Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 25.757
Filtrar
1.
J Psychosom Obstet Gynaecol ; 45(1): 2351809, 2024 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38860635

RESUMO

OBJECTIVE: In China, there is a unique type of second marriage (SM) family where the woman is remarried, and the man is experiencing his first marriage. Additionally, the woman is older than the man. Therefore, these families experience many challenges: psychological, emotional, and societal pressure. Such family is a typical sample for studying sociocultural and psychological stress influencing on outcome of assisted reproductive technology (ART). This study aimed to investigate the impact of social psychological stress on the live birth outcomes AR. METHODS: In this retrospective cohort, second marriage (SM) families who visited the Second Hospital of Hebei Medical University reproductive center between January 2012 to December 2022 were screened, and 561s marriage families (the SM group) with 5600 first marriage (FM) families (the FM group) were included undergoing their first ART cycles. The primary outcome of this study was the live birth rate (LBR). RESULTS: The live birth rate (LBR) of SM group (30.7%) is lower than that of the FM group (43.6%) (p < 0.01). After adjustment by logistic regression, the second marriage group (OR = 1.269, 95%CI 1.031-1.562, p = 0.025) were independent factors associated with the outcome of live birth. After propensity score matching (PSM), the live birth rate of SM group (28.7%) is lower than the FM group (35.9%) (0 = 0.011). CONCLUSION: The SM family experience higher levels of social and psychological pressure, which lead to lower level of LBR than FM family.


Assuntos
Casamento , Técnicas de Reprodução Assistida , Estresse Psicológico , Humanos , Feminino , Técnicas de Reprodução Assistida/psicologia , Adulto , Casamento/psicologia , Estresse Psicológico/psicologia , Estudos Retrospectivos , China , Masculino , Gravidez , Nascido Vivo
2.
BMC Womens Health ; 24(1): 335, 2024 Jun 08.
Artigo em Inglês | MEDLINE | ID: mdl-38851734

RESUMO

BACKGROUND: Teenage pregnancies are a global concern. Malawi is one of the countries with the highest teenage pregnancy rates despite government efforts to reverse the situation and yet studies on determinants of teenage pregnancy are rare with some factors remaining unexplored. Therefore, this study aimed to identify factors associated with teenage pregnancies in Malawi. METHODS: This was a community-based case-control study that used secondary data from the 2015-16 Malawi Demographic and Health Survey from all 28 districts of Malawi. The study population comprised women aged 20-24 who participated in the survey. The study ran from September 2021 to October 2022 and used a sample size of 3,435 participants who were all women aged 20-24 in the dataset who met the inclusion criteria. Data were analysed using Stata 16 software. Logistic regression analyses were used to determine factors. Variables with a P value of < 0.1 in the univariable analysis were included in the multivariable analyses, where statistical significance was obtained at a P value < 0. 05. RESULTS: Data on 3435 participants were analysed. In multivariable analyses: no teenage marriage (AOR 0.13); secondary education (AOR 0.26); higher education (AOR 0.39); richest category of wealth index (AOR 0.51), use of contraception (AOR 3.08), domestic violence by father or mother (AOR 0.37) were found to be significant factors. CONCLUSION: This study identified determinants of teenage pregnancy. The government has to sustain and expand initiatives that increase protection from teenage pregnancy, reinforce the implementation of amended marriage legislation, introduce policies to improve the socioeconomic status of vulnerable girls and increase contraceptive use among adolescent girls before their first pregnancy. Further research is also recommended to resolve inconclusive results.


Assuntos
Gravidez na Adolescência , Humanos , Feminino , Gravidez na Adolescência/estatística & dados numéricos , Malaui , Gravidez , Estudos de Casos e Controles , Adolescente , Adulto Jovem , Comportamento Contraceptivo/estatística & dados numéricos , Casamento/estatística & dados numéricos , Fatores Socioeconômicos , Fatores de Risco , Escolaridade , Anticoncepção/estatística & dados numéricos , Modelos Logísticos
3.
BMC Public Health ; 24(1): 1523, 2024 Jun 06.
Artigo em Inglês | MEDLINE | ID: mdl-38844892

