性别不平等和使用ART:一个国际横截面和纵向分析
Oisín Fitzgerald1, Silke Dyer2,3, Fernando Zegers-Hochschild3,4
1National Perinatal Epidemiology and Statistics Unit, Centre for Big Data Research in Health and School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia.
Human reproduction (Oxford, England)
|November 9, 2023
概括
更高的性别平等与增加获得辅助生殖技术 (ART) 的机会有关. 随着各国实现更大的性别平等,ART的使用量增加,支持妇女的生殖权利和健康.
科学领域:
- 生殖健康 生殖健康
- 全球卫生平等全球卫生平等
- 卫生社会学 卫生社会学
背景情况:
- 性别平等是人口健康的关键决定因素,但其与生育护理的联系仍然未被探索.
- 包括辅助生殖技术 (ART) 在内的生育护理是影响妇女生殖权利的性别领域.
研究的目的:
- 研究一个国家的性别平等水平与通过ART使用量衡量的ART获取之间的关联.
- 为了确定这种关联是否在考虑到社会经济发展之后仍然存在.
主要方法:
- 在69个国家 (2002-2014) 对ART使用的纵向跨国分析.
- 用于评估性别不平等指数 (GII),人类发展指数 (HDI) 和ART利用之间的关系的回归模型.
- 根据国家,时间和发展情况进行调整的混合效应模型,对缺失的数据进行多次归算.
主要成果:
- 使用ART与GII有显著的关联.
- 在GII下降1个单位 (表明更大的平等) 与ART利用率上升59%相关,即使在HDI调整后.
- 女性议会代表,产妇死亡率和人均国民总收入是关键预测因素.
结论:
- 提高性别平等与增加获得辅助生殖技术 (ART) 的机会有关.
- 这种关系很可能是双向的,生育护理的进步可能会加强女性的社会地位.
- 调查结果强调了性别平等对妇女的性和生殖健康和人权的重要性.
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