TiOkP CHl NGHIEN CO'U Y H Q C ^
8. Ramos JM, Reyes F, Lemma D et al, (2011). Disability profile in leprosy patients' diagnoses in a rural reference leprosy centre in Ethiopia during 1999-2009. Trop Doct. 41 (1): 51-53.
9. Rodrlgues LC, Lockwood DN (2011). Lep- rosy now: epidemiology, progress, challenges, and research gaps. Lancet Infect Dis. 11 (6): 464-470.
10. WHO (2006). Global leprosy situation 2006, Geneve. Switzerland.
Summary
FACTORS INFLUENCING THE DISABILITY
OF THE LEPROCY PATIENTS IN HA NAM PROVINCE
Disability is common among leprosy patients and there are many factors related to the disability The study was conducted to analyse some factors influencing the disability in leprosy pafients in 2010 In Hanam province. The results show that the old patients (more than 60 years old) had more risk with disability in their faces, hands and feeds than the others Patients who had leprosy more than 20 years had more risk with disability in their faces, hands and feeds than the others than the others. MB patients had more risk with disability than the others. Thus, old pafients, long time with leprocy, MB type were risk factors of disability among leproey pafients.
Keyworks: Disability, leprosy, influencing factors
SU' TRAO D 6 | GIU'A CHA ME VQ! CON
• •
(y LU'A TU6l VI THANH NIEN VA QUAN HE TJNH DUC TRU'aC HON NHAN CUA TR^ Vj THANH NIEN
Bill Thi Tii Quydn, T r l n Hu'u Bich, Nguyin Thanh Nga, Le Minh Thi Trwdng Dpi hpc Y ti Cdng dng Nghien cuv nhim muc tidu md td sw trao ddi giu-a cha mp vdi con d Ida tudi vi thdnh nidn (VTN) vd x^c dnh mdi lidn quan giira sw trao ddi eua cha mp vdi con d lira tudi VTN vd quan hd tinh dpc trwdc hdn nhan (QHTDTHN) cua VTN. Kit qud nghidn cuv eho thiy sw trao ddi cda cha mp vdi trd VTN twang ddi tot trdn ca 3 khia cpnh: Ldng nghe, binh ding vd sw cdi md khi trao ti^L 90% cha mp trao ddi vdi trd VTN vi cdch ting xd, ehi dd dn udng, ty Id cha mp trao ddi vi cde chu di tinh due. tinh ydu...rit thip. Ling nghe, binh dang vd cdi md tmng trao ddi Id cde yiu td bdo vd trd VTN vdi hdnh vi QHTDTHN. Cha mp trao ddi vdi tre VTN vi tinh ydu. tinh due thi trd VTN it cd nguy ca QHTDTHN.
Tir khda: VTN, sg trao ddi giOa cha mf vd trd vj thdnh nidn, QHTDTHN, CHILILAB
I. DAT
VANDt
Vj thdnh nidn (VTN) Id mft l&a tudi dfc bift. Id giai dogn chuyin filp tu tre eon thdnh ngudi ldn. Trong giai dogn ndy ed r i t nhilu nh&ng thay ddi d tre VTN c i n phii duge quan tdm, hudng d i n vd dilu chinh d l tre VTN ed mdt sg khdi d i u tdt eho cufc sdng tuang lai.
Cd t h l ndi, sg trao ddi eiia cha mg vdi tre
VTN Id mft trong nh&ng y l u td t h l hifn su- g l n gOi gi&a cha mg vd con cdi vd cung chinh Id y l u td b i o v f tre VTN trudc nh&ng hdnh vi nguy ea nhu quan hf finh due trudc hdn nhdn (QHTDTHN). Sg trao ddi gi&a cha me vd con cdi ddng vai trd quan trong trong vife tri hodn QHTDTHN eua tre VTN d f c bift d VTN nO- [4], Howell dd ehi ra ring nh&ng VTN n& dugc me 110
TA,P CHl NGHIEN CO'U Y HQC ndi v l nh&ng v l n d l finh dye vd gidi tinh
thudng it ed QHTD sdm. Nghidn c&u eiia Peter [10] eho thiy trao ddi vdi me chlnh Id ylu td bao v f tre VTN vdi hdnh vi QHTDTHN (OR = 0,649; CI95% OR [0,47 0,86]). Vife trao ddi thdng fin v l finh dye vdi cha me tdt ed mdi tuang quan thufn vdi vifc tri hodn QHTD dtreVTN(p<0,01).