RESUMO

BACKGROUND: Lesotho's government has shown consistent efforts to implement social protection programmes. However, while recent evidence established a positive causal relationship between some of these programmes and food security there is little evidence on the extent to which these initiatives are associated with better educational and sexual and reproductive health outcomes among vulnerable adolescents in Lesotho. METHODS AND FINDINGS: The study uses cross-sectional, nationally representative data from the 2018 Lesotho Violence Against Children and Youth Survey. Our research examined the association between social protection receipt and educational and sexual and reproductive health outcomes among adolescents and young people (13-24 years) living in poverty. We employed multivariate logistic regression controlling for age, orphanhood, HIV status and sex. Social protection receipt was defined as household receipt of financial support from a governmental, non-governmental, or community-based program that provides income. Additionally, we fitted a marginal effects model by sex. Among the 3,506 adolescent females and males living in the two lowest poverty quintiles, receipt of social protection was associated with improvements in multiple adolescent outcomes: higher odds of consistent condom use (aOR 1.64, 95% CI 1.17-2.29), educational attainment (aOR 1.79, 95% CI 1.36-2.36), and school enrolment (aOR 2.19, 95% CI 1.44-3.34). Stratified analyses by sex showed that social protection receipt was also associated with reduced likelihood of child marriage among females (aOR 0.59, 95% CI 0.42-0.83) and higher odds of educational attainment and school enrolment among males (aOR 2.53, 95% CI 1.59-4.03 and aOR 3.11, 95% CI 1.56-6.19, respectively). CONCLUSIONS: Our study provides evidence that social protection programs are associated with improved educational, sexual and reproductive health and child marriage prevention outcomes among adolescents living in poverty. Implementing and expanding such social protection initiatives could prove instrumental in improving the well-being of vulnerable adolescents. CONTRIBUTIONS: Social protection programs have been increasing in sub-Saharan African countries, playing a pivotal role in poverty reduction, with Lesotho being no exception. Despite the optimistic outlook brought about by the implementation of the National Social Protection Strategy Lesotho I (2014-19) and II (2021-2031), the impact of these programs on some specific outcomes that concern the lives of the most vulnerable adolescents in Lesotho remains to some extent unexplored. Additionally, Lesotho grapples with high rates of HIV, adolescent pregnancy, child marriage and early school dropout, which can further contribute to poor long-term health and social outcomes among adolescents. In this study, we used data from the 2018 Lesotho Violence Against Children and Youth Survey (VACS) to examine the association between receiving social protection and multiple adolescent outcomes: educational, sexual and reproductive. The findings revealed that social protection programs, particularly the existing government-provided cash transfers, are significantly associated with multiple better outcomes among adolescents living in the poorest households in Lesotho. Such cash transfer schemes in Lesotho are associated with improved sexual and reproductive health outcomes for adolescent females, including reduced child marriage rates, and improved educational outcomes for males. These findings indicate that government-led social protection programmes are positively associated with favourable outcomes that can improve the quality of life for adolescents in resource-limited settings.


Assuntos
Infecções por HIV , Casamento , Humanos , Adolescente , Estudos Transversais , Masculino , Feminino , Lesoto , Infecções por HIV/prevenção & controle , Infecções por HIV/epidemiologia , Adulto Jovem , Pobreza , Promoção da Saúde/métodos
4.
BMC Womens Health ; 24(1): 337, 2024 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-38867221

RESUMO

BACKGROUND: Women who are migrants experience discrimination and face major risks, including sexual exploitation, trafficking, and violence, which affect their health and well-being. This study explored critical health incidents experienced by immigrant Thai women in marriage migration. METHODS: A qualitative explorative approach with in-depth interviews was used. Forty immigrant Thai women who currently or previously had a Swedish spouse were recruited for the study. An inductive critical incident technique was used to collect and analyze the data as the first step. In a second deductive step, the Newman system model was used to categorize health dilemmas. RESULTS: The women reported 438 critical health incidents in five main areas. Psychological health dilemmas included emotional abuse, feeling overwhelmed due to family responsibilities and the stress of leaving family behind. Sociocultural health dilemmas included transnational family duties or not performing family duties. Physiological health dilemmas included experiencing physical violence and environmental, domestic or work accidents. Developmental health dilemmas included failing health, difficulties upholding the duties expected of a spouse in the target culture and caring for an elderly husband. Spiritual health dilemmas included critical incidents in which the women perceived themselves to have failed in their hopes and duties as a wife, which intensified their dependence on faith, particularly the Buddhist concept of karma. CONCLUSION: Professionals in health and welfare practices in Thailand together with professionals in Western countries who work with women in marriage migration situations need to recognize the psychological, sociocultural, physiological, developmental, and spiritual health dilemmas experienced by these women. Furthermore, civil organizations that meet Thai women in foreign countries, such as Buddhist cultural associations, would benefit from the multicultural knowledge revealed by the present study. This knowledge can facilitate healthcare and welfare support for women in marriage migration situations.


