Fertility beyond the frontier: indigenous women, fertility, and reproductive practices in the Ecuadorian Amazon
Fertility beyond the frontier: indigenous women, fertility, and reproductive practices in the Ecuadorian Amazon
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DOI：
10.1007/s11111-009-0078-0
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发表时间：
2009-01-01
影响因子：
3.3
通讯作者：
Holt, Flora Lu
中科院分区：
文献类型：
--
作者：
Bremner, Jason;Bilsborrow, Richard;Holt, Flora Lu
最近的研究表明，在经历了几十年的人口下降之后，拉丁美洲低地热带地区的土著人口现在正在经历快速增长。与此同时，环保人士宣称，土著土地是亚马逊森林未来的关键。因此，自然资源保护者应该对土著人口结构以及对保护和发展的影响有很好的了解。然而，对这些人口变化的了解很少，对土著人口生殖做法的定量研究也很少。这项研究通过对厄瓜多尔亚马逊地区五个不同种族人口的648名育龄妇女的家庭调查分析，解决了这些差距。我们评估生育率，分析生育意向和避孕措施的使用，并确定未满足的生殖健康服务需求。这些分析证实了高生育率和高水平的未得到满足的避孕需求。关于方案和政策的影响，我们最后认为，孤立和文化障碍是满足这些人口的生殖健康需求的独特挑战。创新的方法，例如将人口-健康-环境主题结合在一起的方法，可能对迎接这些挑战最为相关。
Recent research suggests that after decades of population decline, indigenous populations of the lowland tropics of Latin America are now experiencing rapid growth. At the same time, conservationists have pronounced indigenous lands as a key to the future of Amazon forests. As such, conservationists should have a good understanding of indigenous demography and impacts on conservation and development. Yet, there is little depth to understanding of these demographic changes and a dearth of quantitative research on the reproductive practices of indigenous populations. This study addresses these gaps through analyses of a household survey of 648 women of reproductive age from five distinct ethnic populations in the Ecuadorian Amazon. We estimate fertility, analyze reproductive intentions and contraceptive use, and determine the unmet need for reproductive health services. The analyses confirm high fertility rates and high levels of unmet need for contraception. With regard to program and policy implications, we conclude by arguing that isolation and cultural barriers present unique challenges to meet the reproductive health needs of these populations. Innovative approaches, such as those merging population-health-environment topics, may be most relevant for meeting these challenges.