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Inconsistent use of condom: risky sexual behaviour among the street based sex workers in Kathmandu Valley 不一致使用避孕套:加德满都谷地街头性工作者的危险性行为
Pub Date : 2018-12-31 DOI: 10.3126/npj.v18i17.26378
R. Karki
The nature of profession of sex trade is multi partnered which leads the sex partners to unprotected sex. This study aims to explore the knowledge and experiences of STIs, practice and use of condom, reasons of not using it regularly and addiction situations among the street based female sex workers (SFSWs) in Kathmandu Valley. This study is a non-experimental research based on cross-sectional design. Mixed method was used to collect information with 110 SFSWs selected by using snow ball sampling techniques and presented descriptively after arranging in different themes. Among the SFSWs, 64.5 percent experienced STIs and 69 percent of them were unable to use condoms regularly. Most of the sex workers agree to unprotected sex when they are offered extra money and forced for sex by clients without condom, and another reason was lack of skill on SFSWs in using it properly. Knowingly or unknowingly SFSWs, clients and their life-partners are being victimized from practicing of risky sexual behaviour. The study suggests that touchy and broad awareness programs and compulsory rule to use male condom from clients’ side within safer indoor work space could be effective in helping to assure satisfying and safe sex.
性交易职业的本质是多伴侣性行为,导致性伴侣进行无保护的性行为。本研究旨在探讨加德满都谷地街头女性性工作者(SFSWs)关于性传播疾病的知识和经验、避孕套的使用和实践、不经常使用避孕套的原因和成瘾情况。本研究为基于横断面设计的非实验研究。采用混合方法对采用雪球抽样技术选取的110个SFSWs进行信息采集,并按不同主题排列后进行描述性呈现。在SFSWs中,64.5%的人经历过性传播感染,其中69%的人不能经常使用避孕套。大多数性工作者在没有安全套的情况下接受客户提供的额外报酬和强迫的情况下同意无保护的性行为,另一个原因是SFSWs缺乏正确使用安全套的技能。在有意或无意的情况下,性工作者、客户及其生活伴侣正成为从事危险性行为的受害者。该研究表明,敏感和广泛的意识项目以及强制性规定客户在更安全的室内工作空间使用男用安全套可以有效地帮助确保令人满意和安全的性行为。
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引用次数: 0
Youth empowerment and contraceptive use in Nepal 尼泊尔的青年赋权和避孕措施使用
Pub Date : 2018-12-31 DOI: 10.3126/npj.v18i17.26376
B. Shrestha
Contraceptive choices have an enormous impact on health, schooling and employment prospects. Access to full range of contraceptive method is vital for ensuring the health of youth. This study examined the association between youth empowerment in the domestic sphere and contraceptive use among currently married female youth in Nepal using the data of Nepal Demographic Health Survey, 2011. A sample of 2,553 currently married women of reproductive age 15-24 were chosen for this study. Bivariate analysis with cross tabulation and chi-square test were used to examine the association between each independent and dependent variables. Logistic regression model was employed for examining the effect of each independent variable as well as control variable on dependent variable. Result showed that the effect of youth empowerment remains statistically significant and has influence on their use of contraceptives, even after adding the control variables into the model. Youth who are empowered they use contraceptive about 2 times higher than those who are not empowered. Influence of some selected socio-economic and demographic variables on contraceptive are also examined. The study shows that the presence of son at home on contraceptive use is strongly associated (OR=4.58). Thus youth empowerment is necessary to increase contraceptive use.