Assuntos
Emigrantes e Imigrantes , Casamento , Humanos , Feminino , Suécia , Tailândia/etnologia , Emigrantes e Imigrantes/psicologia , Emigrantes e Imigrantes/estatística & dados numéricos , Casamento/psicologia , Casamento/etnologia , Adulto , Pessoa de Meia-Idade , Pesquisa Qualitativa , Cônjuges/psicologia , Nível de Saúde , Estresse Psicológico/psicologia , População do Sudeste Asiático
5.
Zhonghua Liu Xing Bing Xue Za Zhi ; 45(6): 886-891, 2024 Jun 10.
Artigo em Chinês | MEDLINE | ID: mdl-38889991

RESUMO

In recent 30 years, the global burden of cancer has become more serious, and one of social problem is population aging, plus declining birth rate, declining marriage rate and increasing divorce rate. Marriage is one of the most intimate and long-term social relations, and previous research had piecemeal reports of its impact on cancer morbidity and mortality without systematic review of evidence in high-quality population based epidemiological research. This paper summarizes the progress in research of the relationship between marital status and cancer to provide reference for future research and cancer prevention and control.


Assuntos
Estado Civil , Neoplasias , Humanos , Neoplasias/epidemiologia , Casamento , Fatores de Risco
6.
BMC Psychol ; 12(1): 348, 2024 Jun 14.
Artigo em Inglês | MEDLINE | ID: mdl-38877581

RESUMO

BACKGROUND: Although postgraduate studies have been shown to be associated with stressful experiences, students reading programmes through the distance and e-learning mode experience greater levels of stress due to several reasons. These stressful encounters might be heightened in female married postgraduates on distance education programmes due to other family-work-related engagements. This study investigated the stress-related experiences and intentions to quit studies among female married students on a distance education programme in Ghana. METHODS: Using a sequential explanatory mixed-methods design, 164 married postgraduate distance education students were sampled to participate by responding to a questionnaire. Follow-up interviews were conducted with 10 participants to offer insight into the quantitative findings. Quantitative data were analysed using descriptive statistics, including frequency and percentages, while the qualitative data were thematically analysed. RESULTS: Stress was prevalent among the female married distance education students, with the majority having intentions of quitting their studies. The stressors identified ranged from personal (i.e., work and family demands) to institutional ones (i.e., academic load, unresolved complaints and high financial demands from the programme). CONCLUSIONS: Key findings suggest that female married postgraduate distance education students perform multiple roles as full-time employees with family and academic demands that can negatively impact their health and academic work. Implications and recommendations of the findings are discussed.


Assuntos
Educação a Distância , Estresse Psicológico , Humanos , Feminino , Gana , Adulto , Estresse Psicológico/psicologia , Educação a Distância/métodos , Adulto Jovem , Intenção , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Inquéritos e Questionários , Casamento/psicologia , Educação de Pós-Graduação
7.
Psychol Rep ; 127(4): 1652-1677, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38900859

RESUMO

Marital burnout has not been extensively studied despite its huge consequences on family wellbeing and quality of family life. This study, using randomised-controlled trial, tested the impact of rational-emotive couple intervention on marital burnout in a sample of parents seeking a divorce. A total of 67 parents who participated during the rational-emotive couple intervention (RECI) were assessed using the marital burnout scale, Beck depression inventory, and parent rational and irrational beliefs scale. Crosstabulation, multivariate test analysis, and bivariate analysis were used to analyse the data collected. Results show a significant reduction of marital burnout in RECI group participants, and significant improvement was maintained at the follow-up stage. The result of the group and gender interaction effect shows no significant interaction effect of group and gender on participants' marital burnout at Time two and Time 3, respectively. The results indicate that a decrease in parents' irrational beliefs accounts for marital burnout among couples seeking a divorce. Marital burnout is positively associated with depression among couples seeking a divorce. This study concludes that the RECI is an effective intervention that reduces marital burnout which is a direct consequence of irrational beliefs which later metamorphose into depressive symptoms.


Assuntos
Divórcio , Pais , Humanos , Divórcio/psicologia , Masculino , Feminino , Adulto , Pais/psicologia , Esgotamento Psicológico/psicologia , Pessoa de Meia-Idade , Casamento/psicologia , Depressão/psicologia
8.
Pan Afr Med J ; 47: 94, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38799187

