The determinants of pregnancy health literacy among youth in Bogalay Township, Ayeyarwaddy Region, Myanmar

Authors

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20221217

Keywords:

Youth, Teenage pregnancy health literacy, Education, Reproductive health care service, School-based sexual education

Abstract

Background: Focusing on adolescent reproductive health is very important, as 16% of the world's population is adolescents. This study aimed to identify the determinants of teenage pregnancy health literacy among youth and explore the perception of teenage pregnancy among youth and their guardians.

Methods: We conducted a cross-sectional study with a mixed-method approach to identify the determinants and perception of pregnancy health literacy among youth in Bogale Township, Ayeyarwaddy region, Myanmar, between July and December 2020. We did the face-to-face personal interviews with guided self-administered questionnaires among 310 youth and individual depth interviews with 12 youth and 12 of their parents.

Results: About 43% (95% CI 37.1%, 48.1%) were well-versed in pregnancy health literacy issues. This study discovered that youth with high school education and less had a 6.8 (95% CI =1.4, 34.7) fold increase in odds of having poor pregnancy health literacy compared to those with higher education. Moreover, youth who could not earn their income was approximately 5.7 times more likely to have poor pregnancy health literacy than those who could earn. The majority of youth requested to disseminate reproductive health information through various media and channels and that health facilities be well-equipped to provide reproductive health care services to teenagers. Most parents believed that sexual and reproductive health education should be begun only when school=age children reach puberty.

Conclusions: The all-inclusive schooling system should be strengthened continuously in basic schools and universities. Sexual and reproductive health education/teaching programs and adolescents-friendly reproductive health services should be effectively implemented to prevent teenage pregnancy and ensure safer sex practices among teenagers. School-based sexual education programs must involve and assist parents and teachers in taking a more active role in SRH education in schools. In addition, young people should be well-equipped and have secured better and more employment opportunities.

Metrics

Metrics Loading ...

Author Biographies

Tun W. Lat, Department of Public Health, Planning Unit, Ministry of Health, Naypyitaw, Myanmar

Health Assistant-1

Planning Unit,Department of Public Health, Ministry of Health, Naypyitaw, Myanmar

May P. Lynn, Health Management Information Division, Ministry of Health, Naypyitaw, Myanmar

Assistant Director

Health Management Information Division, Department of Public Health, Ministry of Health, Naypyitaw, Myanmar

Kyaw S. Mya, Department of Preventive and Social Medicine, University of Medicine, Taunggyi, Mynamar

Professor/Head

Department of Preventive and Social Medicine, University of Medicine, Taunggyi, Myanmar

References

HIV prevention among most at risk and especially vulnerable adolescents and young people in South Asia. Kathmandu. Available at: https://prod.brazil. unfpa.org/. Accessed on 20 April 2021.

Guidelines on Reproductive Health. Available at: https://www.who.int/westernpacific/health-topics/ reproductive-health?. Accessed on 20 April 2021.

Adolescence : building solid foundations for lifelong flourishing. Available at: https://healtheducation resources.unesco.org/. Accessed on 20 April 2021.

Myanmar Demographic and Health Survey 2015-16. Available at: http://dhsprogram.com/pubs/pdf/FR324/ FR324.pdf. Accessed on 20 April 2021.

Global Roundtable working group on youth. Available at: https://www.roundtable.global/. Accessed on 20 April 2021.

Sexual health and its linkages to reproductive health: an operational approach. Available at: http://apps. who.int/iris/bitstream/10665/258738/1/9789241512886-eng.pdf?ua=1. Accessed on 25 October 2020.

Nerlander LM, Zapata LB, Yorick R, Skipalska H, Smith RA, Kissin DM, Jamieson DJ, Vitek CR, Hillis SD. Behaviors Associated With a Risk of HIV Transmission From HIV-Positive Street Youth to Non-Street Youth in Ukraine. Sex Transm Dis. 2015;42(9): 513-20.

Ganchimeg T, Ota E, Morisaki N, Laopaiboon M, Lumbiganon P, Zhang J, et al. WHO Multicountry Survey on Maternal Newborn Health Research Network. Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study. BJOG. 2014;121(1):40-8.

Urdinola BP, Ospino C. Long-term consequences of adolescent fertility: The Colombian case. Demograp Res. 2015;32(55):1487-518.

Ian T, Tom M. Teenage Childbearing and Educational Attainment in South Africa. Stud Family Plann. 2015; 46:143-60.

Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Viera A, Crotty K, et al. Health literacy interventions and outcomes: an updated systematic review. Evid Rep Technol Assess. 2011;(199):1-941.

Dimmitt CJ, Harlin B, Collins JL. Sexual risk behavior and STI health literacy among ethnic minority adolescent women. Appl Nurs Res. 2013;26(4):204-9.

Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promo Int. 2000;15(3):259-67.