避孕选择对健康、教育和就业前景产生巨大影响。获得全面的避孕方法对确保青年健康至关重要。本研究利用2011年尼泊尔人口健康调查的数据,审查了尼泊尔已婚女性青年在家庭领域赋予青年权力与避孕药具使用之间的关系。本研究选取了2553名处于15-24岁育龄的已婚妇女作为样本。采用交叉表法和卡方检验的双变量分析来检验各自变量和因变量之间的相关性。采用Logistic回归模型检验各自变量及控制变量对因变量的影响。结果表明,即使在模型中加入控制变量后,青年赋权的影响仍然具有统计学意义,并且对他们使用避孕药具有影响。获得授权的青年使用避孕药具的比例约为未获得授权的青年的两倍。还审查了一些选定的社会经济和人口变量对避孕药具的影响。研究表明,家里有儿子与避孕药具的使用密切相关(OR=4.58)。因此,青年赋权对于增加避孕药具的使用是必要的。
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引用次数: 0
Prevalence and associated risk factors of prehypertension and hypertension among army personnel 军队人员高血压前期和高血压患病率及相关危险因素
Pub Date : 2018-12-31 DOI: 10.3126/npj.v18i17.26383
S. Gurung, Padma Rai
Hypertension (HTN) is most likely a common disease in the world. In every 3 adult ages over 20 years have this disease. As a consequence, Non-communicable diseases (NCDs), such as hypertension and other cardiovascular diseases are becoming increasingly important as causes of mortality and morbidity in all developing countries. The aim of this study is to determine the prevalence of pre-hypertension and hypertension among the Army personnel in Nepal. This was a cross-sectional descriptive study of 315 respondents, who met eligible criteria. All respondents were enumerated by census method using self-interviewing questionnaire focusing measurement of the blood pressure, weight and height along with the demographic and other socio-economic as well as cultural characteristics. The study shows that overwhelming respondents (77.5%) are normal. And about 13 percent respondents are seemed to be in the pre-hypertension, followed by stage I HTN (6%) and stage II HTN (3.5%). It also shows that there is a significant association between prevalence of hypertension and body mass index of the respondents.
高血压(HTN)是世界上最常见的疾病。每三个20岁以上的成年人中就有一个患有此病。因此,高血压和其他心血管疾病等非传染性疾病正日益成为所有发展中国家死亡和发病的重要原因。本研究的目的是确定尼泊尔军队人员中高血压前期和高血压的患病率。这是一项对315名符合条件的受访者进行的横断面描述性研究。所有调查对象均采用人口普查法,采用以测量血压、体重、身高为重点的自我访谈问卷,并结合人口统计学和其他社会经济、文化特征进行统计。研究显示,绝大多数受访者(77.5%)是正常的。约13%的受访者似乎处于高血压前期,其次是I期HTN(6%)和II期HTN(3.5%)。调查还显示,受访者的高血压患病率与体重指数之间存在显著关联。
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引用次数: 0
Demographic and socio-economic factors affecting birth preparation and complication readiness (BPCR) practices in Nepal 人口和社会经济因素影响尼泊尔的分娩准备和并发症准备(BPCR)做法
Pub Date : 2018-12-31 DOI: 10.3126/npj.v18i17.26374
S. Acharya
BPCR practices by women in Nepal are still low. Still a relatively high percentage of women do not make BPCR to its fullest extent. Researches in developing countries show that various demographic, social and economic factors influence the BPCR practices by pregnant women. This paper examines the likelihood of BPCR practices based on women’s demographic, social and economic status in Nepal. NDHS 2011 data set has been utilized by applying bivariate logistics regression analysis technique to examine the effects of these variables on BPCR practices in Nepal. The analysis result shows high variations and gaps in BPCR practice based on demographic, social and economic status of women. Against this finding the study recommends implementation of appropriate policy and program measures by the government and other agencies to address the existing variations and gaps in BPCR practices among subgroups of women in Nepal. Further research studies focusing on the existing barriers on BPCR practice need to be conducted in Nepal especially among the women who are disadvantaged and marginalized.
尼泊尔妇女实施BPCR的比例仍然很低。仍然有相当高比例的妇女没有充分利用BPCR。发展中国家的研究表明,各种人口、社会和经济因素影响孕妇的BPCR做法。本文考察了基于尼泊尔妇女人口、社会和经济地位的BPCR实践的可能性。通过应用双变量logistic回归分析技术,利用NDHS 2011年数据集来检查这些变量对尼泊尔BPCR实践的影响。分析结果显示,基于妇女的人口、社会和经济地位,BPCR实践存在很大差异和差距。根据这一发现,研究建议政府和其他机构实施适当的政策和方案措施,以解决尼泊尔妇女分组中BPCR实践的现有差异和差距。需要在尼泊尔开展进一步的研究,重点关注BPCR实践的现有障碍,特别是在处于不利地位和被边缘化的妇女中。
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引用次数: 1
Dynamics of contraceptive use among young women in Nepal 尼泊尔年轻妇女避孕药具使用动态
Pub Date : 2018-12-31 DOI: 10.3126/npj.v18i17.26375
R. Kafle
This paper examines the dynamics of contraceptive use of currently married young women (age 15-24) in Nepal by analyzing the trends and differentials in contraceptive use, the changes in method mix and the determinants of contraceptive use by selected socioeconomic and demographic characteristics. The reasons of non-use of contraception are also assessed. Data from the three rounds of nationally representative Nepal Demographic and Health Survey (NDHS) 2001, 2006 and 2011 are used. Currently married women aged 15-24 are selected and included in analysis. Study sample constitute 2573, 2398 and 2552 eligible women in NDHS 2001, 2006 and 2011 respectively. Use of contraception among young couples is gradually increasing in almost all subgroups of population in Nepal, with narrowing differentials by education and economic condition of household. Tendency of starting contraceptives before having a child is also emerging. There is declining share of sterilization among youth indicating either a probable shifting in age at sterilization or more favour towards temporary methods. Injection has the highest share in all the three surveys. The share of long acting temporary methods (IUD and Implants) is quite small and almost same in all the three surveys. Couples still feel safe to start using contraceptives after having at least one son however, the differences are declining. Reasons for non-use like fear of side effects and opposition to use are sharply declining over time but that due to husband’s absence is emerging as almost a sufficient reason for non-use of contraception among young married women in Nepal. The family planning program should focus on meeting the family planning needs of young couples of all strata of population with special thrust on those women whose husbands are currently in foreign country so that they would be able to avoid unintended pregnancy on their husband’s come back.
