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Residential inequalities in child mortality in Ethiopia: Multilevel and decomposition analyses 埃塞俄比亚儿童死亡率的居住不平等:多层次和分解分析
Pub Date : 2022-12-16 DOI: 10.36922/ijps.v7i2.392
Negussie Shiferaw Tessema, Chalachew Getahun Desta, Nigatu Regassa Geda, Terefe Degefa Boshera
Ethiopia is among the five countries which account for half of the global under-five deaths, with the under-five mortality rate of 67 deaths/1000 live births in 2016. Ethiopia had significant inequalities in child mortality between rural and urban areas where the risk of child mortality is largely higher in rural than urban areas. Inequalities in the distribution of factors influencing child mortality need to explain the gap between and within urban-rural areas. The study used the risk of child mortality as an outcome variable. Multilevel logistic regression was used as a standard model for assessing the effect of socioeconomic and contextual factors on child mortality. Furthermore, the Blinder-Oaxaca decomposition technique was used to explain the urban-rural, intra-rural, and intra-urban inequalities in child mortality. The birth order and sanitation type seem to be the most important explanatory factors, followed by wealth status in explaining the rural-urban inequality of 39 deaths/1000 children. Mean proportion indicates that there would be 47 deaths/1000 children for urban poor and 21 deaths/1000 children for urban non-poor, resulting in 26 deaths/1000 children change in urban poor when applying the urban non-poor coefficient and characteristics to urban poor behavior. The findings showed that some residential inequalities in child mortality occur at a level that could be addressed by targeting children, households, and some occurs at a community level that could be addressed by targeting regions. Therefore, any residential sensitive and specific interventions should consider child’s and household’s characteristics, and geographical location.
埃塞俄比亚是占全球五岁以下儿童死亡人数一半的五个国家之一,2016年五岁以下婴儿死亡率为67人/1000活产。埃塞俄比亚在农村和城市地区的儿童死亡率方面存在严重不平等,农村地区的儿童死亡风险在很大程度上高于城市地区。影响儿童死亡率因素分布的不平等需要解释城乡之间和城乡内部的差距。这项研究将儿童死亡率作为一个结果变量。多水平逻辑回归被用作评估社会经济和环境因素对儿童死亡率影响的标准模型。此外,Blinder Oaxaca分解技术被用于解释儿童死亡率的城乡、农村和城市内部的不平等。出生顺序和卫生设施类型似乎是最重要的解释因素,其次是财富状况,解释了每1000名儿童中有39人死亡的城乡不平等现象。平均比例表明,将城市非贫困系数和特征应用于城市贫困行为时,城市贫困儿童将有47人死亡/1000,城市非贫困儿童将为21人死亡/1000。研究结果表明,一些儿童死亡率的居住不平等现象发生在可以通过针对儿童、家庭来解决的水平上,而一些则发生在社区层面,可以通过针对地区来解决。因此,任何对住宅敏感和具体的干预措施都应考虑儿童和家庭的特点以及地理位置。
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引用次数: 1
Levels and trends estimate of sex ratio at birth for seven provinces of Pakistan from 1980 to 2020 with scenario-based probabilistic projections of missing female birth to 2050: A Bayesian modeling approach 1980年至2020年巴基斯坦7个省出生性别比水平和趋势估计,以及2050年女性出生缺失的基于情景的概率预测:贝叶斯建模方法
Pub Date : 2022-12-14 DOI: 10.36922/ijps.v8i2.332
Fengqing Chao, M. Wazir, H. Ombao
Most evidence on son preference in Pakistan is reflected in the higher child mortality among females than males. The sex discrimination before birth is rarely reported in Pakistan. This is the first study to quantify prenatal sex discrimination in Pakistan on a subnational level. We provide annual estimates of the sex ratio at birth (SRB) from 1980 to 2020 and scenario-based projections of the number of missing female births up to 2050 by Pakistan province. The results are based on a comprehensive database consisting of 832,091 birth records from all available surveys and censuses. We adopted a Bayesian hierarchical time series model to synthesize different data sources. We identified Balochistan with an existing imbalanced SRB since 1980. For the rest provinces without past or ongoing SRB inflation, we projected the largest female birth deficit to occur in Punjab in 2033 under the scenario that the SRB transition process starts in 2021. We demonstrated important disparities in the occurrence and quantification of missing female births up to 2050.