0" Vift Nam, trong sudt mft thdi gian ddi, su trao ddi gi&a cha me vd con cdi chi dwgc thua nhdn theo mft chieu: eon cdi phai nghe vd phye tung cha me. Ciing vdi sg phdt triln ciia xd hfi, mdi quan hf ndy dd thay ddi, vj tri vd vai trd eiia con cdi ngdy cdng tdng trong gia dlnh. O l fim hilu thgc trang sg trao ddi gi&a cha me vd tre VTN chiing tdi thgc hifn nghidn cuu ndy vdi muc tieu:
1. Md t l sg trao ddi gi&a cha me vdi con d lipa tudi VTN.
2. Xdc djnh mdi lien quan gi&a sg trao ddi cua cha me vdi eon d lua tudi VTN vd QHTDTHN cua VTN.
II.
D6\TU'QNG VA PHU'QNG
P H A P Nghien cuu e l t ngang ed phdn tieh, ddi tugng nghien c&u Id cha me eua tre VTN tudi tu-13 -19 tgi 7 xd thj trln eiia CHILILAB dwgc tiln hdnh vdo ndm 2009.Dga trdn danh sdch tre VTN tham gia nghidn cuu, cdc y l u td nguy ea, y l u td bao v f VTN (AH2) ehiing tdi Ifp danh sdch ngudi cha, ngudi me vd vdi mdi tre VTN chpn nglu nhien mft ngudi cha hofc me dk tham gia nghien .cuu. Tdng sd cha me eiia tre VTN tham gia nghidn cuu la 2252. Nhd nghidn c&u su- dung bd philu phdng v l n , tilp efn hf gia dinh cd ddi tugng nghien c&u trong danh sdch miu vd phdng v l n trge filp ddi tugng nghidn cii'u v l sg trao ddi giua cha me vd tre d df tuoi VTN. Thdng fin v l QHTDTHN eiia tre VTN dwgc k i t ndi t& nghien cuu tdng t h l v l SiPC khde vj thdnh nidn nam 2009. Mot sd thong fin hf gia dlnh duge k i t ndi vdi sd lifu
DSS eiia CHILILAB ndm 2008.
Cdc phuang phdp phdn tich thdng kd md t l vd phdn tieh hai biln dugc su dyng. K9 thuft phdn tieh nhdn td (factor analysis) dugc dimg dk thilt Ifp cdc khia cgnh eiia sg trao ddi gi&a cha mg vd tre vj thdnh nidn. Ky thuft phdn tich da biln cQng dugc su dyng d l khdng c h l nhilu.
III. K^T QUA
Thdng fin chung
Trong 2552 cha me eiia tre d lua tudi VTN tham gia vdo nghidn c&u cd 41,7% Id ngudi cha vd 58,3% Id ngudi me ciia tre VTN. Tudi trung binh ciia ddi tugng nghidn cuu Id 44,26
± 6,07 tudi, ngudi tre tudi nhit Id 32 tudi vd ngudi Idn tudi nhit Id 72 tudi (nam gidi).
Phin Idn cha me tre VTN Idm ndng nghifp (47,6%), filp theo Id budn ban (21,6%). Cd tdi 25,4% hp gia dmh cd kinh te thufc nhom gidu nhat (Q5), ty If thufc nhom ngheo nhat chi Id 11%. Vdi tre VTN trong nghien c&u cd 48,1%
la VTN n& cdn lai la VTN nam, tudi trung binh eua tre VTN trong nghien c&u la 15,7 ± 1,8.
Sg trao ddi cua cha me vdi con d lua tudi vj thdnh nien.
