撒哈拉以南非洲地区妇女拒绝危险性行为的自主权:来自30个国家的证据
Eugene Budu1, Bright Opoku Ahinkorah2, Joshua Okyere3,4
1Korle Bu Teaching Hospital, Accra, Ghana.
PLOS global public health
|September 14, 2023
概括
女人 女人 女人 女人 女人
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 生殖健康 生殖健康
背景情况:
- 妇女拒绝风险性行为的自主权对于预防意外怀孕,性传播疾病,不安全的堕胎和孕产妇死亡率至关重要.
- 了解这些因素对于在撒哈拉以南非洲 (SSA) 制定有效的公共卫生政策和干预措施至关重要.
研究的目的:
- 检查在撒哈拉以南非洲 (SSA) 的患病率并确定与妇女拒绝危险性行为的自主权相关的因素.
主要方法:
- 利用来自30个南非国家 (2010-2020年) 的人口和健康调查 (DHS) 的数据.
- 包括260,025名已婚或同居妇女的加权样本.
- 采用多层逻辑回归分析来确定性拒绝自主性的预测因素.
主要成果:
- 总体而言,61.69%的女性报告说,当伴侣有其他女性时,她们可以自主拒绝性行为,不同国家有很大的差异 (纳米比亚91.44%,马里22.25%).
- 高等教育 (aOR=1.88) 和就业 (aOR=1.16) 与女性拒绝风险性行为的自主性增加的几率显著相关.
- 大众媒体的参与成为影响这种自主性的重要因素.
结论:
- 干预措施应利用大众媒体,针对青少年女孩,没有正规教育的妇女和失业妇女等弱势群体,以加强自主权.
- 旨在改善妇女生殖健康结果的政策必须解决影响她们拒绝危险性行为的多方面的因素.
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