิทยาลัยมหิดล.
นิภา หะวานนท์. (2529). ปัญหาทางเพศของวัยรุ่นและการท ำแท้ง. การประชุมวิชาการ ผู้หญิงทันสุขภาพหัวข้อเรื่องสร้างองค์ความคิดผู้หญิงกับสุขภาพ13-14มิถุนายน.2539; โรงแรม เอส.ดี.เอนิวกรุงเทพมหานคร: ศูนย์ศึกษานโยบายสาธารณสุขและคณะสังคมศาสตร์และมนุษย์ศาสตร์มหาวิทยาลัยมหิดล.
วันเพ็ญ กุลนริศ. (2530). ความสัมพันธ์ระหว่างเจตคติต่อกรตั้งครรภ์ ภาพลักษณ์ สัมพันธภาพของคู่สมรสกั การปรับตัวต่อการเป็นมารดาของหญิงวัยรุ่นในระยะตั้งครรภ์. วท.ม(พยาบาลศาสตร์). มหาวิทยาลัยมหิดล.
ศศิธร มณีแสง. (2538). ความสัมพันธ์ระหว่างการสนับสนุนทางสังคม การรับรู้เกี่ยวกับประสบการณ์คลอดกับ การปรับตัวของมารดาวัยรุ่น.วท.ม (พยาบาลศาสตร์). มหาวิทยาลัยมหิดล.
ศรีเรือน แก้วกังวาล. (2541). จิตวิทยาพัฒนาการ (พิมพ์ครั้งที่4). กรุงเทพฯ: พิมพ์ดีจำกัด
ศิริกุล อิศรานุรักษ์ และวรรณา เตชวณิชย์พงศ์(2543).. ทบทวนสถานการณ์พฤติกรรมทางเพศของเด็กและเยาวชน อายุ 6-24 ปีที่ก ำลังศึกษา พ.ศ.2532-2542.กรุงเทพมหานคร:เจริญดีการพิมพ์.
สริตา วรรณวงศ์. (2528). การตั้งครรภ์ในวัยรุ่น. วท.ม (ระบาดวิทยา)., มหาวิทยาลัยมหิดล.
สายฤดี วรกิจโภคาทร. (2529). วัยรุ่นท ำอะไรกันอยู่. ประชากรและการพัฒนา; หน้า 1-7.
สุวชัย อินทรประเสรฐ. (2530). การตั้งครรภ์ในวัยรุ่น ใน ก ำแหง จาตุรจินดา และคณะ (บรรณาธิการ). สูติศา รามาธิบดี. (หน้า 513-512) กรุงเทพ:โอ เอส พริ้นติ้งเฮาส์.
สุธีรัตน์ แก้วประโลม .(2538). ความสัมพันธ์ระหว่างความรู้สึกมีคุณค่าในตนเองการสนับสนุนทางด้านสังคมกับ พฤติกรรมการดูแลตนเองของผู้ป่วยเบาหวานสูงอายุ.โรงพยาบาลอุตรดิตถ์ จังหวัดอุตรดิตถ์; หน้า 18-1
เสาวรส มีกุศล. (2543). พฤติกรรมเสี่ยงต่อสุขภาพของวัยรุ่น. วารสารพยาบาลศาสตร์,18(11), 14-24.
Balding, J. (2003). Young people in 2002. Exeter: Schools Health Education Unit,University of Exeter.
Bandura, A. (1997). Self-efficacy: The exercise of control. New York: W.H.Freeman.
BMRB International. (2001). Evaluation of the Teenage Pregnancy Strategy. Tracking survey. Report of results of benchmark wave. January 2001. Retrieved on Feb20, 2007 from http:// www.teenagepregnancyunit.gov.uk
BMRB International (2003). Evaluation of the Teenage Pregnancy Strategy. Tracking survey. Report of results of nine waves of research. October 2003. London: BMRB International.
Bobak, I. M. & Jensen, M.D. (1997). Essentials of maternity nursing : the nurse and the childbearing family. (2nd ed.) St.Louise:C.V.Mosby.
Botting, B., Rosato, M. and Wood, R. (1998).Teenage mothers and the health of their children. Population Trends 93 :19-28.
Brook (1998). “Someone with a smile would be your best bet…” What young people want from sex advice services. London: Brook Advisory Centers.Retrieved on Feb 20, 2007 from http://www.teenagepregnancyunit.gov.uk
Churchill, D. (2000). Consultation patterns and provision of contraception in general practice before teenage pregnancy: case control study. British Medical Journal 321: 486-9.
Coren, E. and Barow, J. (2004). Individual and group-based parenting programmers for improving psychosocial outcomes for teenage parents and their children. Cohrane Library, Issue 1. Chichester, UK: John Wiley & Sons.
