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The practice of polygyny on the utilisation of reproductive health services among married women in Ghana. 一夫多妻制对加纳已婚妇女利用生殖健康服务的影响。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2024-07-01 Epub Date: 2024-01-04 DOI: 10.1017/S0021932023000299
Maxwell Tii Kumbeni, John Ndebugri Alem, Florence Assibi Ziba, Agani Afaya, Paschal Awingura Apanga

While the practice of polygyny is common in Ghana, little is known about its impact on the use of reproductive health services. The aim of this study was to assess the relationship between polygynous marriage and the utilisation of skilled antenatal care (ANC), assisted skilled birth, and modern contraceptive services among married women in Ghana. Secondary data from the 2017 Ghana Maternal Health Survey were used for this study. The study included a weighted sample of 9,098 married women aged 15-49 years. We used multivariable logistic regression models to assess the association between polygyny and each outcome variables. Sensitivity analysis was conducted to assess the dose-response relationship between polygyny and each outcome variable. The prevalence of eight or more ANC contacts, assisted skilled births, and use of modern contraception were 47.0%, 81.4%, and 25.4%, respectively. The prevalence of women in polygynous marriages was 15.3%. Compared to monogynous marriage, polygynous marriage was associated with 19% lower odds of having eight plus ANC contacts (adjusted odds ratio [aOR] 0.81, 95% CI: 0.69, 0.96), 25% lower odds of having assisted skilled birth (aOR 0.75, 95% CI: 0.63, 0.89), and 19% lower odds of modern contraceptive utilisation (aOR 0.81, 95% CI: 0.66, 0.99). Interventions on reproductive health may need to prioritise women in polygynous marriages in order to improve the utilisation of skilled ANC, assisted skilled birth, and modern contraceptive services.

虽然一夫多妻制在加纳很普遍,但人们对其对使用生殖健康服务的影响却知之甚少。本研究旨在评估一夫多妻制婚姻与加纳已婚妇女利用熟练产前护理(ANC)、熟练助产和现代避孕服务之间的关系。本研究使用了 2017 年加纳产妇健康调查的二手数据。研究包括 9098 名 15-49 岁已婚妇女的加权样本。我们使用多变量逻辑回归模型来评估一夫多妻制与各结果变量之间的关联。我们还进行了敏感性分析,以评估一夫多妻制与各结果变量之间的剂量-反应关系。八次或八次以上产前保健接触、熟练助产和使用现代避孕药具的比例分别为 47.0%、81.4% 和 25.4%。一夫多妻制婚姻中妇女的比例为 15.3%。与一夫一妻制婚姻相比,一夫多妻制婚姻的妇女接受八次以上产前检查的几率要低 19%(调整后的几率比 [aOR]:0.81,95% CI:0.69,0.96),接受熟练助产的几率要低 25%(aOR:0.75,95% CI:0.63,0.89),使用现代避孕药具的几率要低 19%(aOR:0.81,95% CI:0.66,0.99)。生殖健康干预措施可能需要优先考虑一夫多妻制婚姻中的妇女,以提高熟练产前护理、熟练助产和现代避孕服务的利用率。
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引用次数: 0
Ethnic affiliation and protective sexual behaviours among youth in Nigeria. 尼日利亚青年的种族归属和保护性行为。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2024-07-01 Epub Date: 2024-09-26 DOI: 10.1017/S0021932024000257
Oluwaseyi Dolapo Somefun, Funke Fayehun

