REPEATED ADOLESCENT PREGNANCIES ON HMOMG ETHNIC GROUPS IN THOENG DISTRICT, CHIANG RAI, THAILAND
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Abstract
BACKGROUND: The Hmong ethnic group is a group whose traditions, culture, language influenced by socialization. They inherited from each other as their own even pregnancy. Early marriages are common on Hmong people, resulting in pregnancy at an early age. This leads to more problems and faces many health problems. Moreover, if the pregnancy is repeated, the consequences are more serious.
OBJECTIVE: This Naturalistic qualitative research study aimed to describe the factors effect on repeated pregnancies among Hmong ethnic adolescents in Thoeng district, Chiang Rai.
METHODS: In-depth interviews under the Process-Person-Context-Time (PPCT) model framework and non-participant observation were used for collecting data from Eighteen Hmong ethnic adolescents who are recurrent pregnancy or have a past history. In addition, Purposive sampling and Snowball technique were used for collecting data from samples. Data were collected by using in-depth interviews under the PPCT model framework and non-participant observation. Data were analyzed by thematic analysis.
RESULTS: Showed that the cause of repeated pregnancies was caused by Two main factors. 1) Individual level, most of them had knowledge but lacked awareness of contraception. Due to the desire to have more children, there is a positive attitude towards repeat pregnancies. Moreover, the expectations from pregnancy and the economic dependence on the husband's family. 2) Context, extended families with power relations are resulting in a lack of bargaining power, including decisions related to reproductive behavior and access to public health services led to obey the referral group. Moreover, Traditions, cultures and beliefs, there were no specific association with repeated pregnancies among Hmong ethnic adolescents, but it's a relationship that enables toward adolescent pregnancies. This includes taking care of yourself during pregnancy and postpartum.
CONCLUSIONS AND DISCUSSIONS: A positive attitude towards repeated pregnancies based on the values that are common in Hmong married life, supported by family. They are under the traditions and cultures, beliefs that enables toward behavioral expression of them and the families. In order to reduce the severity of repeated adolescent pregnancy problems, the crucial key components include intensive support and policy from the executive committee at ministry and local areas in accordance with the context of the Hmong ethnic group.
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References
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