巴基斯坦重男轻女的大多数证据都反映在女性的儿童死亡率高于男性。出生前的性别歧视在巴基斯坦很少报道。这是第一项在巴基斯坦国家以下一级量化产前性别歧视的研究。我们提供了1980年至2020年出生性别比的年度估计值,以及截至2050年巴基斯坦省失踪女性出生人数的情景预测。结果基于一个综合数据库,该数据库由所有现有调查和人口普查的832091份出生记录组成。我们采用贝叶斯分层时间序列模型来综合不同的数据源。自1980年以来,我们确定俾路支省存在不平衡的SRB。对于过去或目前没有SRB通胀的其他省份,我们预计,在2021年SRB过渡进程开始的情况下,旁遮普省将在2033年出现最大的女性出生赤字。我们证明,到2050年,女性失踪出生的发生率和数量存在重大差异。
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引用次数: 0
Exploring assimilation as a combination of objective and subjective processes: A case study of rural-to-urban migrants in China 探讨客观与主观相结合的同化过程:以中国农民工为例
Pub Date : 2022-12-07 DOI: 10.36922/ijps.v7i2.346
Zhenxiang Chen
This paper explores assimilation as a two-path process, in which its objective and subjective components are studied simultaneously using structural equation modeling for rural-to-urban migrants in China. This model considers the choice of reference group by the migrants themselves and the assimilation process into the reference group. Structural equation modeling results show that it can be beneficial for assimilation studies to allow migrants to choose their own reference group and to include the subjective path (i.e., assimilation into the migrants’ chosen reference group) along with the objective path (i.e., assimilation into the mainstream). This can be achieved as follows: (1) The intertwining between the subjective and objective paths can disentangle assimilation into a process driven by two forces; (2) major stratification factors affecting the objective path through the subjective path may be identified; and (3) the impacts of assimilation on important migrant outcomes, such as subjective well-being, can be studied and separated into subjective and objective components.
本文采用结构方程模型对中国城乡流动人口的同化过程进行了研究,并将其作为一个双路径过程,同时研究了其客观和主观成分。该模型考虑了移民自身对参照群体的选择和融入参照群体的过程。结构方程建模结果表明,允许移民选择自己的参照群体,并将主观路径(即融入移民选择的参照群体)与客观路径(即融入主流)一起纳入同化研究是有益的。这可以通过以下方式实现:(1)主客观路径的交织可以将同化分解为由两种力量驱动的过程;(2)通过主观路径可以识别影响客观路径的主要分层因素;(3)同化对重要移民结果(如主观幸福感)的影响可以分为主观和客观两部分进行研究。
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引用次数: 0
Factors associated with knowledge, attitudes, and practices of the general Lebanese population toward the coronavirus disease 2019 与黎巴嫩普通民众对2019冠状病毒病的知识、态度和做法相关的因素
Pub Date : 2022-12-06 DOI: 10.36922/ijps.v7i2.342
C. Haddad, Sandrella Bou Malhab, Diana Malaeb, H. Sacre, D. Saadeh, Christine Bou Tayeh, P. Salameh
People’s practice, including adherence to disease prevention strategies, is influenced by their knowledge and attitude, which differ by sex. This study aimed to validate a tool that measures knowledge, attitude, and practice (KAP) toward COVID-19 and explore the related factors, including socioeconomic features and sex disparities. An online cross-sectional study conducted between December 20, 2020, and January 5, 2021, enrolled 405 participants from the general Lebanese population using a snowball sampling technique. The COVID-19 KAP scales were constructed and validated. After confirming the validity of the generated scales, the results showed that a university education level (adjusted odds ratio [aOR] = 3.90) was related to a better knowledge of COVID-19. A higher household crowding index (aOR = 0.41), a higher anxiety (aOR = 0.88), and do not know if there was an indirect contact with a COVID-19 patient (aOR = 0.44) were significantly associated with low knowledge of COVID-19. Having a family member working in the medical field (aOR = 1.76) and higher COVID-19 fear scores (aOR = 1.04) were associated with a more acceptable attitude toward COVID-19. Furthermore, higher knowledge scores (aOR = 1.14), higher attitude scores (aOR = 1.41), higher COVID-19 fear scores (aOR = 1.10), and more time spent on COVID-19 information (aOR = 1.91) were associated with good practice during the COVID-19 pandemic. However, these associations differed by sex, except for the crowding index, which were inversely associated with knowledge in both sexes, while education level and indirect exposure to COVID-19 were significant only among females. Knowledge about COVID-19 did not affect attitudes, but a good attitude was related to better practice in both sexes. Moreover, higher fear and more time spent on COVID-19 information were significantly associated with better practice among females. Overall, this study validated tools to highlight the knowledge, attitude, and practice among the general population during the COVID-19 outbreak in Lebanon. Our findings suggest the need for health education programs tailored differentially according to sex, taking into account education, age, and socioeconomic status to raise awareness of COVID-19 and promote more acceptable attitudes and sustained safe practices among the general Lebanese population.
人们的行为,包括是否遵守疾病预防战略,受到他们的知识和态度的影响,而这些知识和态度因性别而异。本研究旨在验证一种衡量COVID-19知识、态度和实践(KAP)的工具,并探讨社会经济特征和性别差异等相关因素。2020年12月20日至2021年1月5日期间进行了一项在线横断面研究,使用滚雪球抽样技术从黎巴嫩普通人群中招募了405名参与者。构建并验证了COVID-19 KAP量表。在确认所编制量表的有效性后,结果显示大学教育程度(调整优势比[aOR] = 3.90)与更好地了解COVID-19相关。较高的家庭拥挤指数(aOR = 0.41)、较高的焦虑程度(aOR = 0.88)和不知道是否间接接触过COVID-19患者(aOR = 0.44)与低的COVID-19知识相关。家庭成员在医疗领域工作(aOR = 1.76)和更高的COVID-19恐惧评分(aOR = 1.04)与更可接受的COVID-19态度相关。此外,更高的知识得分(aOR = 1.14)、更高的态度得分(aOR = 1.41)、更高的COVID-19恐惧得分(aOR = 1.10)和更多的COVID-19信息花费时间(aOR = 1.91)与COVID-19大流行期间的良好行为相关。然而,除了拥挤指数与两性知识呈负相关外,这些关联因性别而异,而教育水平和间接接触COVID-19仅在女性中显著。对COVID-19的了解不影响态度,但良好的态度与两性更好的实践有关。此外,女性在COVID-19信息上花费的更多时间和更高的恐惧程度与更好的实践显著相关。总体而言,本研究验证了在黎巴嫩2019冠状病毒病暴发期间突出普通民众的知识、态度和做法的工具。我们的研究结果表明,有必要根据性别,考虑到教育、年龄和社会经济地位,制定有差异的健康教育计划,以提高对COVID-19的认识,并在黎巴嫩普通人口中促进更可接受的态度和持续的安全做法。
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引用次数: 0
Used (Lived) versus Offered (Plain) densities of human settlement in space: An instance of the probabilistic consumption model 空间中人类住区的使用(居住)密度与提供(平原)密度:概率消费模型的一个实例
Pub Date : 2022-11-30 DOI: 10.36922/ijps.v8i2.297
F. Leurent
To people living in areas, the denser is the area, the more numerous are the opportunities of interpersonal and social interaction, of employment and of amenities of all kinds. The spatial density of human settlement is basically studied according to places, that is, area weighted. The notion of population-weighted density, or lived density, puts human density in the perspective of the people that experience it. Considering, respectively, the land units and the people as statistical populations of their own, the article provides a probabilistic model of human density in a geographical space, as a random variable in each statistical population, with specific probability density functions (PDFs) and cumulative distribution functions. The PDF of lived, “Used density” is derived from that of the plain, “Offered density” through a consumption model: Thus, their relationship is a specific instance of a well-established probabilistic model. The average used density is systematically larger than its offered counterpart: The ratio amounts to one plus the squared coefficient of variation of offered density. The relation between the two statistical distributions is illustrated using a Lorenz curve; the associated Gini index constitutes an indicator of population heterogeneity in a geographical space. A case of France’s population as of 2019 is studied to demonstrate the methodology.