Investing in the sexual and reproductive health of young adults can directly and indirectly contribute to accelerated economic growth. Looking beyond individual determinants of sexual behaviours and focusing on cultural factors such as ethnic affiliation are crucial for interventions and programme planning, particularly in a context like Nigeria. Using a concurrent triangulation mixed-methods design, this article explores the associations between ethnic affiliations and protective sexual behaviours of young adults in Nigeria. The quantitative data was derived from a representative sample of 1,393 male and female youth aged 16-24 years in three states purposively selected from three regions in Nigeria, while qualitative data was based on 18 focus groups and 36 in-depth interviews. The quantitative data was analysed using frequency distributions and regressions, while content analysis was employed to analyse qualitative data. Descriptive results showed that abstinence was higher for Hausa (80%) young adults compared with Yoruba (72%) and Igbo (68%) young adults. Condom use was lowest for Hausa (56%) young adults compared with Igbo (80%) and Yoruba (81%) young adults. The effect of education on abstinence differed by ethnicity and living with two parents was associated with a higher likelihood of abstinence among youth in all ethnic groups. Fear of early fatherhood and unplanned pregnancy was a prominent reason for protective sexual behaviour among Yoruba, Igbo, and Hausa young adults. The findings from this study show that young adults who engage in protective sexual behaviours may identify different rationales for this behaviour based on their ethnic background. Programme planners interested in promoting and encouraging protective sexual behaviours should recognize these multiple reasons across different ethnic affiliations to scale up and sustain existing interventions.

投资于青壮年的性健康和生殖健康可以直接或间接地促进经济加速增长。超越性行为的个体决定因素,关注种族归属等文化因素,对于干预措施和计划规划至关重要,尤其是在尼日利亚这样的国家。本文采用并行三角混合方法设计,探讨了尼日利亚青壮年的种族归属与保护性行为之间的关联。定量数据来自尼日利亚三个州的 1,393 名 16-24 岁男女青年的代表性样本,这些样本是从尼日利亚的三个地区有目的性地挑选出来的;定性数据则来自 18 个焦点小组和 36 个深入访谈。定量数据采用频率分布和回归分析法进行分析,定性数据则采用内容分析法进行分析。描述性结果显示,与约鲁巴(72%)和伊格博(68%)青壮年相比,豪萨(80%)青壮年的禁欲率较高。与伊格博人(80%)和约鲁巴人(81%)相比,豪萨语(56%)青壮年的避孕套使用率最低。教育对禁欲的影响因种族而异,在所有种族群体中,与双亲生活在一起的青年禁欲的可能性较高。担心早当爸爸和意外怀孕是约鲁巴、伊格博和豪萨青壮年保护性行为的一个主要原因。这项研究的结果表明,从事保护性行为的青壮年可能会根据他们的种族背景,为这种行为找出不同的理由。有志于促进和鼓励保护性行为的计划规划者应认识到不同种族背景的多重原因,以扩大和维持现有的干预措施。
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引用次数: 0
Socioeconomic gradient in functional difficulties by domain among youth: evidence from Egypt. 按领域划分的青少年功能障碍的社会经济梯度:来自埃及的证据。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2024-07-01 Epub Date: 2024-05-07 DOI: 10.1017/S0021932024000191
Soha Metwally

This study aims to measure inequalities in the distribution of functional difficulties and their different domains among youth aged 15-29 years in Egypt, according to selected socioeconomic characteristics (e.g. wealth quantiles and education level of the head of the household). The data come from the nationally representative survey, 'Household Observatory Survey', with 10,405 persons aged 15-29 years representing the study sample population. The survey identifies individuals with disabilities using the Washington Group Short questions. Inequalities in disability distribution have been measured by the concentration index (CI). The results indicate that functional difficulties have been concentrated among the poorest youth and households headed by illiterate persons. Rural areas have the highest concentration of disabilities among youth, with the lowest wealth and the lowest educational level of the head of the household. The CI suggests the existence of socioeconomic inequalities in all functional difficulties except for seeing difficulties. Understanding which factors more substantially contribute to inequalities is critical for advancing policies devoted to enhancing the quality of life for individuals with disabilities.