RESUMO

Introduction: epidemiological estimates from the 2021 Joint United Nations Program on HIV/AIDS (UNAIDS) emphasize the existing gender disparities, where women face a higher risk of HIV/AIDS exposure. In Mozambique, as of 2021, the HIV prevalence rate among the adult population stood at 12.5%, with an even more concerning rate of 15.4% among women of reproductive age. Methods: a cross-sectional study was carried out with secondary data from the Survey on National Indicators of Vaccination, Malaria, and HIV/AIDS (IMASIDA 2015), where we included married women, both civil marriage and common law marriage of reproductive age 15-49 years. Statistical analyses, including chi-squared tests and logistic regression models, accounting for survey design, were employed to assess associations. Results: the study findings showed that HIV prevalence was higher among married women aged 35-49 years (aOR=2.5; 95% CI: 1.3-4.6; p=0.005), those without formal education (aOR=7.7; 95% CI: 1.1-52.9; p=0.038) and those with primary education (aOR=9.8; 95% CI: 1.6-60.1; p=0.014), those who experienced domestic violence (aOR=1.8; 95% CI: 1.0-3.2; p=0.04), had an uncircumcised partner (aOR=1.9; 95% CI: 1.2-3.1; p=0.008), and had three or more lifetime sex partners (aOR=3.6; 95% CI: 2.9-7.3; p<0.001). Women who were in one lifelong union had a lower risk of HIV positivity (aOR=0.5; 96%CI: 0.3-0.8, p=0.005). Conclusion: the findings of this study highlight sociodemographic, behavioral, and violent factors associated with HIV prevalence among women. These findings underscore the importance of targeted interventions and education programs aimed at reducing HIV transmission among females and promoting safer sexual practices.


Assuntos
Escolaridade , Infecções por HIV , Casamento , Humanos , Feminino , Moçambique/epidemiologia , Adulto , Estudos Transversais , Adulto Jovem , Adolescente , Prevalência , Infecções por HIV/epidemiologia , Pessoa de Meia-Idade , Casamento/estatística & dados numéricos , Fatores de Risco , Inquéritos e Questionários , Comportamento Sexual/estatística & dados numéricos
9.
PLoS One ; 19(5): e0300151, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38805520

RESUMO

INTRODUCTION: Utilization of modern contraceptives increases over time but it was still low and varies across ages among married youth woman. This study revealed the prevalence of modern contraceptives and its associated factors among younger and older married youth women. METHODS: A cross-sectional study design was applied to the sample of EMDHS 2019. Multilevel logistic regressions were carried out using STATA version 16 to identify the individual and community-level factors of modern contraceptive utilization. Adjusted odds ratios with a 95% confidence interval and variables with a p-value < 0.05 were considered to be significant determinants of modern contraceptive utilization. RESULT: In the EMDHS 2019, a total of 3290 married women between ages 15 and 34 were included. Among these 1210 (36.7%) and 2080 (63%) women, they were age groups of 15-24 and 25-34 years, respectively. Modern contraceptive utilization among women aged 15-24 and 25-34 years was 54.23% and 52.6%, respectively. Injection is a commonly used modern contraceptive method. In this study, factors associated with modern contraceptive utilization among women aged 15-24 years include women who had primary education [AOR = 2.22; 95% CI: 1.02-4.83], who had three or more children in the household [AOR = 14.29; 95% CI: 1.61-126.25], Protestants [AOR = 0.29; 95% CI: 0.14-0.61], five to seven households [AOR = 0.34; 95% CI: 0.17-0.69], and region [AOR = 6.98; 95%:2.30-21.16]. On other hand, factors associated with modern contraceptive utilization among women aged 25-34 were women who had one or two under-five children in the household [AOR = 1.66; 95% CI: 1.03-2.68] and region [AOR = 3.54; 95%CI: 1.79-6.97]. CONCLUSIONS: More than 50% of participants used modern contraceptives in both age groups and, the associated factor of modern contraceptive utilization varied among this age group. Health managers and policymakers need to consider age group, region, educational status, religion, and fertility level in planning of family planning program.


Assuntos
Comportamento Contraceptivo , Anticoncepção , Humanos , Feminino , Adolescente , Etiópia , Adulto , Adulto Jovem , Comportamento Contraceptivo/estatística & dados numéricos , Estudos Transversais , Anticoncepção/estatística & dados numéricos , Casamento/estatística & dados numéricos , Inquéritos Epidemiológicos , Serviços de Planejamento Familiar/estatística & dados numéricos , Fatores Etários , Anticoncepcionais
10.
Environ Manage ; 73(6): 1094-1105, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38691163

RESUMO

This paper reports on Environmental and Social Impact Assessment (ESIA) public participation in Malawi with a focus on the role of women from matrilineal and patrilineal marriage systems. Six rural ESIA projects are explored of which three are in areas of patrilineal and three are in areas of matrilineal systems. Participation space was found to be consistently dominated by men, with no obvious differences between both systems. The key reasons are likely to be lower educational and social status of women in rural areas throughout the country. This is associated with a number of challenges, including chronic poverty and food insecurity. Affirmative action is needed to achieve a better representation of women in ESIA processes.


