Examination of youth sexual and reproductive health transitions in Nigeria and Kenya using longitudinal data.
Examination of youth sexual and reproductive health transitions in Nigeria and Kenya using longitudinal data.
复制标题
使用纵向数据检查尼日利亚和肯尼亚的青年性和生殖健康转变。
DOI：
10.1186/s12889-017-4039-8
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发表时间：
2017-01-31
影响因子：
4.5
通讯作者：
O'Hara R
中科院分区：
文献类型：
--
作者：
Speizer IS;Guilkey D;Calhoun LM;Corroon M;O'Hara R
青春期(15-19岁)和青壮年(20-24岁)是一个关键时期，因为许多性健康和生殖健康(SRH)的转变都发生在这些年龄段。对撒哈拉以南非洲青年SRH过渡的研究是有限的，因为缺乏检查这些过渡的时间和环境所需的纵向数据。本文使用了最近从肯尼亚和尼日利亚选定的城市地区收集的纵向数据，其中包括基准线(2010/2011)和终点线(2014)的大量青年样本。我们在建模方法中控制了未观察到的异质性，以纠正在类似类型的分析中经常被忽略的选择性问题。我们证明，在所研究的城市地区和国家内部和不同国家，过渡模式(即性行为开始、第一次结婚和第一次怀孕/生育)是不同的。肯尼亚城市青年的婚前性行为和怀孕人数比尼日利亚城市青年多。进一步的分析表明，受教育程度较高、收入较高的年轻人比受教育程度较低、生活条件较差的年轻人转变得更晚。这项研究的结果可以用来为寻求根据年轻人在青春期和青壮年不同背景下的不同生殖健康需求为年轻人服务的方案提供信息。
The adolescent (ages 15–19) and young adult (ages 20–24) years are a crucial time as many sexual and reproductive health (SRH) transitions take place in these years. The study of youth SRH transitions in sub-Saharan Africa is limited due to a paucity of longitudinal data needed to examine the timing and circumstances of these transitions. This paper uses recently collected longitudinal data from select urban areas in Kenya and Nigeria that include a large youth sample at baseline (2010/2011) and endline (2014). We control for unobserved heterogeneity in our modelling approach to correct for selectivity issues that are often ignored in similar types of analyses. We demonstrate that the transition patterns (i.e., sexual initiation, first marriage, and first pregnancy/birth) differ within and across the urban areas and countries studied. Urban Kenyan youth have more premarital sex and pregnancy than youth from the Nigerian cities. Further analyses demonstrate that more educated and wealthier youth transition later than their less educated and poorer counterparts. The findings from this study can be used to inform programs seeking to serve young people based on their varying reproductive health needs in different contexts over the adolescent and young adult years.