Darroch, J. and Singh, S. (1999). Why is teenage pregnancy declining? The roles of abstinence, sexual activity and contraception use. Occasional Report No.1. New York: Allan Guttmacher Institute. Retrieved on Feb20,2007 from http:// www.agi-usa.org/pubs/or_teen_peg_decline.html
Dicenso, A., et al. (2002). Interventions to reduce unintended pregnancies among adolescents: systematic review of randomised controlled trials. British Medical Journal 324 (7531): 1426.
Emler, N. (2001). Self-esteem: the costs and causes of low self-worth. York: Joseph Rowntree Foundation. Retrieved on Feb20,2007 from http://www.jrf.org.uk/knowledge/findings/ socialpolicy/pdf/N71.pdf
Ermisch, J. and Pevalin, D. (2003). Who has a child as a teenager? ISER working paper 2003-30. Colchester: Institute for Social and Economic Research, University of Essex. Retrieved on Feb 20, 2007 from http:/www.iser.essex.ac.uk/pubs/workpaps/pdf/2003-30.pdf
Gibson, C. H. (1993). A study of empowerment in mother of chronically ill children. Unplublished doctoral Dissertation,Boston college, Boston.
Hall, WA. (1994). Adolescent childbearing and parenting IN.KA. May & L.R.Mahlmeister (Eds.). Maternal &Neonatal Nursing: Family-center Care.(3rd ed) (pp.197-216).Philadelphia : J.B.Lippincott comp. Holt, J. L. & Johnson, S. D. (1991). Developmental task : A key to reducing teenage Pregnancy. Journal of Pediatric Nursing, 6(3),191-196.
Ingham, R., Clements, S. and Gillibrand, R. (2001). Factors affecting changes in rate of teenage conceptions 1991 to 1997. London: Teenage Pregnancy Unit. Retrieved on Feb20, 2007 from http://www.teenagepregnancyunit.gov.uk
Jemmott, L.S., & Jemmott III, J.B. (1991). Applying the the theory of reasoned action to AIDS risk behavior: Condom use among black women. Nursing Research.40(1),228-234.
Kiernan, K. (1995). Transition to parenthood: young mothers, young fathers-associated factors and later life experiences. LSE Discussion Paper WSP/113. London: London school of Economics.
Kirby, D. (2001). Emerging answers: research finding on programs to reduce unwanted Teenage pregnancy. Washington, DC, USA: National Campaign to Prevent Teen
Pregnancy. Retrieved on Feb20,2007 from h t t p : / / w w w . t e e n p r e g n a n c y . o r g / s t o r e / i t e m . asp?productld=128
Ladewig, P.W., London,M.L.,& Olds, S.B.(1994). Essentials of maternal-Newborn Nursing. (3th ed). California : Cummings Publishing.
Mandleco, B. L., & McCoy, J.K. (2000).Growth and development of the adolescent.N.L. Potts & B.L.Mandleco (Eds.) Pediatric nursing (pp.305-347). Albany,NY: Delmar.
Neinstein, L. S. (1992).Adolescent health planning care : A practical guide.(2nd.).Baltimore ; William & Wilkins.
ONS (2003). Contraception and sexual health, 2002. National statistics. London: Office of National statistics: Retrieved on March 20,2007 from http://www.statistics.gov.uk/downloads/theme_ health/Contracepts2002.pdf
Poulin , C., & Graham, L.(2001) The association between substance use, unplanned sexual intercourse and other sexual behaviors among adolescent study. Addiction,96,607-621
Steinberg, L. (1999). Adolescence.(5 th ed.). New York: McGraw-Hill.
Stone, N. and Ingham, R. (2002). Factors affecting British teenagers’ contraceptive use at first intercourse: the importance of partner communication. Perspectives on Sexual and Reproductive Health 34 (4): 191-7.
Stone, N. and Ingham, R. (2003). When and why do young people in the United Kingdom first use sexual health services? Perspectives on Sexual and Reproductive Health 35 (3): 114-20.
Swann, C., Bowe, K., McCormick, G. and Kosmin, M. (2003). Teenage pregnancy and parenthood: a review of reviews. Evidence briefing. London: Health Development Agency. Retrieved on Feb20,2007 from http:// www.hda.nhs.uk/evidence
Swann, C., et al.( (2003). Evidence-based briefing paper on teenage pregnancy and parenthood. London: Health Development Agency. Retrieved on Feb20,2007 from http://www.hda.nhs.uk/ evidence
Wight, D.,et al. (2002). The limits of teacher-delivered sex education: interim behavioral Outcomes from a randomized trial. British Medical Journal 324: 1430
Stone, N. and Ingham, R. (2002).Factors affecting British teenagers’ contraceptive use at first intercourse: the importance of partner communication. Perspectives on Sexual and Reproductive Health 34 (4): 191-7.
Whaley, A. L. (1999).Preventing the high-risk sexual behavior of adolescents: focus on HIV/AIDS transmission, unintended pregnancy, or both?.
World Health Organization. (WHO). (1999). WHO technical report series 886: programming for adolescent health and development. Geneva, Switzerland: Division of mental health.

