Al Riyami Asya, Afifi Mustafa
J Egypt Public Health Assoc. 2003;78(1-2):55-72.
International studies have the inverse relationship of women education and empowerment on fertility. Our aim is to study the association of women education and empowerment with some of fertility indicators or determinants namely; total number of children ever-born, age of women at her first birth and the last closed birth interval length in a community based survey (National Health Survey, 2000) A cross-sectional survey of the health status of Omani community was designed. Face to face interview to 2037 ever married women including demographic data, fertility patterns, family planning, two women empowerment indices (decision making and freedom of movement), and other reproductive health modules. About 31% of the sample was considered highly empowered in decision- making and the mean number of decisions taken in the household was 4.46 for the overall sample. For freedom of movement, 29% of the sample was highly empowered with a mean number of 3.88 for the overall sample. The mean values of both indices varied significantly according to age, residence, level of education and work status. Higher freedom of movement score women was more likely to have less number of children in the first 20 years of marriage. Women of 'higher score of decision making index were more likely to have longer closed birth interval. Those scored low in the decision making index were more likely to get a child at an earlier age. In developing countries where fertility limitation depend on "modern" methods, women's education and autonomy are considered as strong tools to make changes in demographic transition.
国际研究表明女性教育与赋权对生育率呈负相关关系。我们的目标是在一项基于社区的调查(2000年国家健康调查)中,研究女性教育与赋权同一些生育指标或决定因素之间的关联,这些指标或决定因素即:终身生育子女总数、女性首次生育年龄以及最后一次生育间隔时长。设计了一项关于阿曼社区健康状况的横断面调查。对2037名已婚女性进行面对面访谈,内容包括人口统计学数据、生育模式、计划生育、两项女性赋权指标(决策制定和行动自由)以及其他生殖健康模块。样本中约31%的女性在决策制定方面被认为高度赋权,总体样本中家庭决策的平均数量为4.46项。在行动自由方面,29%的样本高度赋权,总体样本的平均数量为3.88项。这两项指标的平均值根据年龄、居住地区、教育水平和工作状况存在显著差异。行动自由得分较高的女性在婚姻的前20年生育子女数量更有可能较少。决策制定指数得分较高的女性生育间隔时间更有可能较长。决策制定指数得分较低的女性更有可能在较早年龄生育子女。在生育率限制依赖“现代”方法的发展中国家,女性教育和自主权被视为推动人口转变的有力工具。