청소년 재 임신 예방프로그램 개발을 위한 기초 연구 = (A) Study on development of the program for preventing repeated adolescent pregnancies

다국어 초록 (Multilingual Abstract)

The purpose of this study was to research for developing the prevention program for repeated adolescent pregnancies. The study was approached to three parts:(1) What are ecological characters of adolescent pregnant group? (2) What are the variables between repeated adolescent pregnant group and the first experienced adolescent pregnant group in ecological factors? (3) What are causes of repeated adolescent pregnancies in ecological risk and protective factors?
For this study, ten-maternity-home in S. Korea involved for the questionnaire. The total participants who protect by Korean Adolescent Law were 224 adolescents under age of 24, and 44 participants had multiple pregnant experiences and the other 180 participants had the first time pregnant experience.
In this study, my assistant and I collected data by visiting eight-maternity-home for group meetings to have an accurate answer for questionnaire. Due to the condition of two other maternity home, I gathered data from social workers at maternity home after I explained them in orientation.
After the measurement of variables were select from a literature review, the questions of the measurement of variables were base on the book, "Handbook of adolescent sexuality and pregnancy," which is collections of surveys of pregnant adolescents in U.S.
The questionnaire was composed in two parts: (1) Risk factors: social risk factor, family risk factor, individual sexual behavior and attitude, and individual psychological risk factor, (2) Protective factors: social protective factor, family protective factor, individual sexual protective factor and individual psychological protective factor.
As the result of analysis of data, the different variables between the repeated adolescent pregnancies and the first experienced adolescent pregnancy indicated by participant's age, educational background, having number of friends experienced abortion, whether or not having divorced parents, whether or not having separated parents, having relationship with number of man, whether or not experienced abortion, whether or not having an education of buying a contraceptive appliance, having a sexual disease after the pregnant, whether or not having an AIDS education, days after graduation or dropping out of school, tolerance of sexual relationship before marriage, tolerance of an artificial abortion, value of having romantic sex, employment(monthly), mother's level of caring nature, having a degree of sexual education after the first pregnant, and the refusing of sexual relationship.
The risk factor variables that affected to repeated adolescent pregnancies showed that participant's age, having a number of friend experienced abortion, having a number of time of sexual education after the first pregnant, the frequency of smoking of unmarried mother, abortion knowledge score, and whether or not having a romantic sex. The protective factor variables that influenced to repeated adolescent pregnancies revealed the rejection of sexual relationship and internal control of sexual relationship.
Therefore, to prevent Korean adolescents repeated pregnancies should be decreased by ecological matters such as an individual adolescent, family, and friends, and to strengthen for the preventive factors should have a repeated adolescent pregnancies protective program.
For the conclusion of this study, to strengthen of a repeated adolescent pregnancies program should include Optimistic friend influence promotion program, Life-option program, Couple counselling program, Birth control practice promotion program, Value of sexual relations promotion program, Social resistance training, Decision-making skill promotion program, Parents education program and Self-regard promotion program.

목차 (Table of Contents)

• 제 1 장. 서론 = 1
• 제 1 절. 문제제기 = 1
• 제 2 절. 연구의 목적 및 의의 = 7
• 제 2 장. 이론적 배경 = 8
• 제 1 절. 청소년 재 임신의 특성 = 8
• 제 2 절. 청소년 재 임신에 영향을 미치는 요인들에 관한 선행 연구 = 12
• 제 3 절. 생태체계론적 위험요인과 보호요인 = 15
• 제 3 장. 연구방법 = 34
• 제 1 절. 연구 대상 = 34
• 제 2 절. 변수의 측정 = 34
• 제 3 절. 자료 수집 방법 = 45
• 제 4 절. 분석 방법 = 46
• 제 4 장. 연구결과 분석 = 47
• 제 1 절. 임신 경험 청소년 집단의 생태체계적 특성 분석 결과 = 47
• 제 2 절. 임신 1회 경험 청소년 집단과 재 임신 경험 청소년 집단간의 차이 분석 결과 = 75
• 제 3 절. 청소년 재 임신에 영향을 미치는 위험요인과 보호요인 분석 결과 = 79
• 제 5 장. 결론 및 제언 = 85
• 제 1 절 결론 = 85
• 제 2 절 제언 = 91
• 참고문헌 = 98
• 부록 = 107
• 질문지 = 110
• Abstract = 125