本研究旨在根据选定的社会经济特征(如户主的财富数量级和教育水平),衡量埃及 15-29 岁青年中功能性困难及其不同领域分布的不平等情况。数据来自全国代表性调查 "家庭观察站调查",研究样本人口为 10,405 名 15-29 岁的人。调查使用华盛顿小组简短问题对残疾人进行识别。残疾分布的不平等通过集中指数(CI)来衡量。结果表明,功能障碍主要集中在最贫穷的青年和以文盲为户主的家庭中。在农村地区,残疾最集中的是财富最少、户主受教育程度最低的青年。除视力障碍外,其他所有功能障碍都存在社会经济不平等。了解哪些因素在很大程度上导致了不平等,这对于推进旨在提高残疾人生活质量的政策至关重要。
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引用次数: 0
Impact of financial assistance on stunting: Syrian refugee children under 5 in Türkiye. 财政援助对发育迟缓的影响:土耳其 5 岁以下叙利亚难民儿童。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2024-07-01 Epub Date: 2024-02-15 DOI: 10.1017/S0021932024000038
Meryem Ay Kesgin, Melike Saraç, Nils Grede, Alanur Çavlin Bircan, İsmet Koç

Despite the global decrease over the last two decades, stunting, also called 'chronic malnutrition', remains a public health issue affecting almost 150 million children under the age of 5 years globally. Defined by height-for-age, stunting is the consequence of poor nutrition, repeated infection, and inadequate psychosocial stimulation. Programmes and policies target undernutrition globally, and humanitarian and development actors invest great efforts to prevent stunting. This study uses multivariate analysis to examine the impact of financial assistance on the reduction of stunting in a refugee context, focusing on Syrian refugee children under the age of 5 years in Türkiye. Using a unique dataset, the 2018 Turkey Demographic and Health Survey Syrian Migrant Sample (2018 TDHS-SR), the findings indicate that financial assistance significantly reduces the incidence of stunting among refugee children under the control of economic, mother and children, environmental, health-related and nutritional and breastfeeding characteristics. However, having household members generate income is found to be another stronger predictor to reduce stunting. The paper also argues that the nutritional well-being of refugee children might improve if forced migration occurs towards a stable host country/region. In addition, adaptation over time also seems to have a positive influence.

尽管在过去二十年里,发育迟缓(又称 "慢性营养不良")在全球范围内有所减少,但它仍然是一个影响全球近 1.5 亿 5 岁以下儿童的公共卫生问题。发育迟缓是由营养不良、反复感染和社会心理刺激不足造成的。在全球范围内,各种计划和政策都以营养不良为目标,人道主义和发展行动者为预防发育迟缓付出了巨大努力。本研究采用多元分析方法,以土耳其境内5岁以下的叙利亚难民儿童为研究对象,探讨了在难民环境下,财政援助对减少发育迟缓的影响。利用独特的数据集--2018年土耳其人口与健康调查叙利亚移民样本(2018 TDHS-SR),研究结果表明,在经济、母婴、环境、健康相关、营养和母乳喂养等特征的控制下,经济援助能显著降低难民儿童发育迟缓的发生率。然而,有家庭成员创收被认为是减少发育迟缓的另一个更有力的预测因素。本文还认为,如果被迫迁徙到一个稳定的东道国/地区,难民儿童的营养状况可能会有所改善。此外,随着时间的推移,适应性似乎也会产生积极影响。
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引用次数: 0
Consanguineous marriage and associated diseases among their children and grandchildren in India: evidence from large-scale data. 印度的近亲结婚及其子孙中的相关疾病:来自大规模数据的证据。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2024-07-01 Epub Date: 2024-05-27 DOI: 10.1017/S0021932024000178
Sampurna Kundu, Arup Jana

Worldwide, more than 130 million infants are born each year and a considerable number of 13.5 million of these children have inbred parents. The present study aimed to investigate the association between parents' consanguinity and chronic illness among their children and grandchildren in India. The nationally representative data, Longitudinal Aging Study in India, 2017-2018, Wave 1 was used for the present study. Bivariate analysis, a probit model, and propensity score estimation were employed to conduct the study. The study observed the highest prevalence of consanguinity marriage in the state of Andhra Pradesh (28%) and the lowest in Kerala (5%) among the south Indian States. People who lived in rural areas, belonged to the richer wealth quintile and Hindu religion were the significant predictors of consanguinity marriage in India. For individuals who were in consanguineous marriages, there was 0.85%, 0.84%, 1.57% 0.43%, 0.34%, and 0.14% chances of their children and grandchildren developing psychotic disorders, heart disease, hypertension stroke, cancer, and diabetes, respectively. Moreover, around 4.55% of the individuals have a history of birth defects or congenital disorders. To address the risk of complicated illnesses due to the consanguinity of marriage, medical, genetic, and social counselling services are required.