Bang 1 cho thiy hlu hit cha me khang djnh ho vd ngudi con d lua tudi VTN thudng xuydn ling nghe vd hilu nhau khi trao ddi. Ty If cha me hilu suy nghT ciia con Idn tdi gin 100%, khi trao ddi cung ed d i n 90% cha me d l y d i n thai df ciia tre VTN.
* Sw xip nhdm cic tidu muc dwa trdn phdn tich nhin td (Factor analysis).
Cd tdi 94% cha me thiy hdi Idng vdi cdch eon d tudi VTN ndi chuyfn vdi mlnh. Khoang 60% cha me ndi vdi con v l nh&ng chii d l lidn quan d i n VTN. Nhin chung, cha me va tre VTN khd binh ding trong cde cufc trao ddi.
Tdng hgp Igi vdi 3 khia cgnh ciia sg trao ddi, ty If cha me ling nghe vd hilu eon d I&a tudi VTN khi TD Id 97,5%; cdi md khi trao ddi Id 83,7% va cd sg binh ding khi TO Id 81,9%.
TCNCYH 76 15) - 2011 111
LTiD^P CHl NGHIEN CO'U Y HQC
Bdng 1. Sg trao ddi cua cha mg vd'i con d' tudi VTN
Nhdm" Trao ddi glQ'a cha mgvd con d* tudi VTN Khdng , 06 y kiln
Tri VTN ling nghe dk hilu nh&ng gl cha mg ndi 2,3 1,3 92,3 Ldng Cha mg ludn ling nghe khi ndi chuyfn vdi trd VTN 3,0 0,6 96.4 nghevd Trd VTN ed thl bilt thdi df cha mg khi ndi chuyf n 4.0 3,4 92.6 hilu
nhau khi Cha mg d l y thdi df cua trd VTN khi ndi chuyf n 6.9 2.0 91,1 trao ddi Cha mg thiy hdi ldng vdi cdch trd VTN ndi chuyf n 4,9 1,0 94,2 Khi TO cha mg ed ging hilu suy nghT eua trd VTN 2,8 0,8 96,4
SgediCha me ndi vdi trd VTN chil d l lidn quan din VTN 38,0 0,7 61.3 md v l ^"^^ ^^ thudng ndi vdi cha mg nh&ng vln d l ed nhdn 24,7 0.6 74.7 nfi dung- Trd VTN hdi cha me tit e l nh&ng gl mlnh mudn 19,0 1,4 79,6 khi trao Cha mg ndi chuyf n vdi con khi con budn bd 14,1 1.2 84,9
d d i ;^ •
Cha me ndi vdi con ve nh&ng elm nhf n trong cufc sdng 15,4 0,8 83,7 Cho phdp eon ndi suy nghT e l khi cha me khdng ddng y 24,4 4,1 71,5 Sublnh Khuyin khich VTN thdo lufn v l nh&ng vln d l eon gfp 14.4 2.9 82.6 ddng khi
trao ddi Cha me thao ludn vdi eon v l vln d l trong cuf e sdng 17.4 1.6 81.0 Cha me vd tre VTN cd thl ndi chuyfn binh ding 9.8 1,5 89,7
100 55 s 30
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Bilu dd 1. Mft sd chii d l dugc trao ddi glQ'a cha mg vd ngipd'i con tudi VTN Ty If cha mg trao ddi vdi t r i VTN v l sg tdn trpng, cdch ung xu- Id 95,5%, v l chl df dn u6ng hgp ly Id 88,8%. Cde ehii d l v l su dyng rugu, thudc Id vd chit gdy nghifn cung dugc cha me quan tdm TD vdi trd VTN. Cde chii d l khde lidn quan din finh ydu, finh dye vd ede vln d l khde nhu bfnh Idy truyin qua dudng finh dye chilm ty If thlp han. Chii d l It dwgc cha me dl cdp nhit Id bifn phdp trdnh thai (khoang 10%).