本文通过分析尼泊尔已婚年轻女性(15-24岁)使用避孕药具的趋势和差异、方法组合的变化以及特定社会经济和人口特征下避孕药具使用的决定因素,研究了尼泊尔已婚年轻女性(15-24岁)使用避孕药具的动态。对不采取避孕措施的原因也进行了评估。采用了2001年、2006年和2011年三轮尼泊尔全国代表性人口与健康调查的数据。选择15-24岁的已婚女性并将其纳入分析。研究样本分别为2001年、2006年和2011年全国人口健康调查中符合条件的妇女2573名、2398名和2552名。在尼泊尔几乎所有人口亚群体中,年轻夫妇使用避孕措施的人数正在逐渐增加,家庭教育和经济状况的差异正在缩小。在生育之前就开始避孕的趋势也在出现。青年中绝育的比例下降,表明绝育的年龄可能发生了变化,或者更倾向于采用临时方法。在所有三次调查中,注入的比例最高。长效临时避孕方法(宫内节育器和植入物)的比例很小,在所有三次调查中几乎相同。夫妇们在生了至少一个儿子后仍然觉得开始使用避孕措施是安全的,然而,这种差异正在缩小。不使用避孕措施的原因,如害怕副作用和反对使用的原因,随着时间的推移正在急剧减少,但由于丈夫不在,几乎成为尼泊尔年轻已婚妇女不使用避孕措施的充分理由。计划生育工作要注重满足各阶层青年夫妇的计划生育需要,特别要重视丈夫在国外的妇女,使她们在丈夫回国时避免意外怀孕。
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引用次数: 2
Women's autonomy and utilization of maternal health care services in rural Nepal 尼泊尔农村妇女的自主权和对孕产妇保健服务的利用
Pub Date : 2018-12-31 DOI: 10.3126/npj.v18i17.26379
K. Lamichhane
Nepal has one of the highest maternal mortality ratios in South Asia although the situation is improving in recent days. One of the reasons for such a high mortality may be attributed to the under-utilization of modern maternal health services during pregnancy. This study has analyzed the relationship between women’s autonomy and the utilization of maternal health care services in order to explore some possible reasons for the under-utilization of the services. Data from the Nepal demographic and Health Survey, 2011 is used for the study. The analysis is based on 2374 married women aged 15-49 years who had given a live birth during three years preceding the survey. Women's household decision making power, control over use of earning and decision on using contraception have been used to explore the indicators of women's autonomy. Logistic regression is used to assess the net effect of several independent variables on two dependent variables (adequate antenatal care and institutional delivery) of maternal health care. Logistic regression analyses reveal that the utilization of both maternal health care services are related to women's autonomy as indicated by decision making power on own health care, large household purchases and control over earnings because financial sufficiency is must at that period. Women's’ decision-making power appears to be the most powerful predictors for increasing maternal health service utilization. The study results suggest that policy actions that increase women’s autonomy at home could be effective in helping assure good maternal health.