Assuntos
Participação da Comunidade , Malaui , Humanos , Feminino , Masculino , População Rural , Casamento , Equidade de Gênero , Meio Ambiente , Fatores Socioeconômicos
11.
Brain Behav Immun ; 119: 898-907, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38718908

RESUMO

Marital quality shares ties to inflammatory conditions like cardiovascular disease and diabetes. For decades, research has focused on marital conflict as a primary mechanism given its potential to trigger inflammatory responses. However, longitudinal evidence suggests that marital conflict declines over time, and little attention has been paid to the inflammatory aftermath of other types of marital exchanges. A spouse's emotional distress is an important but overlooked marital context, as partners are exposed to each other's upsetting emotions throughout adulthood. To directly compare reactivity in proinflammatory gene expression to these two marital stressors and to examine differences by age and marital satisfaction, 203 community adults ages 25-90 (N = 102 couples) provided blood samples and rated their negative mood before and after they 1) watched their partner relive an upsetting personal memory and, in a separate visit 1-2 weeks later, 2) discussed a conflictual topic in their relationship. Controlling for age, sex, race/ethnicity, BMI, alcohol use, smoking, and comorbidities, increases in proinflammatory gene expression were significantly larger after the partner's upsetting disclosure than after marital conflict (B = 0.073, SE = 0.031, p = .018). This pattern paralleled emotional reactivity to the tasks, wherein negative mood rose more in response to the partner's disclosure than to marital conflict (B = 4.305, SE = 1.468, p = .004). In sum, proinflammatory and mood reactivity to spousal distress exceeded reactivity to marital conflict, a well-established marital stressor. Findings reveal spousal distress as a novel mechanism that may link marriage to inflammation-related diseases, and even pose risks for both happy and unhappy couples across adulthood.


Assuntos
Conflito Familiar , Inflamação , Casamento , Cônjuges , Estresse Psicológico , Humanos , Feminino , Masculino , Pessoa de Meia-Idade , Conflito Familiar/psicologia , Adulto , Idoso , Cônjuges/psicologia , Estresse Psicológico/psicologia , Estresse Psicológico/imunologia , Casamento/psicologia , Inflamação/imunologia , Inflamação/psicologia , Idoso de 80 Anos ou mais , Satisfação Pessoal , Emoções/fisiologia , Angústia Psicológica , Afeto/fisiologia
12.
J Pak Med Assoc ; 74(4): 666-671, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38751259

RESUMO

Objectives: To identify sexual dysfunction in married women of reproductive age, and to examine its relationship with stress coping styles. METHODS: The cross-sectional, descriptive study was conducted between February and June 2019 at the obstetrics and gynaecology outpatient clinic of Gulhane Training and Research Hospital in Ankara, Turkiye. The sample comprised married women aged 18-49 years who had an active sexual life over the preceding month, and were neither pregnant nor in the postpartum phase. Data was collected using the Female Sexual Function Index, and the Stress Coping Styles Scale. Data was analysed using SPSS 22. RESULTS: There were 216 women with mean age 33.58±6.77 years. The mean Female Sexual Function Index score was 22.29±6.08. The mean Stress Coping Styles Scale subscale scores were: self-confident 20.71±3.53, helpless 18.07±4.27, submissive 12.13±3.00, optimistic 13.70±2.35, and seeking social support 11.89±2.01. The total Female Sexual Function Index score had a positive, significant correlation with self-confidence (r=0.15; p=0.03) and seeking social support subscales (r=0.18; p=0.01) and a negative, significant correlation with submissive subscale (r=-0.17; p=0.02) of the Stress Coping Styles Scale. CONCLUSIONS: Establishing awareness among women about sexual dysfunction and improving effective coping styles may contribute to improved sexual health among women.


Assuntos
Adaptação Psicológica , Disfunções Sexuais Fisiológicas , Disfunções Sexuais Psicogênicas , Estresse Psicológico , Humanos , Feminino , Adulto , Estudos Transversais , Adulto Jovem , Disfunções Sexuais Psicogênicas/psicologia , Disfunções Sexuais Psicogênicas/epidemiologia , Estresse Psicológico/psicologia , Estresse Psicológico/epidemiologia , Disfunções Sexuais Fisiológicas/psicologia , Disfunções Sexuais Fisiológicas/epidemiologia , Pessoa de Meia-Idade , Turquia/epidemiologia , Adolescente , Casamento/psicologia , Apoio Social , Inquéritos e Questionários
13.
BMJ Glob Health ; 9(5)2024 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-38760023

