Barriers and facilitators to health behaviour change and economic activity among slum-dwelling adolescent girls and young women in Nairobi, Kenya: the role of social, health and economic assets
Barriers and facilitators to health behaviour change and economic activity among slum-dwelling adolescent girls and young women in Nairobi, Kenya: the role of social, health and economic assets
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DOI：
10.1080/14681811.2014.947364
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发表时间：
2015-01-01
影响因子：
1.9
通讯作者：
Anderson, Althea D.
中科院分区：
文献类型：
--
作者：
Austrian, Karen;Anderson, Althea D.
发展中国家城市贫民窟地区的少女和年轻妇女在教育、性健康、生计和基于性别的暴力方面面临着无数挑战。了解这些挑战如何相互作用的一种方法是通过《资产建设框架》，该框架认为女孩需要社会、健康和经济资产的结合，以便从童年健康地过渡到成年。这项研究试图在这一框架范围内审查影响女孩健康行为改变和经济活动的障碍和促进因素。它包括焦点小组讨论和对生活在肯尼亚内罗毕各个贫民窟的128名年龄在18-25岁之间的年轻妇女的深入访谈。我们发现，经济资产减少了年轻女性对他人（尤其是父母和与男性的关系）的依赖，从而使她们能够在健康行为方面做出积极的改变。社交网络、自尊和金融知识都在女孩安全、成功地过渡到经济活动的积极定位方面发挥了重要作用。我们建议，旨在改善女童和年轻妇女健康行为或经济活动的方案应在所有三类资产中包括资产建设的要素。
Adolescent girls and young women in urban slum areas in developing countries face a myriad of challenges regarding education, sexual health, livelihoods and gender-based violence. One way of understanding how these challenges interact with each other is through the Asset Building Framework, which posits that girls need a combination of social, health and economic assets in order to make a healthy transition from childhood to adulthood. This study sought to examine barriers and facilitators to health behaviour change and economic activity for girls within the context of this framework. It involved a combination of focus group discussions and in-depth interviews with 128 young women who were in the age range of 18-25 years, living in various slums in Nairobi, Kenya. We found that economic assets reduce young women's dependence on others (especially parents and relationships with men) so that they are able to make positive changes in health behaviour. Social networks, self-esteem and financial literacy all played important roles in positively positioning girls to make the transition to economic activity safely and successfully. We suggest that programmes that seek to improve girls' and young women's health behaviour or economic activity include elements of asset building within all three categories of assets.