全世界每年有超过 1.3 亿名婴儿出生,其中有 1350 万名婴儿的父母是近亲结婚。本研究旨在调查印度父母近亲结婚与子孙慢性病之间的关系。本研究采用了具有全国代表性的数据《2017-2018 年印度老龄化纵向研究》第 1 波。研究采用了双变量分析、概率模型和倾向分数估计。研究发现,在印度南部各邦中,安得拉邦的近亲结婚率最高(28%),喀拉拉邦最低(5%)。生活在农村地区、属于较富裕的五分之一人口和印度教是印度近亲结婚的重要预测因素。对于近亲结婚的人来说,他们的子孙患精神病、心脏病、高血压中风、癌症和糖尿病的几率分别为 0.85%、0.84%、1.57%、0.43%、0.34% 和 0.14%。此外,约有 4.55% 的人有先天缺陷或先天性疾病史。为了应对因近亲结婚而导致的复杂疾病风险,需要提供医疗、遗传和社会咨询服务。
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引用次数: 0
High non-use of contraception among tribal and non-tribal women in North-Eastern India: alarming but neglected. 印度东北部部落和非部落妇女不使用避孕药具的比例很高:令人震惊却被忽视。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2024-07-01 Epub Date: 2024-09-26 DOI: 10.1017/S0021932024000269
Mithun Mog, Debasis Neogi, Shobhit Srivastava

Limited evidence exists about the contraception uptake in indigenous tribal groups of the north-eastern region of India. This study based on the National Family Health Survey (NFHS) IV (2015-2016) reports aimed to describe the pattern and factors associated with contraceptive non-use in the tribal women of the north-eastern part of India. The study was a cross-sectional analytical study based on secondary analysis of NFHS-IV data. All women in the age group of 15-49 years from the north-eastern part of India were included. Data were extracted and analysed using modified STATA-14 software. The association of socio-demographic and economic characteristics with contraceptive non-use was assessed using logistic regression. The inter-group differences of population characteristics for non-use contraceptives were assessed by modified Blinder-Oaxaca decomposition technique using 'Fairlie decomposition'. A total of 65,941 women were included, of whom 34,936 (52.9%) were tribal women. The proportion of contraceptive non-use was higher in tribal women. Tribal women with age at marriage above 30 years, Christian community, and women from Assam and Manipur state had higher odds of contraceptive non-use. The decomposition analysis showed that geographical variations, parity, and Christian religion contributed the most to contraceptive use disparity in the population. A huge gap was observed in contraceptive non-use among tribal and non-tribal women in the north-eastern part of India. The healthcare system must involve community representatives in designing context-specific community-based initiatives to increase the uptake of contraceptive use in these remote vulnerable communities.

关于印度东北部地区土著部落群体采取避孕措施的证据有限。本研究以第四次全国家庭健康调查(NFHS)(2015-2016 年)报告为基础,旨在描述印度东北部部落妇女不使用避孕药具的模式和相关因素。该研究是一项基于 NFHS-IV 数据二次分析的横断面分析研究。研究对象包括印度东北部地区 15-49 岁年龄组的所有妇女。研究人员使用修改后的 STATA-14 软件对数据进行提取和分析。使用逻辑回归法评估了社会人口和经济特征与不使用避孕药具之间的关系。使用 "费尔利分解法 "的改良布林德-瓦哈卡分解技术评估了不使用避孕药具的人群特征的组间差异。共纳入 65 941 名妇女,其中 34 936 名(52.9%)为部落妇女。部落妇女不使用避孕药具的比例较高。结婚年龄在 30 岁以上的部落妇女、基督教社区以及来自阿萨姆邦和曼尼普尔邦的妇女不使用避孕药具的几率更高。分解分析表明,地域差异、奇偶性和基督教是造成人口避孕药具使用率差异的主要原因。在印度东北部地区,部落妇女和非部落妇女在不使用避孕药具方面存在巨大差距。医疗保健系统必须让社区代表参与设计针对具体情况的社区倡议,以提高这些偏远弱势社区的避孕药具使用率。
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引用次数: 0
Height growth of Mexican boys by geographic region: an evaluation based on nationally representative data of ENSANUT 2012 and 2018 - ERRATUM. 按地理区域划分的墨西哥男童身高增长情况:基于 ENSANUT 2012 年和 2018 年全国代表性数据的评估 - ERRATUM。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2024-07-01 Epub Date: 2024-05-23 DOI: 10.1017/S0021932024000233
Luis Alberto Flores, Luz Dinorah González-Castell, Sudip Datta Banik
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引用次数: 0
Comparing social responses to Ebola and Covid-19 in Sierra Leone: an institutional analysis. 比较塞拉利昂社会对埃博拉病毒和 Covid-19 的反应:制度分析。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2024-05-16 DOI: 10.1017/S002193202400021X
Paul Richards, Foday Kamara, Esther Mokuwa, Marion Nyakoi