尼泊尔是南亚孕产妇死亡率最高的国家之一,尽管最近几天情况有所改善。死亡率如此之高的原因之一可能是怀孕期间没有充分利用现代产妇保健服务。本研究分析了妇女自主与孕产妇保健服务利用之间的关系,以探讨服务利用不足的一些可能原因。该研究使用了2011年尼泊尔人口与健康调查的数据。该分析基于2374名年龄在15岁至49岁之间的已婚妇女,她们在调查前三年内活产过一次。利用妇女的家庭决策权、对收入使用的控制权和使用避孕措施的决定权来探讨妇女自主权的指标。逻辑回归用于评估几个自变量对两个因变量(充分的产前保健和机构分娩)的净影响。逻辑回归分析显示,利用这两种孕产妇保健服务都与妇女的自主权有关,这体现在对自己保健的决策权、家庭大件采购和对收入的控制上,因为在这一时期必须有足够的财政能力。妇女的决策权似乎是提高孕产妇保健服务利用率的最有力预测因素。研究结果表明,提高妇女在家庭中的自主权的政策行动可以有效地帮助确保良好的产妇保健。
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引用次数: 4
Global and National Trends of HIV/AIDS 全球和国家艾滋病毒/艾滋病趋势
Pub Date : 2018-12-31 DOI: 10.3126/NPJ.V18I17.26430
Hikmat Bahadur Raya
HIV/AIDS is one of the worst pandemics, the world has ever known and the entire world has been combating with it. Objective of the study is to analyze the global and national trend of HIV/AIDS regarding the indices PLHIV, New infections and AIDS-related death and coverage of ART. This is a quantitative research completely based on the secondary data. The data is analyzed by simple statistical representations. Regression analysis is used to analyze the trends and to make some predictions. The number of PLHIV is increased by 19.9 percent from 1997 to 2015 and by 69.6 percent from 2000 to 2015 in Nepal. In this same duration, the new HIV infection is reduced by 63.8 percent and 82.6 percent, AIDS related death by 52.2 percent and 411.1 percent respectively in the global and Nepal. The initial coverage of ART in both regions was negligible and by the end of 2015 it reached to 46.4 percent and 30.6 percent in the global and Nepal respectively. Nepal along with the global achieves some positive results in the combating of this health problem. By analyzing the trends, it is not worth to say that we are not far from the achievement of SDGs.  
艾滋病毒/艾滋病是世界所知的最严重的流行病之一,整个世界都在同它作斗争。本研究的目的是分析艾滋病毒/艾滋病的全球和国家趋势,包括艾滋病毒/艾滋病、新发感染和艾滋病相关死亡指数以及抗逆转录病毒治疗的覆盖率。这是一项完全基于二手数据的定量研究。数据是用简单的统计表示来分析的。回归分析是用来分析趋势并作出预测的。从1997年到2015年,尼泊尔的艾滋病毒感染者人数增加了19.9%,从2000年到2015年增加了69.6%。在同一时期,全球和尼泊尔的艾滋病毒新感染人数分别减少了63.8%和82.6%,艾滋病相关死亡人数分别减少了52.2%和41.1%。抗逆转录病毒药物在这两个区域的最初覆盖率微不足道,到2015年底,全球和尼泊尔的覆盖率分别达到46.4%和30.6%。尼泊尔与全球一道在防治这一健康问题方面取得了一些积极成果。通过分析趋势,可以说我们离可持续发展目标的实现已经不远了。
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引用次数: 1
Demographic Window of Opportunity in Nepal 尼泊尔的人口机会之窗
Pub Date : 2018-12-31 DOI: 10.3126/npj.v18i17.26428
H. Chalise
The demographic dividend (or window of opportunity) is the period during which a country's population experiences age structures that are highly favourable for development. Greater proportion of population becomes young and working age group. This cuts spending on dependents and spurring economic growth. Demographic dividend has importance in the national development if it is understood well and planned well for the national development. Nepal has already entered in demographic window of opportunity and this dividend phase ends around 2045. Government is lacking to utilize this dividend in the absence of stable government and proper policy requirements.
人口红利(或机会之窗)是一个国家的人口经历非常有利于发展的年龄结构的时期。更大比例的人口成为年轻人和工作年龄群体。这削减了对受抚养人的支出,刺激了经济增长。对人口红利的认识和规划对国家发展具有重要意义。尼泊尔已经进入人口机会之窗,这一红利阶段将在2045年左右结束。在缺乏稳定的政府和适当的政策要求的情况下,政府缺乏利用这一红利的能力。
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引用次数: 12
Age structural impact of adolescent and youth on fertility transition in Nepal 尼泊尔青少年和青年对生育过渡的年龄结构影响
Pub Date : 2018-12-31 DOI: 10.3126/npj.v18i17.26384
Trilochan Pokharel
Nepal is in unique period of demographic situation. The age structure of population is gradually shifting upwards producing a historical large proportion of young population. Given the early age at marriage and childbearing, this population may continue to dominate fertility transition process. Interaction between improvement in the characteristics of this population and recently started declining fertility is expected to push fertility transition at a faster rate until mid of this century before entering to the lowest level marginal decline or stagnation. The young 1population itself are in social, economic, cultural and demographic transition which is sandwiched with generation gap. Demographic analysis should factor their needs and interests to project the future fertility discourse.