对于居住在某个地区的人来说,这个地区的人口越密集,人际交往和社会交往、就业和各种便利设施的机会就越多。人类住区的空间密度基本上是按地研究,即面积加权。人口加权密度或居住密度的概念,将人口密度置于经历人口密度的人的角度。本文将土地单元和人口分别视为各自的统计人口,提出了地理空间中人口密度的概率模型,并将人口密度作为每个统计人口中的随机变量,具有特定的概率密度函数和累积分布函数。生活密度、“使用密度”的PDF是通过消费模型从平原的“提供密度”导出的:因此,它们的关系是一个已建立的概率模型的特定实例。平均使用密度系统地大于其提供的对应物:该比率等于1加上提供密度变化系数的平方。两种统计分布之间的关系用洛伦兹曲线来说明;相关的基尼指数构成了地理空间中人口异质性的指标。本文以法国截至2019年的人口为例,对该方法进行了研究。
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引用次数: 0
Modeling, simulating, and comparing biased archaeological mortuary assemblages 建模、模拟和比较有偏见的考古太平间组合
Pub Date : 2022-11-25 DOI: 10.36922/ijps.v7i2.300
C. L. Kieffer
This paper uses a novel approach to compensate for inherent sampling biases and to compare the age profiles of two ancient Maya sacrificial assemblages to expectations from a model life table for traditional horticultural populations. It seeks to statistically rule out the possibility that either site is accumulated due to a standard mortality process experienced in horticulturalist populations. This analysis utilizes data from Midnight Terror Cave (MTC), Belize and Chichén Itzá (CI), Mexico to compare the observed versus expected death counts by age. Monte-Carlo based estimates of preservation bias were modeled assuming a normal distribution with mean and variance based on expert opinion. This model was used to up-adjust age-specific death counts for both sites to make more robust sample sizes, which were compared to those expected from a model life table at the 5th, 50th, and 95th percentiles of the resampled distribution of preservation bias. At low levels of estimated bias (5th percentile), neither MTC nor CI assemblages could be distinguished from the null-mortality model. At average to higher levels of estimated bias (50th and 95th percentiles), both populations could be statistically distinguished from the null mortality model either across all age intervals or within specific age ranges. After accounting for preservation bias, the findings suggest that both MTC and CI assemblages were unlikely to have accumulated due to a normal mortality pattern experienced within traditional horticulturalist populations, further supporting the ethnographic and archaeological evidence that indicates that the sites are accumulated due to cultural practices related to human sacrifice.
