Marriage decision making, spousal communication, and reproductive health among married youth in Pakistan.
Marriage decision making, spousal communication, and reproductive health among married youth in Pakistan.
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巴基斯坦已婚青年的婚姻决策，配偶交流和生殖健康。
DOI：
10.3402/gha.v4i0.5079
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发表时间：
2011-01-11
影响因子：
2.6
通讯作者：
Rubenson B
中科院分区：
文献类型：
--
作者：
Hamid S;Stephenson R;Rubenson B
已婚年轻女性的生育需求是巴基斯坦传统社会的一个挑战。有关计划生育和怀孕的决定由家庭控制，通常涉及复杂的谈判。目前的研究旨在探讨年轻已婚妇女参与婚姻安排与她们在婚姻中协商性健康和生殖健康决定的能力之间的关系。 该研究探讨了年轻女性参与婚姻安排与她们就避孕药具使用和生育决定进行谈判的能力之间的关系。 人口委员会于 2001 年至 2002 年在巴基斯坦进行了一项具有全国代表性的青少年和青年调查，其中包括 1,803 名 15 至 24 岁已婚年轻女性。回归模型适合结果：与配偶就生育子女数量、当前使用避孕药具的情况、未来使用避孕药具的意图以及结婚和第一次使用避孕药具之间的时间间隔达成的协议。感兴趣的关键协变量是衡量年轻女性参与婚姻的变量：（a）在选择配偶方面有发言权，（b）在婚前见过他，以及（c）他是否与受访者的家庭有关。其他探讨的因素包括受访者在家庭之外的流动性、社会角色以及在家中的决策。 在选择配偶方面拥有发言权与与配偶就生育子女数量、使用避孕药具的意愿以及结婚与首次使用避孕药具之间的时间间隔达成的协议显着相关。在控制了教育、社会经济地位、外出流动性和家庭决策后，这些关系仍然存在。 在父母家里拥有决策自由的女性将这种能力带入了新家的婚姻，并且能够更好地协商自己的生育问题。
Married young women's reproductive needs are a challenge in traditional Pakistani society. The decisions regarding family planning and pregnancy are controlled by the family, often involving complex negotiations. The current study was undertaken to explore how young married women's involvement in the arrangements surrounding their marriage is associated with their ability to negotiate sexual and reproductive health decisions in marriage. The study explores the associations between young women's involvement in their marriage arrangements and their ability to negotiate for contraceptive use and fertility decisions. A subset of 1,803 married young women aged 15–24 years was drawn from a nationally representative adolescent and youth survey conducted in Pakistan in 2001–2002 by the Population Council. Regression models were fitted to outcomes: reported agreement with spouse on the number of children to have, current use of contraceptives, intention to use contraceptives in the future, and the time elapsed between marriage and first contraceptive use. Key covariates of interest were variables that measure the involvement of young women in their marriage: (a) having a say in selection of spouse, (b) having met him prior to marriage, and (c) whether he was related to respondent's family. Other factors explored were respondents' mobility outside of household, social role, and decision making in their homes. Having a say in the selection of a spouse was significantly associated with agreement with spouse over number of children to have, intention to use contraceptives, and the time between marriage and first contraceptive use. These relationships existed after controlling for education, socioeconomic status, mobility outside of house, and decision making in the home. Women who had decision-making freedom in their parental home carried this ability with them into marriage in their new home and were better able to negotiate about their fertility.
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影响因子：
3.4
作者：
Saleem S;Bobak M
通讯作者：
Bobak M
影响因子：
4.5
作者：
Hamid, Saima;Johansson, Eva;Rubenson, Birgitta
通讯作者：
Rubenson, Birgitta
影响因子：
3.4
作者：
Williamson LM;Parkes A;Wight D;Petticrew M;Hart GJ
通讯作者：
Hart GJ
影响因子：
5.4
作者：
Mumtaz, Zubia;Salway, Sarah
通讯作者：
Salway, Sarah
影响因子：
2.9
作者：
Mumtaz, Zubia;Salway, Sarah M.
通讯作者：
Salway, Sarah M.