This paper compares community responses to Ebola and Covid-19 in two regions of southern and eastern Sierra Leone with reference to the theory of institutional dynamics proposed by the anthropologist Mary Douglas. Institutions, Douglas argued, are conveyed by styles of thought, shaped by the ways human communities, through everyday practices, reinforce systems of classification and denotation. Pandemic advice to 'follow the science' proved problematic, since there is no single institution of science, and institutions never stand alone but are bundled with other institutions, reflecting the manifold and intertwined practices of human social life. The paper explores some of the ways a traumatic epidemic of Ebola Virus Disease in Sierra Leone shaped a distinctive local response to this deadly infectious disease in the absence of an effective vaccine. This local approach emphasised social rules based on ideas about sequestration and testing. Communities then proposed to continue this rules-based approach to the pandemic of Covid-19 and showed little initial enthusiasm for vaccination. With Ebola, the adoption of rules resulted in dramatic drops in infection rates. But Covid-19 spreads in different ways, and good results from the application of social rules were much less apparent. The paper shows how communities began to grapple with this new situation. In some cases, vaccine hesitation was overcome by treating the requirement for vaccination as a new form of social discipline. More generally, it is concluded that epidemiologists need to pay specific attention to institutions and institutional dynamics in order to better understand and anticipate public reactions to new disease threats.

本文参照人类学家玛丽-道格拉斯(Mary Douglas)提出的制度动力学理论,比较了塞拉利昂南部和东部两个地区社区对埃博拉病毒和 Covid-19 病毒的反应。道格拉斯认为,制度是由思维方式传达的,是由人类社区通过日常实践强化分类和指称系统的方式形成的。事实证明,"跟着科学走 "的流行建议是有问题的,因为不存在单一的科学体制,体制从来都不是孤立的,而是与其他体制捆绑在一起的,反映了人类社会生活的多方面和相互交织的实践。本文探讨了塞拉利昂的埃博拉病毒疫情如何在缺乏有效疫苗的情况下,在当地形成了应对这一致命传染病的独特方法。这种地方性方法强调基于隔离和检测理念的社会规则。随后,各社区提议继续采用这种基于规则的方法来应对科维德-19 大流行病,但最初对疫苗接种的热情并不高。在埃博拉疫情中,规则的采用导致感染率急剧下降。但 Covid-19 的传播方式不同,应用社会规则的良好效果并不明显。论文展示了社区如何开始应对这一新情况。在某些情况下,通过将疫苗接种要求视为一种新的社会纪律形式,克服了疫苗接种的犹豫不决。总之,本文认为流行病学家需要特别关注制度和制度动态,以便更好地理解和预测公众对新疾病威胁的反应。
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引用次数: 0
The impact of welfare on maternal investment and sibling competition: evidence from Serbian Roma communities. 福利对产妇投资和兄弟姐妹竞争的影响:来自塞尔维亚罗姆人社区的证据。
IF 1.5 3区 社会学 Q1 Medicine Pub Date : 2024-05-01 Epub Date: 2023-09-25 DOI: 10.1017/S0021932023000184
Jelena Čvorović