本文使用一种新的方法来补偿固有的采样偏差,并将两个古代玛雅祭祀组合的年龄分布与传统园艺种群的模型生命表中的预期进行比较。它试图从统计上排除任何一个位点是由于园艺学家群体经历的标准死亡过程而积累的可能性。该分析利用伯利兹午夜恐怖洞穴(MTC)和墨西哥奇琴伊察(CI)的数据,按年龄比较观察到的死亡人数与预期死亡人数。基于蒙特卡罗的保存偏差估计是基于专家意见,假设具有均值和方差的正态分布进行建模的。该模型用于上调两个地点的年龄特异性死亡人数,以获得更稳健的样本量,并将其与模型寿命表中保存偏差重新采样分布的第5、第50和第95个百分位数的预期样本量进行比较。在低水平的估计偏差(第5百分位)下,MTC和CI组合都无法与零死亡率模型区分开来。在平均到更高水平的估计偏差(第50和第95个百分位数)下,无论是在所有年龄区间还是在特定年龄范围内,这两个群体都可以从统计学上与零死亡率模型区分开来。在考虑了保存偏差后,研究结果表明,由于传统园艺学家群体中经历的正常死亡模式,MTC和CI组合不太可能积累,这进一步支持了人种学和考古证据,表明这些遗址是由于与人类祭祀相关的文化实践而积累的。
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引用次数: 0
On the empirical study of fertility transition: A case for application of age-adjusted measures in multivariable analysis 生育率转换的实证研究——以年龄调整指标在多变量分析中的应用为例
Pub Date : 2022-11-25 DOI: 10.36922/ijps.v7i2.354
Pedzisai Ndagurwa, C. Odimegwu
Among studies of factors driving fertility transitions, the cumulative children ever born (CEB) has been treated as the dependent variable in multivariable models. Some of these studies have cited total fertility rates (TFRs) in their rationales for investigating the determinants of fertility transition. However, CEB and TFR (which are computed from age-specific fertility rates) are notably disparate measures of fertility. The aim of this study was to argue that where TFRs are cited as a basis for an investigation of driving factors of fertility transitions, the dependent variable in the multivariable modeling ought to be an adjusted measure of fertility. The study applied trend analysis to examine the extent to which CEB and age-specific marital fertility rates (ASMFR) reflected trajectories of the trends of total marital fertility rates (TMFRs) in Ghana, Kenya, Rwanda, and Zimbabwe. Multivariable analysis based on the two-fold Oaxaca-Blinder decomposition technique was applied to examine how using ASMFR compared to CEB impacts the understanding of factors of fertility change, using the case of Zimbabwe. Trend analysis showed that ASMFR was more effective in reflecting fertility trends and measuring the role of associated factors. The results from multivariable analyses show that a case can be made for the use of adjusted measures in the understanding of factors of fertility transition.
在对推动生育率转变的因素的研究中,累积出生子女(CEB)被视为多变量模型中的因变量。其中一些研究引用了总生育率(TFR)作为研究生育率转变决定因素的理由。然而,CEB和TFR(根据特定年龄的生育率计算)是衡量生育率的明显不同的指标。这项研究的目的是认为,如果将TFR作为调查生育率转变驱动因素的基础,那么多变量建模中的因变量应该是生育率的调整指标。该研究应用趋势分析来检验CEB和特定年龄段的婚姻生育率(ASMFR)在多大程度上反映了加纳、肯尼亚、卢旺达和津巴布韦的总婚姻生育率趋势。以津巴布韦为例,应用基于双重瓦哈卡-布林德分解技术的多变量分析来检验ASMFR与CEB相比如何影响对生育率变化因素的理解。趋势分析表明,ASMFR在反映生育趋势和衡量相关因素的作用方面更有效。多变量分析的结果表明,在理解生育率转变的因素时,可以使用调整后的衡量标准。
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引用次数: 0
Female genital mutilation practice, associated factors, and its consequences on women’s reproductive health in Senegal 塞内加尔切割女性生殖器官的做法、相关因素及其对妇女生殖健康的影响
Pub Date : 2022-11-17 DOI: 10.36922/ijps.v7i1.292
Ramu Rawat, Noli Nivedita Tirkey
Female genital mutilation (FGM) practice is unhygienic and unhealthy traditional practices which have affected girls and women’s health adversely for all-time, and such practice is prevalent in many African countries. This study intended to examine factors associated with the FGM prevalence, attitudes toward the discontinuation of the practice, and consequences of FGM practice on reproductive health in terms of sexual transmitted infections/symptoms (STIs/STSs) among women of reproductive ages in Senegal. To fulfill the study objective on factors associated the prevalence of FGM and attitudes toward the continuation of FGM practice, the 2019 Senegal Demographic Health Survey (DHS) data sets were used based on binary logit and multinomial logit regression models. The results show that rural areas, married women, women of Muslim religion, Poular women, women of lower education and lower wealth, and women who were never exposed to social media reported a higher prevalence rate of FGM and were more likely to support continuation of FGM practice. To fulfill the research goal on consequences of FGM practice on STIs/STSs, the 2010 – 2011 DHS was employed because the 2019 DHS did not collect data on STIs/STSs. FGM practice was associated with lower knowledge about STIs/STSs and higher prevalence of STIs/STSs. Our findings suggest that education promotion, poverty reduction, rural development, and dissemination of the adverse consequences of FGM practice could help reduce FGM practices. These findings could have important implications for achieving the sustainable development goals.