RESUMO

INTRODUCTION: Universal access to sexual and reproductive healthcare-including family planning (FP)-is a global priority, yet there is no standard outcome measure to evaluate rights-based FP programme performance at the regional, national or global levels. METHODS: We collected a modified version of preference-aligned fertility management (PFM), a newly proposed rights-based FP outcome measure which we operationalised as concordance between an individual's desired and actual current contraceptive use. We also constructed a modified version (satisfaction-adjusted PFM) that reclassified current contraceptive users who wanted to use contraception but who were dissatisfied with their method as not having PFM. Our analysis used data collected 3.5 months after contraceptive method initiation within an ongoing prospective cohort of married adolescent girls aged 15-19 years in Northern Nigeria. We described and compared prevalence of contraceptive use and PFM in this population. RESULTS: Ninety-seven per cent (n=1020/1056) of respondents were practising PFM 3.5 months after initiating modern contraception, while 93% (n=986/1056) were practising satisfaction-adjusted PFM. Among participants not practising satisfaction-adjusted PFM (n=70), most were using contraception but did not want to be (n=30/70, 43%) or wanted to use contraception but were dissatisfied with their method (n=34/70, 49%), while the remaining 9% (n=6/70) wanted but were not currently using contraception. CONCLUSION: PFM captured meaningful discordance between contraceptive use desires and behaviours in this cohort of married Nigerian adolescent girls. Observed discordance in both directions provides actionable insights for intervention. PFM is a promising rights-focused FP outcome measure that warrants future field-testing in programmatic and population-based research.


Assuntos
Comportamento Contraceptivo , Serviços de Planejamento Familiar , Humanos , Feminino , Adolescente , Nigéria , Adulto Jovem , Estudos Prospectivos , Anticoncepção , Casamento , Autonomia Pessoal
14.
PLoS One ; 19(5): e0300982, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38768254

RESUMO

BACKGROUND: Child marriage has been associated with a range of negative maternal and reproductive health outcomes. This study explored these associations in Liberia and Sierra Leone and examined how child marriage intersected with other measures of social disadvantage. METHODS: Data were derived from 631 and 1,325 married or cohabitating women aged 20-24 interviewed in the 2019-2020 Liberia and 2019 Sierra Leone Demographic and Health Surveys, respectively. Analyses were stratified by country. Regression models examined associations between age at first marriage (<15, 15-17, and 18+ years) and reproductive and maternal health outcomes, as well as interactions between child marriage and measures of social disadvantage. Multivariable regression results were presented as adjusted odds ratios and 95% confidence intervals. RESULTS: Over half of currently married/cohabitating women aged 20-24 in Liberia (52%) and Sierra Leone (54%) married before age 18, and over one in 10 married before age 15. In both countries, after adjusting for other factors, being married before the age of 18 was significantly associated with early fertility, high fertility, and low fertility control. Associations were particularly strong among women who first married before age 15. In Liberia, women who married at age 15-17 had significantly lower odds of skilled attendance at delivery and institutional delivery if they lived in the North Central region. Sierra Leonean women who married before age 15 had lower odds of institutional delivery and lower odds of four or more ANC visits if they lived in the North Western region. CONCLUSION: This study found clear associations between child marriage and negative reproductive health outcomes in Liberia and Sierra Leone, with stronger associations among women married in early adolescence. Child marriage and region of residence intersected to shape young women's access to skilled attendance at birth and institutional delivery. These findings call for further investigation and targeted intervention.


Assuntos
Casamento , Saúde Materna , Humanos , Feminino , Libéria/epidemiologia , Serra Leoa/epidemiologia , Casamento/estatística & dados numéricos , Estudos Transversais , Adulto Jovem , Adolescente , Saúde Materna/estatística & dados numéricos , Saúde Reprodutiva/estatística & dados numéricos , Adulto , Criança , Gravidez
15.
Sci Rep ; 14(1): 10411, 2024 05 06.
Artigo em Inglês | MEDLINE | ID: mdl-38710852

RESUMO

Mounting evidence demonstrates that intimate partners sharing risk factors have similar propensities for chronic conditions such as hypertension. The objective was to study whether spousal hypertension was associated with one's own hypertension status independent of known risk factors, and stratified by socio-demographic subgroups (age, sex, wealth quintile, caste endogamy). Data were from heterosexual married couples (n = 50,023, women: 18-49 years, men: 21-54 years) who participated in the National Family Health Survey-V (2019-2021). Hypertension was defined as self-reported diagnosis of hypertension or average of three blood pressure measurements ≥ 140 systolic or 90 mmHg diastolic BP. Among married adults, the prevalence of hypertension among men (38.8 years [SD 8.3]) and women (33.9 years [SD 7.9]) were 29.1% [95% CI 28.5-29.8] and 20.6% [95% CI 20.0-21.1] respectively. The prevalence of hypertension among both partners was 8.4% [95% CI 8.0-8.8]. Women and men were more likely to have hypertension if their spouses had the condition (husband with hypertension: PR 1.37 [95% CI 1.30-1.44]; wife with hypertension: PR 1.32 [95% CI 1.26-1.38]), after adjusting for known risk factors. Spouse's hypertension status was consistently associated with own status across all socio-demographic subgroups examined. These findings present opportunities to consider married couples as a unit in efforts to diagnose and treat hypertension.