Siblings compete for limited parental resources, which can result in a trade-off between family size and child growth outcomes. Welfare incentives may improve parental circumstances in large families by compensating for the additional costs of an extra child and increasing the resources available to a family. The improvements in conditions may influence parents to increase their investment, expecting greater returns from the investment in child survival and development, while in turn increase sibling competition for the investment. This study assessed whether welfare benefits have influenced parental investment trade-offs and competition between siblings among Serbian Roma, a population largely dependent on welfare. Using data from the UNICEF Multiple Indicator Cluster Survey 6, this study assessed the associations between maternal investment, child cash benefits, sibship size, and child anthropometry, as an indicator of health, among 1096 Serbian Roma children aged 0 to 59 months. Living in a small family benefited Roma children, while the incentives increased competition between siblings. Maternal investment was negatively associated with incentives, as the improvements brought about were insufficient to influence a change in maternal perceptions about the local setting uncertainty and thus promote an increase in investment.

兄弟姐妹争夺有限的父母资源,这可能导致家庭规模和孩子成长结果之间的权衡。福利激励措施可以通过补偿多生一个孩子的额外费用和增加家庭可用资源来改善大家庭的父母环境。条件的改善可能会影响父母增加投资,期望从对儿童生存和发展的投资中获得更大的回报,同时反过来增加兄弟姐妹对投资的竞争。这项研究评估了福利待遇是否影响了塞尔维亚罗姆人的父母投资权衡和兄弟姐妹之间的竞争,罗姆人在很大程度上依赖福利。这项研究利用联合国儿童基金会多指标集群调查6的数据,评估了1096名0至59个月的塞尔维亚罗姆儿童的孕产妇投资、儿童现金福利、兄弟姐妹规模和儿童人体测量作为健康指标之间的关系。生活在一个小家庭有利于罗姆儿童,而这些激励措施增加了兄弟姐妹之间的竞争。产妇投资与激励措施呈负相关,因为所带来的改善不足以影响产妇对当地环境不确定性的看法的改变,从而促进投资的增加。
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引用次数: 0
Managing menstruation during natural disasters: menstruation hygiene management during "super floods" in Sindh province of Pakistan. 自然灾害期间的月经管理:巴基斯坦信德省“超级洪水”期间的月经卫生管理。
IF 1.5 3区 社会学 Q1 Medicine Pub Date : 2024-05-01 Epub Date: 2023-11-13 DOI: 10.1017/S0021932023000159
Salma Sadique, Inayat Ali, Shahbaz Ali

Menstruation is part of women's normal life, which requires basic hygienic practices. Managing hygiene can be affected by several factors and situations such as natural disasters. Focusing on 'super flooding' in Pakistan's Sindh Province, we pay attention to how this 'natural disaster' has affected hygienic practices of menstrual cycle of women. The study meticulously examines the dynamics of menstrual hygiene management, encompassing the nuanced encounters with feelings of shame and embarrassment among girls and women situated in flood camps, schools, and community shelters. It also intends to highlight women's challenge and embarrassment to participate in the distribution process of essential resources such as pads. The insights garnered from this study hold potential relevance for various stakeholders, including policymakers, healthcare practitioners, and researchers, offering a nuanced comprehension of the intersection of menstrual hygiene, climate change, and well-being of women.

月经是女性正常生活的一部分,需要基本的卫生习惯。卫生管理可能受到自然灾害等多种因素和情况的影响。我们关注巴基斯坦信德省的“超级洪水”,关注这场“自然灾害”如何影响妇女月经周期的卫生习惯。这项研究细致地考察了经期卫生管理的动态,包括在洪水营地、学校和社区避难所的女孩和妇女中遇到的羞耻和尴尬的微妙感受。它还打算强调妇女在参与卫生巾等基本资源的分配过程中所面临的挑战和尴尬。从这项研究中获得的见解对包括政策制定者、医疗从业人员和研究人员在内的各种利益相关者具有潜在的相关性,提供了对月经卫生、气候变化和女性福祉的微妙理解。
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引用次数: 0
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Journal of Biosocial Science
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