切割女性生殖器的做法是不卫生和不健康的传统做法,历来对女孩和妇女的健康产生不利影响,这种做法在许多非洲国家普遍存在。本研究旨在从塞内加尔育龄妇女性传播感染/症状(STIs/STSs)的角度,研究与女性生殖器切割流行率、对停止这种做法的态度以及女性生殖器切割做法对生殖健康的影响相关的因素。为了实现与女性生殖器切割流行率和对继续女性生殖器切割行为的态度相关的因素的研究目标,使用了基于二元logit和多项式logit回归模型的2019年塞内加尔人口健康调查(DHS)数据集。结果显示,农村地区、已婚妇女、信奉穆斯林宗教的妇女、Poular妇女、受教育程度较低、财富较低的妇女以及从未接触过社交媒体的妇女报告称,女性生殖器切割的流行率较高,更有可能支持继续进行女性生殖器切割。为了实现关于女性生殖器切割行为对性传播感染/性传播感染后果的研究目标,由于2019年的国土安全部没有收集性传播感染和性传播感染的数据,因此采用了2010-2011年国土安全部。女性生殖器切割与对性传播感染/性传播疾病的了解程度较低和性传播感染的患病率较高有关。我们的研究结果表明,促进教育、减少贫困、农村发展和传播女性生殖器切割做法的不利后果,有助于减少女性生殖器切割行为。这些发现可能对实现可持续发展目标产生重要影响。
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引用次数: 0
Childlessness: A review of the theoretical frameworks and a proposition of general pathways 无子女:检讨的理论框架和一般途径的命题
Pub Date : 2022-11-15 DOI: 10.36922/ijps.v7i2.352
Victor A. Leocádio
The literature on childlessness has received increasing prominence in demographic studies because, with increasing levels of childlessness, it helps the understanding of important demographic concerns, such as reproductive behavior, family formation, and gender relations. Although a growing number of empirical studies on low fertility have been discussing childlessness, less research has attempted to discuss it from a theoretical perspective. This work has, therefore, the objective of debating theoretically important and recurrent issues in the literature on childlessness. This general aim is divided into three specific objectives: First, to discuss a range of contexts, aspects, and theoretical approaches that explain childlessness, second, to document the association between childlessness and important sociodemographic variables, and third, to develop a proposition of general pathways to childlessness. This study shows that several socioeconomic factors together with important correlated theories help to explain increasing childlessness. It also documents how childlessness is especially related to higher levels of education, singlehood, being African descents, living in urban areas, and having no religious affiliation. This work also finds and discusses four general pathways to childlessness in the proposed framework. This study contributes to the development of the theoretical framework on childlessness and encourages further research into this topic.
