Exploring the socioeconomic dimension of adolescent reproductive health: A multicountry analysis
Exploring the socioeconomic dimension of adolescent reproductive health: A multicountry analysis
复制标题
DOI：
10.1363/3011004
复制
发表时间：
2004-09-01
期刊：
影响因子：
--
通讯作者：
Lule, E
中科院分区：
文献类型：
--
作者：
Rani, M;Lule, E
背景：青少年健康计划的设计和评估很少考虑社会经济差异，生殖健康需求和服务利用率之间的年轻女性在developingcountries.METHODS：全国代表性的人口与健康调查数据为72个发展中国家被用来评估社会经济差异，生殖健康的结果和服务利用率之间的年轻女性。对每个国家进行了卡方检验，以确定最贫穷和最富有的五分之一人口之间在统计上的显著差异，这是使用家庭财富指数构建的。在大多数国家，来自最贫穷家庭的年轻妇女比来自最富有家庭的年轻妇女更有可能在18岁之前结婚，并在该年龄之前至少有一个孩子，她们不太可能报告出生时间不对，不太可能采取避孕措施，不太可能使用孕产妇保健服务，也不太可能知道如何预防艾滋病毒的性传播。经济自主权，入学率和定期接触大众媒体是不太常见的穷人比富裕的adolescents.CONCLUSIONS：贫困青少年可能会被忽视，目前的服务提供模式，仅仅依靠大众媒体，诊所或学校。必须执行替代战略，如社区外联方案，以满足贫穷青年妇女的需要。
CONTEXT: The design and evaluation of adolescent health programs rarely account for socioeconomic differences in reproductive health needs and service utilization among young women in developing countries.METHODS: Nationally representative Demographic and Health Survey data for 72 developing countries were used to assess socioeconomic differentials in reproductive health outcomes and service utilization among young women. For each country, chi-square tests were performed to identify statistically significant differences between the poorest and the richest quintiles, which were constructed using a household wealth index.RESULTS. In most countries, young women from the poorest households were more likely than those from the richest households to be married by age 18 and to have had at least one child by that age, they were less likely to report a mistimed birth, to be practicing contraception, to use maternal health services and to know how to prevent sexual transmission of HIV. Economic autonomy, school enrollment and regular exposure to mass media were less common among poor than among rich adolescents.CONCLUSIONS: Poor adolescents may be overlooked by current service delivery modes that rely solely on mass media, clinics or schools. Alternative strategies, such as community-based outreach programs, must be implemented to serve the needs of poor young women.