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1.
Int Perspect Sex Reprod Health ; 46: 163-173, 2020 Sep 10.
Artículo en Inglés | MEDLINE | ID: mdl-32936767

RESUMEN

CONTEXT: Having one's first sexual intercourse be a positive and satisfying experience may be critical to healthy sexual development. Few studies, however, have examined adolescents' sexual satisfaction and the factors associated with enhancing or diminishing it, especially in Mexico. METHODS: Data from 4,504 heterosexual, sexually experienced 15-20-year-olds living in three Mexican states (Morelos, Jalisco and Puebla) were taken from the 2014 Survey on Dating, Empowerment, and Sexual and Reproductive Health in Adolescent High School Students. Multinomial logistic regression was used to examine factors associated with satisfaction and dissatisfaction with one's first experience of sexual intercourse, separately by gender. RESULTS: Most adolescents reported feeling generally satisfied with their first sexual intercourse (51% very satisfied and 40% satisfied); the proportion feeling very satisfied was significantly higher among young men than among young women (58% vs. 42%). Among both young men and women, feeling very satisfied (rather than satisfied) with first sex was positively associated with greater approval of adolescent sex (relative risk ratios, 1.06 each), as well as with higher self-esteem (1.04 and 1.03, respectively). Other variables positively associated with feeling very satisfied included having had first sex with a boyfriend or girlfriend, having had first sex less than three months prior to the survey, high socioeconomic status (for males only) and older age (for females only). CONCLUSIONS: Self-esteem and having a positive view of adolescent sexuality may play an important role in the experience of satisfying first sex among Mexican adolescents. These should be pivotal elements of educational programs aimed at helping adolescents develop a positive sexuality and feel entitled to and in control of their sexual lives.

2.
Int J Soc Psychiatry ; 55(4): 306-21, 2009 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-19553361

RESUMEN

BACKGROUND: The emigration of Mexicans to the USA has increased in the last decades, and little is known about the effect of this on the mental health of those who stay behind. AIMS: To evaluate the association of emigration of husband and depressive symptoms (DS) among women who stay in Mexico. We also tested the hypothesis that the husband's migration would increase the woman's autonomy, which in turn would decrease DS. METHODS: A survey was conducted in a rural area in Mexico. Participants (n = 418) were selected through probabilistic sampling in three stages: localities, households and individuals. DS were evaluated using the Centre for Epidemiological Studies-Depression (CES-D) scale. RESULTS: Having a partner in the USA was associated with higher odds of scoring above the cut-off point in CES-D (OR 3.77, 95% CI 1.92-7.43). Economic autonomy was also associated with DS (OR 1.45, 95% CI 1.04-2.02). CONCLUSION: Migration of husband was associated with DS among women. The construct of autonomy and its operational definition should be further explored.


Asunto(s)
Trastorno Depresivo/etnología , Trastorno Depresivo/psicología , Emigrantes e Inmigrantes/psicología , Matrimonio/psicología , Americanos Mexicanos/psicología , Autonomía Personal , Población Rural , Esposos/psicología , Adolescente , Adulto , Estudios Transversales , Toma de Decisiones , Trastorno Depresivo/diagnóstico , Escolaridad , Composición Familiar , Femenino , Identidad de Género , Encuestas Epidemiológicas , Humanos , Renta , Masculino , México/etnología , Persona de Mediana Edad , Inventario de Personalidad , Pobreza/psicología , Poder Psicológico , Apoyo Social , Adulto Joven
3.
Violence Against Women ; 14(6): 655-77, 2008 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-18535307

RESUMEN

This article analyzes intimate partner violence (IPV) against women aged 15 to 21, 30 to 34, and 45 to 49, based on the 2003 National Survey on the Dynamics of Household Relationships (in Spanish, ENDIREH) in Mexico. The authors examined the degree of women's empowerment and autonomy in relation to their partners. Logit regression analyses showed that variables significantly associated with physical violence varied between the three age groups, suggesting that women followed specific trajectories throughout their reproductive lives. Some dimensions of empowerment reduced the risk of violence (women's ability to decide whether to work, when to have sexual relations, and the extent of their partners' participation in household chores). Other dimensions (women's decision making regarding reproductive matters) increased such risk. Thus, access to resources meant to empower women did not automatically decrease the risk of violence. The authors recommend specific interventions tailored to each age group, aimed at breaking the cycle of violence.


Asunto(s)
Mujeres Maltratadas/estadística & datos numéricos , Conducta Reproductiva/etnología , Percepción Social , Maltrato Conyugal/etnología , Esposos/etnología , Salud de la Mujer/etnología , Adolescente , Adulto , Mujeres Maltratadas/psicología , Características Culturales , Femenino , Humanos , México/epidemiología , Persona de Mediana Edad , Autonomía Personal , Poder Psicológico , Calidad de Vida , Conducta Reproductiva/psicología , Factores Socioeconómicos , Maltrato Conyugal/prevención & control , Estereotipo , Derechos de la Mujer/estadística & datos numéricos
4.
Rev Panam Salud Publica ; 20(1): 29-38, 2006 Jul.
Artículo en Español | MEDLINE | ID: mdl-17018222

