Conceptualizing pathways linking women's empowerment and prematurity in developing countries
Conceptualizing pathways linking women's empowerment and prematurity in developing countries
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DOI：
10.1186/s12884-017-1502-6
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发表时间：
2017-11-08
影响因子：
3.1
通讯作者：
Sudhinaraset, May
中科院分区：
文献类型：
--
作者：
Afulani, Patience A.;Altman, Molly;Sudhinaraset, May
背景：在全球范围内，早产是5岁以下儿童死亡的主要原因。许多努力都集中在提高早产儿存活率的临床方法上。然而，有必要探讨社会心理、社会文化、经济和其他因素，作为减少早产负担的潜在机制。赋予妇女权力可能是推动这一方向的催化剂。本文的目标是研究发展中国家妇女赋权与早产之间的联系。我们提出了一个概念模型，显示妇女赋权可以影响早产的途径，并回顾和总结文献支持我们所讨论的关系。我们还建议未来的研究方向对妇女的赋权和premature.Methods：在搜索中，我们使用的关键词赋权是“赋权”，“妇女的地位”，“自主权”和“决策”，和早产，我们使用“早产”，“早产”和“早产”。“我们没有使用日期，语言和区域限制。检索在PubMed、人口信息在线（POPLINE）和Web of Science中进行。我们选择的干预因素因素，可能潜在的调解赋权和早产之间的关系，基于审查的风险因素和干预措施，以解决早产和这些因素的决定因素。结果：有有限的证据支持妇女赋权和早产之间的直接联系。然而，有证据表明，赋权的几个方面与已知与早产和早产儿结局有关的因素有关。我们对文献的回顾表明，妇女赋权可以通过以下方式减少早产：（1）防止早婚和促进计划生育，这将推迟首次怀孕的年龄并增加解释间隔;（2）改善妇女的营养状况;（3）减少家庭暴力和其他压力因素，以改善心理健康;以及（4）改善妊娠和分娩期间获得和接受推荐的卫生服务的机会，以帮助预防早产和提高早产儿的存活率。妇女赋权是一个重要的远端因素，通过几个干预因素影响早产。增强妇女权能将有助于预防早产和提高早产儿的存活率。然而，需要进行研究，以实证方式表明赋予妇女权力与早产之间的联系。
Background: Globally, prematurity is the leading cause of death in children under the age of 5. Many efforts have focused on clinical approaches to improve the survival of premature babies. There is a need, however, to explore psychosocial, sociocultural, economic, and other factors as potential mechanisms to reduce the burden of prematurity. Women's empowerment may be a catalyst for moving the needle in this direction. The goal of this paper is to examine links between women's empowerment and prematurity in developing settings. We propose a conceptual model that shows pathways by which women's empowerment can affect prematurity and review and summarize the literature supporting the relationships we posit. We also suggest future directions for research on women's empowerment and prematurity.Methods: The key words we used for empowerment in the search were "empowerment," "women's status," "autonomy," and "decision-making," and for prematurity we used "preterm," "premature," and "prematurity." We did not use date, language, and regional restrictions. The search was done in PubMed, Population Information Online (POPLINE), and Web of Science. We selected intervening factors-factors that could potentially mediate the relationship between empowerment and prematurity-based on reviews of the risk factors and interventions to address prematurity and the determinants of those factors.Results: There is limited evidence supporting a direct link between women's empowerment and prematurity. However, there is evidence linking several dimensions of empowerment to factors known to be associated with prematurity and outcomes for premature babies. Our review of the literature shows that women's empowerment may reduce prematurity by (1) preventing early marriage and promoting family planning, which will delay age at first pregnancy and increase interpregnancy intervals; (2) improving women's nutritional status; (3) reducing domestic violence and other stressors to improve psychological health; and (4) improving access to and receipt of recommended health services during pregnancy and delivery to help prevent prematurity and improve survival of premature babies.Conclusions: Women's empowerment is an important distal factor that affects prematurity through several intervening factors. Improving women's empowerment will help prevent prematurity and improve survival of preterm babies. Research to empirically show the links between women's empowerment and prematurity is however needed.