影响印度部落妇女头胎年龄的社会经济和人口因素:一项NFHS-5分析。

IF 2.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Racial and Ethnic Health Disparities Pub Date : 2025-03-07 DOI:10.1007/s40615-025-02373-1
Shubhra Singh Sardar, Subhajeet Singh Sardar
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引用次数: 0

摘要

印度部落人口面临独特的社会经济挑战和健康差距,这严重影响了他们的生殖健康结果。头胎年龄是妇幼健康、受教育程度和经济稳定的关键决定因素,但对部落妇女这一具有独特文化和社会经济背景的边缘化群体的研究有限。本研究旨在确定影响印度部落妇女头胎年龄的社会人口因素。利用2019-2021年国家家庭健康调查-5 (NFHS-5)的数据,采用logistic回归分析来检查关键预测因素,包括教育、财富、婚姻状况、卫生设施可及性和媒体接触。研究结果显示,较高的教育水平、较高的家庭财富和媒体曝光率与推迟首次生育有显著关联。例如,与没有受过教育的女性相比,受过中等或高等教育的女性更有可能推迟第一次生育。同样,与来自贫困家庭的母亲相比,来自中富裕家庭的母亲在18岁以后生育第一胎的可能性更大。接触媒体,尤其是每周至少看一次报纸,也会增加推迟第一胎的可能性。这些调查结果突出了显著的社会人口差异,并强调需要有针对性的政策干预措施,以改善部落妇女的生殖健康结果。该研究的结论是,改善教育、经济条件以及获得媒体和卫生设施的机会,可以在推迟初次生育年龄方面发挥关键作用,从而促进这一边缘化人口的妇幼健康。
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Socioeconomic and Demographic Factors Affecting Age at First Birth Among Tribal Women in India: An NFHS-5 Analysis.

The tribal population in India faces unique socioeconomic challenges and health disparities, which significantly impact their reproductive health outcomes. The age at first birth is a critical determinant of maternal and child health, educational attainment, and economic stability, yet limited research has focused on tribal women, a marginalized group with distinct cultural and socioeconomic contexts. This study aims to identify the sociodemographic factors influencing the age at first birth among tribal women in India. Using data from the National Family Health Survey-5 (NFHS-5, 2019-2021), logistic regression analysis was employed to examine key predictors, including education, wealth, marital status, health facility accessibility, and media exposure. The findings reveal that higher education levels, greater household wealth, and media exposure are significantly associated with delayed first births. For instance, women with secondary or higher education are more likely to delay their first birth compared to those with no education. Similarly, mothers from middle and rich households are more likely to have their first birth after the age of 18 compared to those from poor households. Media exposure, particularly reading newspapers at least once a week, also increases the likelihood of delaying first birth. These findings highlight significant sociodemographic disparities and underscore the need for targeted policy interventions to improve reproductive health outcomes among tribal women. The study concludes that enhancing education, economic conditions, and access to media and health facilities can play a pivotal role in delaying the age at first birth, thereby promoting better maternal and child health in this marginalized population.

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来源期刊
Journal of Racial and Ethnic Health Disparities
Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.30
自引率
5.10%
发文量
263
期刊介绍: Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.
期刊最新文献
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