Assuntos
Hipertensão , Cônjuges , Humanos , Hipertensão/epidemiologia , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Estudos Transversais , Adolescente , Prevalência , Adulto Jovem , Índia/epidemiologia , Fatores de Risco , Casamento
16.
PLoS One ; 19(5): e0303206, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38758954

RESUMO

BACKGROUND: Premarital cohabitation is rampant and currently practiced worldwide, particularly in sub-Saharan Africa. It is a known cause of marital instability and divorce. It is also associated with intimate partner violence and harms the psychology of children in later life. However, in Ethiopia, there has been limited attention given to premarital cohabitation. OBJECTIVE: The main goal of this study was to identify the determinants of time-to-premarital cohabitation among Ethiopian women. METHODS: The 2016 EDHS data was used to achieve the study's goal. The survival information of 15683 women was analyzed based on their age at premarital cohabitation. The regional states of the women were used as a clustering effect in the models. Exponential, Weibull, and Log-logistic baseline models were used to identify factors associated with age at premarital cohabitation utilizing socioeconomic and demographic characteristics. RESULTS: The median age of premarital cohabitation was found to be 18 years. Surprisingly, 72.7% of participants were cohabitated in the study area. According to the Log-logistic-Gamma shared frailty model, place of residence, occupation, educational status, and being pregnant were found to be factors determining the time to premarital cohabitation. CONCLUSION: Premarital cohabitation among Ethiopian women was higher compared to women in the sub-Saharan Africa and East Africa. Place of residence, occupation, educational status, and being pregnant were found to be factors determining the time for premarital cohabitation. Therefore, we recommend the concerned bodies set out strategies to educate women about the influencing factors and dangers of premarital cohabitation.


Assuntos
Casamento , Humanos , Feminino , Etiópia , Adulto , Adulto Jovem , Adolescente , Pessoa de Meia-Idade , Gravidez , Fatores Socioeconômicos , Violência por Parceiro Íntimo/estatística & dados numéricos , Violência por Parceiro Íntimo/psicologia , Características da Família
17.
J Int Assoc Provid AIDS Care ; 23: 23259582241255171, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38751360

RESUMO

Polygamy is the practice of marriage to multiple partners. Approximately 6-11% of households in Uganda and 4-11% of households in Kenya are polygamous. The complex families produced by polygamous marriage customs give rise to additional considerations for healthcare providers and public health messaging around HIV care. Using 27 in-depth, semi-structured qualitative interviews with participants in two studies in rural Kenya and Uganda, we analysed challenges and opportunities that polygamous families presented in the diagnosis, treatment and prevention of HIV, and provider roles in improving HIV outcomes in these families. Overall, prevention methods seemed more justifiable to families where co-wives live far apart than when all members live in the same household. In treatment, diagnosis of one member did not always lead to disclosure to other members, creating an adverse home environment; but sometimes diagnosis of one wife led not only to diagnosis of the other, but also to greater household support.


Clinical implications of HIV treatment and prevention for polygamous families in Kenya and UgandaPolygamy is the practice of marriage to multiple partners. Approximately 6-11% of households in Uganda and 4-11% of households in Kenya are polygamous. The complex families produced by polygamous marriage customs give rise to additional considerations for healthcare providers and public health messaging around HIV care.


Assuntos
Infecções por HIV , Casamento , Humanos , Uganda , Quênia , Infecções por HIV/prevenção & controle , Masculino , Feminino , Adulto , Cônjuges/psicologia , Pesquisa Qualitativa , Adulto Jovem , Pessoa de Meia-Idade , População Rural , Características da Família , Entrevistas como Assunto
18.
PLoS One ; 19(5): e0304122, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38781287

RESUMO

OBJECTIVES: Controlling population expansion and reducing unintended pregnancies through the use of modern contraceptives is a cost-effective strategy. In recent years, the rate of modern contraceptive use in Bangladesh has been declining. So, this study aimed to investigate the associated factors of the deterioration in modern contraceptive usage. METHODS: This study used data from two successive Bangladesh Demographic and Health Surveys (2014 and 2017-18) and applied the Blinder-Oaxaca decomposition analysis to understand the drivers. A popular binary logistic regression model is fitted to determine the factors that influence the use of modern contraceptive methods over the years. RESULTS: This study revealed that highly educated women were more likely to use modern contraception methods, and their use increased by 3 percent over the years. Factors such as women's working status, husband's education, number of living children, and fertility preference were found significantly associated with decreased usage of modern contraception methods over years. The result of the Blinder-Oaxaca (BO) decomposition analysis found a significant decrease between 2014 and 2018. Respondent's age, working status, husband's age, opinion on decision making, region, and media exposure were the most significant contributors to explaining the shift between 2014 and 2018. The two factors that contributed most to narrowing the difference between the two surveys were women's decision on own health (26%), and employment status (35%). CONCLUSIONS: The factors that influence modern contraceptive prevalence are important to know for policy implication purposes in Bangladesh. The findings indicate the need for further improvement of factors for balancing the usage of modern contraception methods.


