Ghosh Rohini, Bharati Premananda
CNRS, UPR 2147, 75014 Paris France.
Health Care Women Int. 2005 Mar;26(3):194-211. doi: 10.1080/07399330590917753.
We studied the interrelationship of women's status in terms of socioeconomic inequality and its effect on women's health at micro level between two ethnic groups in a periurban area of Kolkata City, India. One-hundred twenty-seven women who belong to a tribal population (Munda) and 174 women who belong to a caste population (Poundrakshatriya) participated in this study. We found significant differences between various (socioeconomic, demographic, diet intake, and body mass index [BMI] factors among the two ethnic groups that indicated a better situation for the Pod women. The number of live births, dietary intake and BMI of the women of the two ethnic groups varied differentially among socioeconomic factors, such as women's education and working pattern and poverty level of the household, which are the most recognized measures of women's status. Thus, the diverse socioeconomic status in various cultural groups in traditional Indian societies reflects a more complex situation of women's status and their health. Different factors were responsible for the differential health status of women, which is culture and location specific. Women who are more educated and employed are not necessarily more healthy, since poverty remains an integral factor, base on which literacy and employment status of women in India is determined. Furthermore, suppression of women is rooted in the very fabric of the Indian society, in tradition, in religious doctrine and practices, within the educational systems, and within the families. Along with education, therefore, income-generating schemes for the women of the economically deprived population should be strengthened to bring equality in overall health status of a region that consists of diverse cultural populations with vast economic disparity.
我们研究了印度加尔各答市周边地区两个族群在微观层面上,社会经济不平等方面的女性地位及其对女性健康的影响。127名属于部落人口(蒙达族)的女性和174名属于种姓人口(庞德拉克刹帝利)的女性参与了本研究。我们发现两个族群在各种(社会经济、人口统计学、饮食摄入和体重指数[BMI])因素上存在显著差异,这表明庞德拉克刹帝利族女性的情况更好。两个族群女性的活产数、饮食摄入和BMI在社会经济因素(如女性教育程度、工作模式和家庭贫困水平,这些是衡量女性地位最公认的指标)方面存在差异。因此,传统印度社会中不同文化群体的不同社会经济地位反映了女性地位及其健康状况更为复杂的情况。不同因素导致了女性不同的健康状况,这是因文化和地点而异的。受过更多教育且有工作的女性不一定更健康,因为贫困仍然是一个不可或缺的因素,印度女性的识字率和就业状况就是基于此来确定的。此外,对女性的压制植根于印度社会的结构、传统、宗教教义和习俗、教育系统以及家庭之中。因此,除了教育之外,还应加强为经济贫困人群中的女性制定创收计划,以实现一个由经济差距巨大的不同文化群体组成的地区在整体健康状况上的平等。