Kaddour Afamia, Hafez Raghda, Zurayk Huda
Centre for Research on Population and Health (CRPH), Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Reprod Health Matters. 2005 May;13(25):34-42. doi: 10.1016/s0968-8080(05)25170-4.
The aim of this study was to elicit definitions of the concept of reproductive health among women in three communities around Beirut, Lebanon, as part of the reproductive health component of a larger Urban Health Study. The communities were characterised by poverty, rural-urban mobility and heterogeneous refugee and migrant populations. A random sample of 1,869 women of reproductive age completed a questionnaire, of whom a sub-sample of 201 women were randomly selected. The women's understanding of good reproductive health included three major themes, which were expressed differently in the three communities. Their understanding included good physical and mental health, and underscored the need for activities promoting health. Their ability to reproduce and raise children, practise family planning and birth spacing, and go through pregnancy and motherhood safely were central to their reproductive duties and their social status. Finally, they saw reproductive health within the context of economic status, good marital relations and strength to cope with their lives. These findings point to the need to situate interventions in the life course of women, their health and that of their husbands and families; the importance of reproduction not only from a health services point of view, but also as regards women's roles and responsibilities within marriage and their families; and taking account of the harsh socio-economic conditions in their communities.
本研究的目的是，作为一项更大规模城市健康研究中生殖健康部分的内容，引出黎巴嫩贝鲁特周边三个社区女性对生殖健康概念的定义。这些社区的特点是贫困、城乡人口流动以及难民和移民人口构成复杂。1869名育龄女性的随机样本完成了一份调查问卷，其中随机抽取了201名女性作为子样本。女性对良好生殖健康的理解包括三个主要主题，这三个主题在三个社区的表述有所不同。她们的理解包括良好的身心健康，并强调了促进健康活动的必要性。她们生育和抚养孩子、实行计划生育和生育间隔以及安全度过怀孕和为人母阶段的能力，对她们的生殖职责和社会地位至关重要。最后，她们从经济状况、良好的婚姻关系以及应对生活的能力等方面看待生殖健康。这些研究结果表明，有必要在女性及其丈夫和家庭的生活历程、健康状况中开展干预措施；生殖不仅从卫生服务的角度来看很重要，而且在女性在婚姻及其家庭中的角色和责任方面也很重要；同时要考虑到她们所在社区恶劣的社会经济状况。