Sørensen K, Van den Broucke S, Fullam J. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health. 2012;12(80):2458-70.

Ian B. Research provides evidence for health policy in Lao PDR. Global Health Action. 2020;13(2):171-7.

Vongxay V, Albers F, Thongmixay S, Thongsombath M, Broerse JEW, Sychareun V, Essink DR. Sexual and reproductive health literacy of school adolescents in Lao PDR. PLoS One. 2019;14(1):e0209675.

Thematic Report on Children and Youth, Census Report. Available at: https://data.opendevelop mentcambodia.net/. Accessed on 20 April 2021.

Hulton LJ. The application of the Transtheoretical Model of Change to adolescent sexual decision-making. Issues Compr Pediatr Nurs. 2001;24(2):95-115.

Santisouk P, Hansana V, Thanh Huong N. Pregnancy health literacy among teenagers in Kaysone district, Savannakhet Province, Lao PDR. Glob Health Action. 2020;13(2):179-83.

Daniel WW. Biostatistics: basic concepts and methodology for the health sciences. 10th ed. USA: Wiley; 2014.

Cleland J. Illustrative Questionnaire for Interview - Surveys with Young people. Human Reprod. 2001.

Lat, TW, Aung Y, Thu M, Tun T, Mya KS. Awareness and perception on sexual and reproductive health and self-reported premarital sex among never married youth in Chaungzone Township, Mon State, Myanmar. Int J Community Med Public Health 2020;7:815-22.

Min T, Yan A, Lat TW. Premarital sex practice and its determinant factors among never married youth in Nattalin Township, Bago Region, Myanmar. Int J Adolsec Med Health. 2019;21:299-312.

Almeida N, Teixeira A, Garcia J, Martins N, Ramalho C. Effects of an Educational Intervention on Angolan Adolescents' Knowledge of Human Reproduction: A Quasi-Experimental Study. Int J Environ Res Public Health. 2019;16(24):5155.

Buga GA, Amoko DH, Ncayiyana DJ. Adolescent sexual behavior, knowledge and attitudes to sexuality among school girls in Transkei, South Africa. East Afr Med J. 1996;73(2):95-100.

Opara PI, Eke GK, Tabansi PN. Perception of sexuality education amongst secondary school students in Port Harcourt, Nigeria. West Afr J Med. 2012;31(2):109-13.

Mbizvo MT, Kasule J, Gupta V, Rusakaniko S, Gumbo J. Reproductive biology knowledge, and behaviour of teenagers in East, Central and Southern Africa: the Zimbabwe case study. Cent Afr J Med. 1995;41(11): 346-54.

França AS. Evaluating Health Literacy among Adolescent and Young Adult Pregnant Women from a Low-Income Area of Northeast Brazil. Int J Environ Res. 2020;17:8806.

Early marriages, adolescent and young pregnancies. Available at: https://apps.who.int/. Accessed on 20 October 2021.

Paek H-J, Reber BH, Lariscy RW. Roles of interpersonal and media socialization agents in adolescent self-reported health literacy: a health socialization perspective. Health Educ Res. 2011;26:131-49.

Madlala ST, Sibiya MN, Ngxongo TSP. Perceptions of young men at the Free State School of Nursing with regards to teenage pregnancy. Afr J Prim Health Care Fam Med. 2018;10(1):e1-7.

Phipps-Yonas S. Teenage pregnancy and motherhood: a review of the literature. Am J Orthopsychiat. 1980;50 (3):403-431

Campbell B, Mbizvo MT. Sexual behaviour and HIV knowledge among adolescent boys in Zimbabwe. Cent Afr J Med. 1994;40(9):245-50.

Rusakaniko S, Mbizvo MT, Kasule J, Gupta V, Kinoti SN, Mpanju-Shumbushu W, Sebina-Zziwa J, Mwateba R, Padayachy J. Trends in reproductive health knowledge following a health education intervention among adolescents in Zimbabwe. Cent Afr J Med. 1997;43(1):1-6

Zabin LS. The school-based approach to teen pregnancy prevention. Plan Parent Rev. 1986;6(2):8-10

Lat TW. Parents' perception on sex education towards their adolescent children in Twantay Township, Yangon Region, Myanmar. Myanmar Health Sci Res J. 2020;32(2):25-31

Orji CJ, Arinze-Onyia SU, Obionu CN. Parental Verbal Communication and Sexual Knowledge of Senior Secondary School Students in South East, Nigeria. Ethiop J Health Sci. 2019;29(4):477-86.

Downloads

Published

2022-04-27

How to Cite

Lat, T. W., Lynn, M. P., & Mya, K. S. (2022). The determinants of pregnancy health literacy among youth in Bogalay Township, Ayeyarwaddy Region, Myanmar. International Journal Of Community Medicine And Public Health, 9(5), 2029–2037. https://doi.org/10.18203/2394-6040.ijcmph20221217

Issue

Section

Original Research Articles