尼泊尔正处于独特的人口形势时期。人口的年龄结构正在逐步向上转移,产生了历史上较大比例的年轻人口。鉴于结婚和生育年龄较早,这一人口可能继续主导生育过渡过程。这一人口特征的改善与最近开始下降的生育率之间的相互作用预计将推动生育率以更快的速度过渡到本世纪中叶,然后进入最低水平的边际下降或停滞。年轻人口本身正处于社会、经济、文化和人口结构的转型期,中间夹着代沟。人口分析应考虑到他们的需求和利益,以预测未来的生育话语。
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引用次数: 0
Socio-demographic correlates of age at marriage in Nepal: an empirical analysis 尼泊尔结婚年龄的社会人口学相关性:实证分析
Pub Date : 2018-12-31 DOI: 10.3126/npj.v18i17.26373
N. Sah
Age at marriage of girls is gradually increasing in Nepal, but still there is a lower age at marriage in the Terai. This paper aims to investigate the reasons for early marriage of girls among some families in Nepal with particular focus on the Terai and seeks answer to the research question ‘What are the prominent sociodemographic and cultural factors that influence marriage timing of women in Nepal?’ Findings from empirical data analysis reveal that determination of marriage timing is a complex phenomenon. There are several factors that influence marriage timing of women in Nepal. Although bivariate analysis shows a further elaborative list of factors, multivariate analysis confirms the effect of each variable while controlling the effect of other variables. The prominent factors influencing marriage timing of women are age, place of birth, age at menarche, education of women and their mothers, and caste or ethnicity, and religion. The significant differences in the risk of marrying early among caste and religion groups, and the significantly higher risk among caste/ethnic groups of Terai origin and Muslims who reside mainly in the Terai, are supported by the distinct sociocultural differences with more strict marriage norms and practices prevalent among these groups. The low educational level of these groups in general and women in particular further increases their risk of marrying at an early age. An education level of some secondary and above seems to be a protective factor against early marriage, but many of the caste and ethnic groups (except Terai highcastes) and Muslims of Terai have substantially low education, particularly among women. Lower age at menarche of girls of Terai origin may also be associated with early marriage as age at menarche and age at marriage of girls were positively associated. The lower age at menarche of girls of Terai caste groups in particular seems to be an important factor creating pressure on parents to arrange marriage of their daughters at an early age.
尼泊尔女孩的结婚年龄正在逐渐提高,但在特赖地区,女孩的结婚年龄仍然较低。本文旨在调查尼泊尔一些家庭中女孩早婚的原因,特别关注Terai,并寻求研究问题“影响尼泊尔妇女结婚时间的突出社会人口和文化因素是什么?”的答案。实证数据分析的结果表明,决定结婚时机是一个复杂的现象。有几个因素影响尼泊尔妇女的结婚时间。虽然双变量分析显示了一个更详细的因素列表,但多变量分析在控制其他变量影响的同时确认了每个变量的影响。影响妇女结婚时间的主要因素是年龄、出生地、初潮年龄、妇女及其母亲的教育程度、种姓或种族以及宗教。种姓和宗教群体之间早婚风险的显著差异,以及来自Terai的种姓/种族群体和主要居住在Terai的穆斯林群体之间的显著更高的风险,得到了明显的社会文化差异的支持,这些群体中普遍存在更严格的婚姻规范和习俗。这些群体的教育水平普遍较低,特别是妇女的教育水平较低,进一步增加了她们过早结婚的风险。一些中等及以上的教育水平似乎是防止早婚的一个保护因素,但许多种姓和种族群体(除了特赖高种姓)和特赖的穆斯林受教育程度很低,特别是妇女。由于初潮年龄和结婚年龄正相关,特赖族女孩初潮年龄较低也可能与早婚有关。特别是寺井种姓群体的女孩初潮年龄较低,这似乎是给父母施加压力的一个重要因素,迫使他们在女儿很小的时候就安排婚姻。
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引用次数: 3
期刊
Nepal population and development journal
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