Nh&ng tre VTN khdng cd sg ling nghe vd hilu nhau khi trao ddi vdi cha me ed nguy ca QHTDTHN cao gip 4,3 lln nh&ng tre VTN khde. Sg cdi md khi trao ddi cQng lidn quan din QHTDTHN (p < 0,05), nh&ng VTN khdng ed sg cdi md khi trao ddi vdi cha mg cQng ed nguy co c6
112 -._-_ii ,: ?J11
TAP CHl N G H M N CO'U Y HQC
QHTDTHN eao g i p 1,9 lln VTN ed sg cdi md khi trao ddi vdi cha mg. VTN ed sg binh ding khi trao ddi vdi cha mg it ed nguy ea QHTDTHN han nh&ng VTN khdng ed sg binh ding (p < 0,01).
Bang 2. Mdi lien quan glQ'a TD cua cha mg vdi con d tudi VTN vd QHTDTHN ciia tre vi thdnh nien
Cdc khia cgnh cua trao ddi glQ'a Cd QHTDTHN cha me vd tre d' tudi VTN n (%) Ling nghe va hilu
Sg cdi md
Sg binh ding
Bang 3. Mdi lien Chu d l trao ddi Day thl, gidi tinh
Tinh ydu
Tinh due
Khdng Cd Khdng Cd Khdng Cd quan glQ'a n f i
5(17,24) 75 (4,58) 20(8,03) 62 (4,35) 23(8,13) 59 (4,28) dung TD cua cha i Cd QHTDTHN n (%) Khdng
Cd Khdng Cd Khdng Cd
53 (6,08) 29(3,61) 66 (5,66) 15(2,94) 74 (5,39) 8 (2,65)
Khdng QHTDTHN n (%) 24 (82,76) 1564(95,42)
229(91,97) 1364(95,65)
260(91,87) 1321 (95,72)
n? vd con d tudi VTN va Khdng QHTDTHN n (%)
818(93,92) 775 (96.39) 1100(94,34)
495 (97,06) 1299(94,61) 294 (97,35)
p, OR p<0,01 OR = 4,3
p < 0,05 0R=1,9 p<0,01 OR = 2,0 QHTDTHN
p, OR p<0,05 OR = 1,7
p < 0,05 OR = 2,0 p<0,05 OR = 2,1 Cha me khdng trao ddi ve dfy thi, gidi tinh vdi VTN thi VTN cd nguy ca QHTDTHN cao gip 1,7 ldn VTN dugc cha me trao ddi v l ehu de ndy (p < 0,05). VTN khdng trao ddi v l chii d l finh ydu vdi cha me cd nguy ca QHTDTHN cao gip 2 lan VTN ed trao ddi vdi cha me v l finh yeu.
Tuang tg nhu vdy, VTN khdng TO vdi cha me v l chii d l finh due thi cQng co nguy ca QHTDTHN cao gap 2,1 l l n VTN cd TO.«Chua thiy ed mdi lidn quan gl&a trao ddi ve cdc bifn phdp trdnh thai, benh Idy truyin qua dudng finh due vdi QHTDTHN (p > 0,05).
Bang 4 cho thiy ed mdi lidn quan gi&a nhdm tudi ciia tre VTN vdi QHTDTHN, nh&ng tre VTN tip 17 tudi trd Idn dd ed QHTDTHN eao g i p 3,9 lln tre dudi 17 tudi (p < 0,001).
Cha me khdng trao ddi v l chii d l finh ydu vdi con d tudi VTN thl con cd nguy ca QHTDTHN cao gap 2.2 l l n VTN cd trao ddi v l chu d l finh yeu vdi cha me (p < 0,01). Sg ling nghe vd binh ddng trong trao ddi gi&a cha me vd eon d tudi VTN cung lien quan d i n QHTDTHN (p<0,05). Cha me vd eon d tudi VTN khi trao ddi khdng cd sg ling nghe thi VTN ed nguy ea QHTDTHN cao gip 3,3 lan VTN khae, tuang tg nhu vfy VTN khdng ed sg binh ddng khi trao ddi vdi cha me cung ed nguy ca QHTDTHN eao g i p 1,8 l l n tre VTN cd sg binh ding.