Assuntos
Comportamento Contraceptivo , Anticoncepção , Humanos , Bangladesh , Feminino , Adulto , Comportamento Contraceptivo/estatística & dados numéricos , Comportamento Contraceptivo/tendências , Adolescente , Anticoncepção/estatística & dados numéricos , Anticoncepção/métodos , Adulto Jovem , Pessoa de Meia-Idade , Casamento , Gravidez , Cônjuges
19.
Adv Life Course Res ; 60: 100614, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38749369

RESUMO

Despite changes in women's status in recent decades in Arab-Palestinian society in Israel, marriage and motherhood still play a central role. Moreover, although the increase in the integration rates of young Arab-Palestinian women into the higher education system, as girls belonging to a minority group with traditional structures, they are expected to prioritize family and community expectations over personal aspirations. This study focuses on art projects of female Arab-Palestinian college students in Israel, which serve as a prism for detecting cultural perceptions of pathways to entering adulthood among this population today. These topics are central themes in the projects in question. Working on these projects forced the students to profoundly contemplate their life stage - being engaged or newly married and young mothers. The aim of the study was to decode the artworks in order to explore the students' feelings and thoughts on a topic rarely considered through the eyes of the young women themselves. The study provides a nuanced examination of the social processes that young educated Arab-Palestinian women experience in the current family structure. By analysing the projects using visual tools from semiotics and art history, along with verbal texts provided by the students, we assert that these projects serve as a crucial avenue for students' self-expression regarding topics seldom addressed. Even though the projects cannot be understood as critical of traditional gender expectations, we did find some interesting voices of unease regarding them. The move from their parents' home to their new one is widely described as difficult, where sadness and concern about the future are highly noticeable. In addition to accepting the stages of marriage and motherhood with joy and excitement, they also express fear and hesitation. This tension between fulfilling their expected roles and being unsure and hesitant about them exists in the projects. We claim that even if implicit and careful, these signs are important to recognize. However, it seems that higher education has failed to significantly undermine patriarchal and gender expectations.


Assuntos
Árabes , Casamento , Mães , Estudantes , Humanos , Feminino , Árabes/psicologia , Israel , Casamento/psicologia , Estudantes/psicologia , Mães/psicologia , Adulto Jovem , Adulto , Universidades , Adolescente
20.
PLoS One ; 19(5): e0303187, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38820457

RESUMO

BACKGROUND: Violence against women, particularly intimate partner violence, is a significant Concern for public health as well as a violation of the human rights of women especially in low and middle-income countries. However, there was limited evidence how soon an ever-married women experience intimate partner violence in Africa. Therefore, this study aimed to investigate the timing of first intimate partner violence (FIPV) among ever-married women in 30 SSA countries and to identify the risk factors of the timing. METHODS: The present study has utilized 125,731 weighted samples, who participated in the domestic violence module of the survey from Demographic and Health Surveys of 30 SSA countries. The Gompertz gamma shared frailty model was fitted to determine the predictors. For model evaluation, the theta value, Akaike Information Criteria (AIC), Bayesian Information Criteria (BIC), and deviance were used. The Adjusted Hazard Ratio (AHR) with a 95% Confidence Interval (CI) was reported in the multivariable Gompertz gamma shared frailty model to highlight the strength and statistical significance of the associations. RESULT: One-third (31.02%) of ever-married women had reported experiencing IPV. The overall incidence rate of FIPV was 57.68 persons per 1000 person-years (95% CI = 50.61-65.76). Age at marriage, age difference, educational status, employment, residence, women's decision-making autonomy, husband who drink alcohol and wealth status were significantly associated with the timing of FIPV. CONCLUSION: The findings show that ever-married women are at high and increasing risk of violence. Thus, we recommend establishing effective health and legal response services for IPV, strengthening laws governing the sale and purchase of alcohol, empowering women, raising the educational attainment of women, and putting policies in place to combat the culture of societal tolerance for IPV all contribute to the empowerment of women.


Assuntos
Violência por Parceiro Íntimo , Humanos , Feminino , Violência por Parceiro Íntimo/estatística & dados numéricos , Adulto , África Subsaariana/epidemiologia , Fatores de Risco , Pessoa de Meia-Idade , Adulto Jovem , Adolescente , Prognóstico , Casamento
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...