RESUMEN

OBJECTIVES: To assess the effect of women's empowerment (WE) on life expectancy at birth (LEB) in the federative states of Mexico and to compare the results of measuring WE with various compound indicators that reflect, to a greater or lesser degree, an individual or population focus. METHODS: This was an ecological study conducted in Mexico's 32 federative states. We estimated the correlations between overall and sex-specific LEB on the one hand, and a measure of gender empowerment (MGE), the index of women's ability to make decisions within the household (WADH), the index of women's autonomy (IWA), income inequality, certain aspects of the physical environment, the proportion of the population who spoke an indigenous language, and the net migratory rate on the other. By using robust regressions, we studied the effect on LEB of MGE, IWA, and WADH, after mutually adjusting for other independent variables. RESULTS: A very strong inverse correlation (-0.93) was found between overall LEB and factors of the physical environment linked to population vulnerability and biodiversity. Significant direct and inverse correlations were also found between LEB on the one hand and WADH, IWA, net migratory rate, the percentage of the population that spoke an indigenous language, and the Gini coefficient on the other. Multiple robust regressions showed inverse associations between MGE and LEB in women (beta: -1.44; 95% confidence interval [95% CI]: -2.71 to -0.17). WAI was positively associated with LEB in men (beta: 0.88; 95% CI: 0.01 to 1.75) and women (beta: 0.66; 95% CI: 0.03 to 1.30). CONCLUSION: The use of MGE as a surrogate for WE failed to reveal a positive effect of WE on LEB in Mexico. It is necessary to review the components that make up MGE and the relevance of using such a measure in different contexts. WAI showed a greater association with LEB and its effect was greater among men. This indicator made it possible to measure WE in Mexico and its use is recommended, as long as there are no other indicators available for capturing more effectively all the components that affect WE.


Asunto(s)
Esperanza de Vida , Derechos de la Mujer , Femenino , Humanos , Masculino , México
5.
Rev. panam. salud pública ; 20(1): 29-38, jul. 2006. graf
Artículo en Español, Inglés | LILACS | ID: lil-436411

RESUMEN

OBJETIVOS: Evaluar el efecto del empoderamiento de las mujeres (EM) sobre la esperanza de vida al nacer (EVN) en los estados federativos de México y comparar los resultados de medir el EM con diferentes indicadores compuestos que privilegian en mayor o menor medida un enfoque individual o poblacional. MÉTODOS: Estudio ecológico con datos de los 32 estados federativos mexicanos. Se estimaron las correlaciones entre la EVN total y por sexo y la medida de empoderamiento de género (MEG), el índice de poder de decisión de la mujer en el hogar (IPDH), el índice de autonomía de la mujer (IAM), la desigualdad en el ingreso, algunos factores del ambiente físico, la proporción de la población que hablaba lengua indígena y la tasa migratoria neta. Mediante regresiones robustas se exploró el efecto de la MEG y los índices de autonomía y de poder de decisión de la mujer en el hogar sobre la EVN, ajustado por las demás variables independientes. RESULTADOS: Se encontró una correlación inversa muy fuerte (-0,93) entre la EVN total y el factor del ambiente físico que caracteriza la vulnerabilidad poblacional y la biodiversidad. También se encontraron correlaciones significativas, tanto directas como inversas, entre la EVN por una parte y el IPDH, el IAM, la tasa migratoria neta, el porcentaje de la población que hablaba lengua indígena y el coeficiente de Gini por la otra. Las regresiones robustas múltiples mostraron asociaciones inversas entre la MEG y la EVN en mujeres (beta: -1,44; intervalo de confianza de 95 por ciento [IC95 por ciento]: -2,71 a -0,17). El IAM se asoció de manera directa con la EVN en hombres (beta: 0,88; IC95 por ciento: 0,01 a 1,75) y mujeres (beta: 0,66; IC95 por ciento: 0,03 a 1,30). CONCLUSION: El uso de la MEG como aproximación al EM no puso de manifiesto efectos positivos del EM sobre la EVN en México. Se deben revisar los elementos que integran la MEG y la pertinencia de su uso en diversos contextos. El IAM mostró una mayor asociación con la EVN y su efecto fue de mayor magnitud en los hombres. Este indicador permitió medir la EM en México y se recomienda usarlo mientras no se tenga otro que permita captar más eficazmente todos los elementos que inciden en el EM.


OBJECTIVES: To assess the effect of women's empowerment (WE) on life expectancy at birth (LEB) in the federative states of Mexico and to compare the results of measuring WE with various compound indicators that reflect, to a greater or lesser degree, an individual or population focus. METHODS: This was an ecological study conducted in Mexico's 32 federative states. We estimated the correlations between overall and sex-specific LEB on the one hand, and a measure of gender empowerment (MGE), the index of women's ability to make decisions within the household (WADH), the index of women's autonomy (IWA), income inequality, certain aspects of the physical environment, the proportion of the population who spoke an indigenous language, and the net migratory rate on the other. By using robust regressions, we studied the effect on LEB of MGE, IWA, and WADH, after mutually adjusting for other independent variables. RESULTS: A very strong inverse correlation (-0.93) was found between overall LEB and factors of the physical environment linked to population vulnerability and biodiversity. Significant direct and inverse correlations were also found between LEB on the one hand and WADH, IWA, net migratory rate, the percentage of the population that spoke an indigenous language, and the Gini coefficient on the other. Multiple robust regressions showed inverse associations between MGE and LEB in women (beta: -1.44; 95 percent confidence interval [95 percent CI]: -2.71 to -0.17). WAI was positively associated with LEB in men (beta: 0.88; 95 percent CI: 0.01 to 1.75) and women (beta: 0.66; 95 percent CI: 0.03 to 1.30). CONCLUSION: The use of MGE as a surrogate for WE failed to reveal a positive effect of WE on LEB in Mexico. It is necessary to review the components that make up MGE and the relevance of using such a measure in different contexts. WAI showed a greater association with LEB and its effect was greater among men. This indicator made it possible to measure WE in Mexico and its use is recommended, as long as there are no other indicators available for capturing more effectively all the components that affect WE.


Asunto(s)
Femenino , Humanos , Masculino , Esperanza de Vida , Derechos de la Mujer , México
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