113
TAP CHl NGHIEN CO'U Y HQC
Bdng 4. Mdi lidn quan glQ'a m f t sd y l u td v&l QHTDTHN ciia trd d' tudi VTN
Ylu td trong md hlnh(Biln sd dfc Ifp) Gidi tinh trd VTN
N&*
Nhdni tudi trd VTN Dudi 17 tudi*
Trao ddi v l finh ydu Khdng trao ddi*
Ling nghe khi trao ddi Khdng ling nghe * Binh ding trong trao ddi
Khdng binh d i n g "
Hf sd hdl quy
(B)
-0,46
1,37
0,79
1,19
0,60
Salsd chuln (SE)
0,24
0,24
0,30
0,55
0,27
Mii'c y nghTa
(P)
0,06
0,00
0,009
0,03
0,03
- OR
0,63
3,94
2,2
3,29
1,83
Khodng tin cfy 95% ciia OR Min
0,4
2,44
1,22
1,13
1,07
Max
1,01
6,35
3,98
9,59
3,12
Cdmduphdn tich (n = 1654) (*) = Nhdm so sdnh; (-) = khdng dp dyng
Kiem djnh tinh phii hgp eua md hlnh (Hosmer and Lemeshow Test): xx^ = 9.7; df = 7; p = 0.2 Biln phy thude: Quan hd tinh due trudc hdn nhdn
IV BAN LUAN
Trong nghidn cuu ndy sg trao ddi eiia cha me vdi VTN dugc thl hifn d 3 khia cgnh 1) ling nghe vd hilu nhau khi trao ddi; 2) sg cdi md v l nfi dung khi trao ddi vd 3) sg binh ding khi trao ddi. Cd thl thiy cha me vd VTN dd cd sg ling nghe vd hilu nhau khi trao ddi.
ddy Id mft dfc dilm rit tdt vl sg tdn trpng.
ling nghe vd hilu nhau khi trao ddi sd Inh hudng rit nhilu din chit lugng cufc trao ddi.
Ody cung chlnh Id filn d l d l cde nfi dung trao ddi gi&a cha mg vd VTN cd thl cdi md han k l ca khi trao ddi v l nh&ng vln d l t l nhj hay nh&ng ehu»4l khd ndi. Tuy vfy, vdi nh&ng ehu d l lidn quan din finh ydu, finh dye hay s&c khde sinh sin ty If cha mg trao ddi vdi VTN cdn rit thlp, kit qua nghidn c&u tgi CHILILAB cOng tuang tg nghidn c&u eua tdc gia Katharine vd cfng sg [7].
Trong ede cufc trao ddi. gi&a cha mg vd
VTN cung ed sg binh ding (khoang 80% cha me) Cha me it ndi chuyfn theo kilu dp dft vdi VTN han md dd ed nh&ng cufc trao doi theo chilu hudng "cha mg Id ngudi ban ldn eua VTN". khdng khi cufc trao ddi nhu vfy cung se Id mft dilu kifn thufn lgi cho sg cdi md khi trao ddi d l VTN cd thl hdi. ed thl trao ddi vdi cha mg tit e l nh&ng vln d l md mlnh dang gfp phii.
Ty If QHTD trudc hdn nhdn ciia miu nghidn c&u Id 4.6%, ty If ndy thlp han so vdi nghidn c&u SAVY 2 Id 9,5% [1]. Tuy nhidn df tudi eiia VTN trong nghidn cuu ndy Id 14 -19 tudi trong khi nghidn c&u SAVY 2 thl doi tugng ed df tudi rfng han tu 14 25 tuli.
Oilu dd cQng phan ndy ly giai duge kit qua nghidn c&u vl d nh&ng df tudi Idn han thl VTN edng ed QHTD. nhilu han k l ea QHTD trudc hdn nhdn.
