How Reliable Are Reports of Early Adolescent Reproductive and Sexual Health Events In Demographic and Health Surveys?
How Reliable Are Reports of Early Adolescent Reproductive and Sexual Health Events In Demographic and Health Surveys?
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DOI：
10.1363/4121015
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发表时间：
2015-12-01
影响因子：
4.4
通讯作者：
Hosegood, Victoria
中科院分区：
文献类型：
--
作者：
Neal, Sarah E.;Hosegood, Victoria
背景：初次发生性行为的年龄、初婚或初婚年龄以及第一次生育年龄是最广泛使用的少女健康和福祉指标。然而，这些指标的估计，特别是对青少年的准确性，是知之甚少。方法：在非洲和拉丁美洲的9个国家，人口与健康调查（DHS）的数据进行了两次调查，相隔5年，用于检查妇女的报告年龄在性初次，婚姻或第一工会，第一次生育。描述了调查之间和出生队列之间估计值的一致性，特别关注15岁和16岁之前发生的事件的报告。发现在很早就生育头胎和结婚的估计数方面存在显著差异。19岁的女性在15岁之前结婚和第一次生育的可能性比同一出生队列的女性要小得多，20-24.在连续的调查中，早期的首次性行为比早婚或births.CONCLUSIONS：应谨慎行事时，推断从DHS的估计的基础上，在青少年早期的性和生殖健康的变化。应作出更大努力，开发数据收集工具，减少住户调查中抽样妇女自我报告数据的误报。
CONTEXT: Age at sexual debut, age at first marriage or first union and age at first birth are among the most widely used indicators of health and well-being for female adolescents. However, the accuracy of estimates for these indicators, particularly for younger adolescents, is poorly understood.METHODS: For each of nine countries in Africa and Latin America, Demographic and Health Survey (DHS) data from two surveys conducted five years apart were used to examine women's reports of age at sexual debut, marriage or first union, and first birth. The consistency of estimates between surveys and across birth cohorts is described, focusing particularly on the reporting of events occurring before age 15 and age 16.RESULTS: Marked differences in estimates for very early first births and marriage were found. Women aged 15-19 were much less likely to report marriages and first births before age 15 than were women from the same birth cohort when asked five years later at ages 20-24. Early sexual debut was reported more consistently in consecutive surveys than early marriages or births.CONCLUSIONS: Caution should be exercised when inferring changes in early adolescent sexual and reproductive health on the basis of estimates from the DHS. Greater effort should be made to develop data collection instruments that reduce misreporting of self-reported data from women sampled in household surveys.