肯尼亚、尼日利亚和塞内加尔的避孕药具采用情况和赋权变化。

IF 1.9 3区 医学 Q2 DEMOGRAPHY Studies in Family Planning Pub Date : 2023-12-01 Epub Date: 2023-08-02 DOI:10.1111/sifp.12250
Michelle L O'Brien, Marita Zimmermann, Linnea Eitmann, Dennis L Chao, Joshua L Proctor
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引用次数: 0

摘要

妇女赋权和避孕药具的使用对于实现性别平等至关重要。横向研究已充分证实,妇女赋权越多,避孕药具使用率越高,两者之间存在正相关关系。然而,在了解避孕药具的采用与妇女赋权变化之间的纵向关系方面仍存在差距。本研究采用了一种新颖的方法,从个人层面纵向了解采用避孕药具和妇女赋权之间的关系。据作者所知,这是首次尝试使用不止一次的面板数据来衡量避孕措施的采用与妇女赋权之间的关系。我们利用城市生殖健康倡议数据的纵向设计,按照随时间的变化(如更有权力、无变化、较少权力)对权力项目进行编码。我们使用稀疏主成分分析来建立赋权变化域,并以国家级平均值为标准计算个人得分。我们对这些变化领域进行了混合效应模型估算,以研究避孕药具采用与赋权之间的联系。我们发现了不同情况下增强权能的共同主题--但采用避孕药具对这些领域既有积极影响,也有消极影响,而且不同情况下的影响也不尽相同。我们讨论了开展队列研究来研究这种关系的必要性。
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Contraceptive Adoption and Changes in Empowerment in Kenya, Nigeria, and Senegal.

Women's empowerment and contraceptive use are critical to achieving gender equality. The positive association between more empowered women and higher rates of contraceptive use has been well-established by cross-sectional research. However, there remains a gap in understanding the longitudinal relationship between contraceptive adoption and changes to women's empowerment. This study represents a novel approach to understanding the relationship between contraceptive adoption and women's empowerment longitudinally, at the individual level. To the authors' knowledge, this is the first attempt to measure the relationship between contraceptive adoption and women's empowerment using more than one wave of panel data. We leverage the longitudinal design of the Urban Reproductive Health Initiative data to code empowerment items by change over time (e.g., more empowered, no change, less empowered). We use sparse principal component analysis to establish empowerment change domains and calculate individual scores standardized by country-level averages. We estimate mixed effects models on these change domains, to investigate the link between contraceptive adoption and empowerment. We find common themes in empowerment across contexts-but contraceptive adoption has both positive and negative effects on those domains, and this varies across context. We discuss the need for cohort studies to examine this relationship.

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来源期刊
CiteScore
4.00
自引率
9.50%
发文量
35
期刊介绍: Studies in Family Planning publishes public health, social science, and biomedical research concerning sexual and reproductive health, fertility, and family planning, with a primary focus on developing countries. Each issue contains original research articles, reports, a commentary, book reviews, and a data section with findings for individual countries from the Demographic and Health Surveys.
期刊最新文献
Unwanted Family Planning Including Unwanted Sterilization: Preliminary Prevalence Estimates for India. The Reliability of Contraceptive Discontinuation Reporting in Burkina Faso, Kenya, and Uganda. Contraceptive Care Visit Objectives and Outcomes: Evidence From Burkina Faso, Pakistan, and Tanzania. Estimating the Social Visibility of Abortions in Uganda and Ethiopia Using the Game of Contacts Women's Perspectives on the Unique Benefits and Challenges of Self‐Injectable Contraception: A Four‐Country In‐Depth Interview Study in Sub‐Saharan Africa
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