Gendered health, economic, social and safety impact of COVID-19 on adolescents and young adults in Nairobi, Kenya.
Gendered health, economic, social and safety impact of COVID-19 on adolescents and young adults in Nairobi, Kenya.
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DOI：
10.1371/journal.pone.0259583
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Gichangi P
中科院分区：
文献类型：
--
作者：
Decker MR;Wood SN;Thiongo M;Byrne ME;Devoto B;Morgan R;Bevilacqua K;Williams A;Stuart HC;Wamue-Ngare G;Heise L;Glass N;Anglewicz P;Gummerson E;Gichangi P
COVID-19 等传染病的爆发及其缓解措施可能会加剧潜在的性别差异，特别是在人口稠密的城市环境中的青少年和年轻人中。肯尼亚内罗毕现有的 16 至 26 岁青少年群体于 2020 年 8 月至 10 月完成了一项基于电话的调查（n = 1217），并辅以虚拟焦点小组讨论以及对青少年和利益相关者的采访，以检查 COVID-19 期间的经济、健康、社会和安全经历以及其中的性别差异。 COVID-19 风险感知较高，性别差异对年轻女性有利（95.5% 对比 84.2%；p<0.001）；青年人描述了预防方面的复杂关切和挑战。在 COVID-19 期间，避孕药具使用者（40.4% 男性；34.6% 女性）和抑郁症状（21.8% 男性；24.3% 女性）中避孕措施的获取受限方面观察到性别对称。性别差异导致年轻女性过多地无法满足基本经济需求（调整后优势比 [aOR] = 1.21；p<0.05），并且在大流行期间需要医疗保健（aOR = 1.59；p<0.001）。在双变量水平上，女性对离开家的完全决策控制能力较低（40.0% vs. 53.2%），并且不太能持续访问安全、私人互联网（26.1% vs. 40.2%），而男性则不成比例地经历过警察互动（60.1%，其中 55.2% 包括敲诈勒索）。女性关注的具体性别问题包括经期卫生挑战（52.0%）、对交易性伙伴关系的依赖增加以及基于性别的暴力，其中 17.3% 的女性报告了过去一年的伴侣暴力行为，3.0% 的女性报告了非伴侣性暴力。定性结果将经济混乱和孤立以及年轻女性隐私限制对心理健康的影响联系起来。青年和年轻人面临着 COVID-19 的性别影响，反映了潜在的差异以及这一流行病的经济和社会冲击。基于经济、卫生和技术的支持必须确保年轻女性享有公平的机会。促进性别平等的恢复工作是必要的，并且必须满足青年的独特需求。
Infectious disease outbreaks like COVID-19 and their mitigation measures can exacerbate underlying gender disparities, particularly among adolescents and young adults in densely populated urban settings. An existing cohort of youth ages 16–26 in Nairobi, Kenya completed a phone-based survey in August-October 2020 (n = 1217), supplemented by virtual focus group discussions and interviews with youth and stakeholders, to examine economic, health, social, and safety experiences during COVID-19, and gender disparities therein. COVID-19 risk perception was high with a gender differential favoring young women (95.5% vs. 84.2%; p<0.001); youth described mixed concern and challenges to prevention. During COVID-19, gender symmetry was observed in constrained access to contraception among contraceptive users (40.4% men; 34.6% women) and depressive symptoms (21.8% men; 24.3% women). Gender disparities rendered young women disproportionately unable to meet basic economic needs (adjusted odds ratio [aOR] = 1.21; p<0.05) and in need of healthcare during the pandemic (aOR = 1.59; p<0.001). At a bivariate level, women had lower full decisional control to leave the house (40.0% vs. 53.2%) and less consistent access to safe, private internet (26.1% vs. 40.2%), while men disproportionately experienced police interactions (60.1%, 55.2% of which included extortion). Gender-specific concerns for women included menstrual hygiene access challenges (52.0%), increased reliance on transactional partnerships, and gender-based violence, with 17.3% reporting past-year partner violence and 3.0% non-partner sexual violence. Qualitative results contextualize the mental health impact of economic disruption and isolation, and, among young women, privacy constraints. Youth and young adults face gendered impacts of COVID-19, reflecting both underlying disparities and the pandemic’s economic and social shock. Economic, health and technology-based supports must ensure equitable access for young women. Gender-responsive recovery efforts are necessary and must address the unique needs of youth.
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影响因子：
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DOI：
10.1080/09540120903373557
发表时间：
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影响因子：
1.7
作者：
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