Birsel Canan DEMİRBAĞ, Meltem KÜRTÜNCÜ, Reyhan ERKAYA, Zeynep ÇİÇEK

ADÖLESAN EVLİLİK VE GEBELİK: DOĞU KARADENİZ ÖRNEĞİ

Amaç: Bu çalışmanın amacı adölesan evlenmiş kızlar arasında demografik özelliklerin değerlendirilmesidir. Yöntem: Mart 2010-Mayıs 2012 dönemi içinde Trabzon’da yapılan tanımlayıcı bir çalışmadır. Belediye evlendirme dairesine gelen 101 kişi Trabzon Belediyesi evlilik defterine kayıtlı ile yüz yüze görüşme tekniği ile anket uygulaması yapılmıştır. Yerel etik komiteden uygulama izni alınmıştır. Bulgular: Çalışma 15-18 yaş arası evli ergen kadınları kapsamaktadır. %42.5’i ilköğretim mezunu ve yüksek okul veya üniversite mezunu bulunmamaktaydı. Bu adölesanların %65’i evlendikten sonra iki yıl boyunca gebelik istememişlerdi. Bunların% 94’nün evliliklerin ilk yıllarında bir bebekleri vardı. %98’inin evlilik öncesi, evlilik hakkında bilgisi yoktu, bu kadınların %42’sinin sağlık sigortası bulunmamakta ve %73 herhangi bir aile planlaması yöntemi kullanmıyordu. Çalışmaya katılan kadınlar ve onların annelerinin evlenme yaşı arasında ilişki saptanmadı r = 2.25 . Sonuç: Adölesanların evlilik, cinsellik, hamilelik ve bebek bakımı konularında bilgiye gereksinimleri vardı. Bu şehirde tüm adölesanlara özellikle birinci basamak sağlık hizmetlerinde çok yoğun bir eğitim programının planlanması gerekmektedir.

Adolescent Marriage and Pregnancy: Sample of Eastern Black Sea

Objectives: The aim of this study was to evaluate demographic features among married adolescent girls. Methods: A descriptive study was conducted in the period March 2010 to May 2012 in Trabzon, Turkey using face to face constructed questionnaire administered to 101 subjects registered in the Marriage Book of Municipality of Trabzon which came to the marriage center of the municipality. The study protocol was approved by Rural Ethics Committee of the city. Results: The participants were adolescent women who married between the age of 15-18. 42.5% of these were elementary school graduates, and none of the subjects were high school or university graduates. 65% of these adolescents did not want to have pregnancy in the first two years of marriage marriage. 94% of them had a baby during the first year of their marriages. 98% of them did not have knowledge about the responsibilities of marriage prior to being married, 42% of those women did not have health insurance and 73% do not use any methods of family planning. There was correlation between the marriage age of the women and the age at which their mothers married r=2.25 . Conclusion: Adolescents need to have knowledge about marriage, sexuality, pregnancy and baby care issues. In this city, an intensive educational program should be designed to teach all the adolescents in primary health services

Keywords:

Adolescent, marriage, pregnancy in adolescence, Turkey,

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