关于无子女的文献在人口学研究中越来越受到重视,因为随着无子女水平的提高,它有助于理解重要的人口学问题,如生殖行为、家庭形成和性别关系。尽管越来越多的关于低生育率的实证研究一直在讨论无子女问题,但很少有研究试图从理论角度来讨论这一问题。因此,这项工作的目的是对无子女文献中反复出现的重要理论问题进行辩论。这一总体目标分为三个具体目标:第一,讨论解释无子女的一系列背景、方面和理论方法,第二,记录无子女与重要社会人口变量之间的联系,第三,提出无子女的一般途径。这项研究表明,几个社会经济因素以及重要的相关理论有助于解释无子女人数的增加。它还记录了无子女与更高的教育水平、单身、非洲人后裔、生活在城市地区以及没有宗教信仰之间的关系。这项工作还发现并讨论了在拟议的框架中导致无子女的四条一般途径。这项研究有助于发展关于无子女的理论框架,并鼓励对这一主题进行进一步的研究。
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引用次数: 0
Factors associated with contraception and induced abortion among young women in Nepal 尼泊尔年轻妇女避孕和人工流产的相关因素
Pub Date : 2022-11-09 DOI: 10.36922/ijps.v7i1.291
Y. Karki
This study analyzed data from the 2016 Nepal Demographic and Health Survey (NDHS) supplemented by key indicators from several previous waves of NDHS to identify the sociodemographic profiles of women aged 15 – 24 who were using contraceptive methods and sought an abortion within 5 years before surveys. To augment the abortion analysis, field monitoring data of the Gorkha Safe Abortion (GSA) project were also used. Results from multivariable analyses show that women who ever gave a birth, who were from Province 1, who were economically well-off, and who knew the legal status of abortion, were more likely to practice contraception than their respective counterparts. Results, further, reveal that women practicing traditional methods of family planning were more likely to have an abortion than their counterparts not using any contraception. Women with two or more children ever born were more likely to have an abortion. Women from Karnali Province were most likely to have an abortion. Rich women were most likely to have an abortion than poor women. Regarding safe abortion, it is found that women living in the Tarai area were most likely to have a safe abortion than other geographic areas, due perhaps to family health services being more accessible in the Tarai area. Although the analyses found no relationship between age and abortions, perhaps due to small sample, the GSA project data clearly indicate that women under age 20, and those from Dalit community in particular, were more likely to seek an abortion than women aged 20 – 24. One lesson learned from the GSA project is that the pay-off for increasing access to safe abortion for hard-to-reach populations is high. To understand the complexity of sexual behaviors, contraceptive uses, and abortions among young women, more research using both qualitative and quantitative approaches are needed.
本研究分析了2016年尼泊尔人口与健康调查(NDHS)的数据,并补充了前几波NDHS的关键指标,以确定调查前5年内使用避孕方法并寻求堕胎的15-24岁女性的社会人口特征。为了加强堕胎分析,还使用了廓尔喀安全堕胎项目的现场监测数据。多变量分析的结果表明,曾生育过孩子的女性,来自第一省,经济富裕,知道堕胎的法律地位,比各自的同龄人更有可能避孕。结果进一步表明,采用传统计划生育方法的女性比不使用任何避孕措施的女性更有可能堕胎。有两个或两个以上孩子的女性更有可能堕胎。卡纳利省的妇女最有可能堕胎。富裕女性比贫穷女性更有可能堕胎。关于安全堕胎,研究发现,与其他地理区域相比,生活在塔赖地区的妇女最有可能进行安全堕胎,这可能是因为塔赖地区更容易获得家庭卫生服务。尽管分析发现年龄与堕胎之间没有关系,可能是因为样本较少,但GSA项目数据清楚地表明,20岁以下的女性,尤其是达利特社区的女性,比20-24岁的女性更有可能寻求堕胎。从GSA项目中吸取的一个教训是,为难以接触的人群增加安全堕胎的机会所带来的回报很高。为了了解年轻女性性行为、避孕药具使用和堕胎的复杂性,需要更多的定性和定量研究。
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引用次数: 0
期刊
International journal of population studies
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