Ca 3 khia canh v l sg trao ddi eiia cha me
vdi VTN cd lidn quan din QHTDTHN cua
114J A P CHl NGHIEN CO'U Y HQC VTN. Nh&ng cha me cd sg cdi md vdi VTN
khi trao ddi thl VTN It ed nguy ea QHTDTHN han nh&ng VTN khde. Khi ed sg cdi md trong trao ddi, VTN cd t h l nhdn duge nh&ng thdng fin h&u Ich v l nh&ng v l n d l lidn quan d i n l&a tudi ciia minh bao gdm c l nh&ng v l n d l , ehii de v l finh dye, quan hf TD. T& dd, VTN se ed nhung hilu bilt day dii han v l nh&ng tdc hgi ciia QHTDTHN ndi ridng vd ede v l n d l khde ciia lua tudi minh ndi chung vd VTN c6 sg cdn nhic han, Idm chii han vdi nh&ng finh hudng c6 thl ddn den hanh vi QHTDTHN, ddy chlnh Id ca sd d l VTN tri hodn vifc cd QHTD. Kit qua nghidn c&u d Chi Linh cung tuang tg nhu kit qua nghidn cuu ciia Peter [10] hay Howell [4]. Tuy nhidn nghidn cuu eua chiing tdi dua ra khia canh cu t h l han v l trao ddi (sg cdi md, sg ldng nghe...) eh& khdng chl chung chung Id cd hay khdng trao ddi vdi VTN nhu cdc tdc g i i ke trdn.
Cha me cd trao ddi vdi VTN v l finh yeu, finh due, gidi tinh thl VTN cung it c6 QHTDTHN han nh&ng VTN khde. Kit qua nghien cuu d Chi Linh cung tuang tg kit qua nghidn c&u eiia tdc g i i Katherin [7] trong md hlnh da biln chT cdn thiy mdi lidn quan gi&a chu d l dugc trao ddi Id finh ydu vdi QHTDTHN, ed le khi trao ddi v l finh yeu phin ndo cha me cung da ndi v l finh due cung nhu quan hf finh due.
Ld mdt nghidn c&u e l t ngang ndn ehiing toi khdng t h l xdc djnh dwgc ed phai sg trao doi Id nguyen nhdn dan d i n QHTDTHN cua VTN vl t h l nghidn c&u eiia ehiing tdi thidn v l mo ta mdi lien quan han Id giai thieh. Ody Id mft nghien c&u xa hdi hoc nen nh&ng quan nifm, khai nifm dwgc hilu, dwgc ghi nhan mft cdch tuang ddi theo vdn hda, djnh kiln xd hfi tgi dja ban nghien c&u.
V. K^T LUAN
Su trao ddi gi&a cha me vd con d tudi VTN tuong ddi tdt: ed 97,5% cha me ling nghe vd
hilu con khi trao ddi, cha mg cd su cdi md khi trao ddi vdi con d tudi VTN Id 83,7% vd c6 su binh ding khi trao ddi Id 81,9%.
Cdc chu d l hay dugc trao ddi nhit Id sg tdn trpng, cdch &ng xu (95,5%); tilp theo Id c h l df dn udng hgp ly (88,8%). Cdc chii d l v l finh ydu, finh dye, gidi finh...cdn It dugc cha me trao ddi vdi con VTN.
Sg trao ddi giu-a cha me vd tre VTN Id yeu td bao vf tre VTN trudc kha ndng QHTDTHN.
Cha me trao ddi vdi con cdc chu d l v l finh ydu, finh due, gidi tInh thl tre VTN cung it c6 kha ndng ed QHTDTHN.
TAI LIEU THAM KHAQ
1. Bf Y t l ; Tdng cue thdng ke; Ngan hang phdt triln Chdu A (2010). Dilu tra Qudc gia v l vj thdnh nien vd thanh nien Vift.
Nam - lan th& 2. Bdo cdo nghien cuu.
2. Oang Canh Khanh (1999). Cac nhdn td phi khoa hoe xa hpi hoe ve su phat triln. Nhd xuat ban Khoa hoc xahpl, Hd Noi.
3. Oang VQ Cdnh Linh (2003). Vj thdnh nien va chinh sach ddi vdi vj thdnh nien. Nhd xult ban Lao dpng. Ha Nfi.
4. Hovell, M.et al (1994). Family influences on Latino and Ango adolescents' sexual behavior. Journal of Marriage and the Family.
