แปลบทความวิจัย In 1997, Grunseit found that the USA had the highest rate of adolescent pregnancy. In addition, he stated that every year more teenage girls become pregnant, many younger than 17 years old. Xinhua (1996) also reported that in Ghana, nearly 33.4% of recorded childbirths occurred to teenagers between ages thirteen (13) and nineteen (19). This report was based on childbirths that were reported in public hospitals. The situation is worse in the rural areas where traditional birth attendants are used and no statistical records are kept. More disheartening is a report from Xinhua (1996) that one out of three girls aged 15 to 19 residing in the central region of Ghana has had a child.