Burgard Sarah
Center for Social Epidemiology and Population Health, University of Michigan School of Public Health, 1214 South University, Ann Arbor, MI 48104-2548, USA.
Stud Fam Plann. 2004 Jun;35(2):91-104. doi: 10.1111/j.1728-4465.2004.00011.x.
In 1994, South Africa underwent a transition from the institutionalized racism of an apartheid state to a nonracial democracy. This study uses data from two surveys conducted in the style of the Demographic and Health Surveys to compare patterns and predictors of racial differences in modern contraceptive use in the late- and post-apartheid periods. Age-group-specific logistic regression models show that despite strong state family planning programs targeting black women, these women were less likely than nonblacks to practice modern contraception both before and after the political transition, even after controlling for large racial-group differences in sociodemographic characteristics and the distribution of socioeconomic resources. Black, colored, Indian, and white women show different patterns of contraceptive use across their reproductive careers; in particular, young, unmarried black and colored women show high levels of use. Use of injectable contraceptives is also high among black and colored women, whereas injectables are not the primary method used by Indian or white women. These findings are discussed in light of their research and policy implications.
1994年，南非从种族隔离制度下的制度化种族主义过渡到了非种族民主制度。本研究使用了两次按照人口与健康调查方式进行的调查数据，以比较种族隔离后期和后种族隔离时期现代避孕方法使用方面的种族差异模式及预测因素。特定年龄组的逻辑回归模型显示，尽管国家针对黑人女性实施了强有力的计划生育项目，但即便在控制了社会人口特征和社会经济资源分配方面巨大的种族群体差异之后，这些女性在政治过渡前后使用现代避孕方法的可能性仍低于非黑人女性。黑人、混血、印度裔和白人女性在其整个生育生涯中呈现出不同的避孕使用模式；尤其是年轻未婚的黑人和混血女性使用比例较高。注射用避孕药在黑人和混血女性中的使用比例也很高，而注射用避孕药并非印度裔或白人女性使用的主要方法。我们将根据这些研究结果的研究和政策意义进行讨论。