56(4): 973-986.
5. McNeely C et al (2002). Mothers' influ- ence on the fiming of first sex among 14- and 15-year-olds, Journal of Adolescent Health. 31 (3): 256-265.
6. Miller, B.C., Benson, B., Galbraith, K.A (2001). Family relafionship and Adoles- cent pregnance risk; A research syntheslc.
Developmental review. 21: 1-38.
7. M. Katherine Hutchinson and Arlene J. Montgomery (2007). Parent Communica- tion and Sexual Risk Among African Ameri- cans. Western Journal of Nursing Research, 29 (Na 6): 691-707
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TAP CHl NGHIEN CO'U Y HQC
8. Miller KS et al (1998). Family communi- cafion about sex: what are parents saying and are their adolescents listening? Family Plan- ning Perspeefives, 30 (5): 218-222.
9. National Campaign to Prevent Teen Pregnancy, With One Voice (2003).
America's Adults and Teens Sound Off About
Teen Pregnancy, Washington, DC: National Campaign to Prevent Teen Pregnancy,.
10. Peter A. Karofsky, L.z., Michael R.
Kosorok (2000). Relationship between ado- lescent-Parental communication and Initiation of First Intercourse by Adolescents. Journal of Adolescent health. 28: 41-45.
S u m m a r y
PARENT - ADOLESCENT COMMUNICATION AND PREMARITAL SEXSUAL INTERCOURSE
The study objective was to describe the parent-adolescent communication and to determine the relationship between the parent-adolescent communication and premarital sexual intercourse. The communicafion between parent and adolescent was quite well in all 3 aspects:
Listenning and understanding each other, equity communication and the openness. The rate of parent talking with adolescent about adoleseent'behavior and diet reasonably high (90%) while the rate of parent talking on topics related to love, gender or sexual intercourse... was very low. Listenning and understanding each other, equality and openness in communication between parents and adolescent was the protective factors for premarital sexual intercourse. In addifion, parents talked about love, gender or sexual intercourse then adolescent also was less likely to premarital sexual intercourse.
Key words: Adolescents, communication between parents and adolescents, premarital sexual intercourse, CHILILAB
TiNH
H I N HTCr VONG DO DU6l NLPQC TAI MOT S 6 TlNH O VIET NAM NAM 2008
• • •
Nguyin Phuang Hoa Tmdng Dpi hpc Y Ha N&
Ct Vidt Nam, thwang tich khdng ehu y tmng dd cd dudi nwdc Id mdt tmng sd cdc nguydn nhdn gay ft>
vong hdng diu, ddc bidt Id ddi vdi tri em. Nghidn cwu dwgc thwc hidn nhim xdc dlnh ty Id tw vong do duoi nwdc theo nhdm tudi vd gidi tpi mdt sd tinh d Vidt Nam ndm 2008. Kit qud cho, thiy tmng sd 9293 tnidng hap tw vong, ty Id tw vong do dudi nwdc chiim 1,7%. Ty Id tw vong do dudi nwdc cao nhit dtriemtdS-14 tudi (36,5%), tiip theo Id trd em dwdi 5 tudi (17,8%). Nhdm ngwdi cao tudi cd ty Id tw vong do dudi nudc thip nhit 0 nhdm trd dwdi 5 tudi, trd trai cd ty Id tw vong do dudi nwdc cao han trd gdi (22,4% so vdi 11.7%; p <
0,05). Khu vwc ven biin, nai cd nhiiu ao hd ed ty Id tw vong do dudi nwdc cao han cdc vung khde. Td dd cd thi kit ludn: dudi nwdc Id nguydn nhdn hdng diu gdy tw vong cho trd em d Vidt Nam. Cdc ban ngdnh can phdi hpp triin khai chwang trinh can thidp di gidm thiiu ty Id tw vong do dudi nudc.
Tu khoa: dull nwdc, xac djnh nguydn nhdn tip vong bdng phuang phdp phong vln (VA)
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