Palermo Tia, Peterman Amber
Ipas, 300 Market Street, Suite 200, Chapel Hill, NC 27516, USA.
Stud Fam Plann. 2009 Jun;40(2):101-12. doi: 10.1111/j.1728-4465.2009.00193.x.
Female orphans are widely cited as being at risk for early marriage, early childbearing, and risky sexual behavior; however, to date no studies have examined these linkages using population-level data across multiple countries. This study draws from recent Demographic and Health Surveys from ten sub-Saharan African countries to examine the relationship between orphanhood status and measures of early marriage, early sexual debut, and teen pregnancy among adolescent girls aged 15 to 17. Results indicate that, overall, little association is found between orphanhood and early marriage or teen pregnancy, whereas evidence from seven countries supports associations between orphanhood and early sexual debut. Findings are sensitive to the use of multivariate models, type of orphan, and country setting. Orphanhood status alone may not be a sufficient targeting mechanism for addressing these outcomes in many countries; a broader, multidimensional targeting scheme including orphan type, schooling, and poverty measures would be more robust in identifying and aiding young women at risk.
女性孤儿被广泛认为面临早婚、早孕和危险性行为的风险；然而，迄今为止，尚无研究利用多个国家的人口层面数据来检验这些联系。本研究借鉴了撒哈拉以南非洲十个国家最近的人口与健康调查，以考察15至17岁少女的孤儿身份与早婚、初次性行为过早及青少年怀孕之间的关系。结果表明，总体而言，孤儿身份与早婚或青少年怀孕之间几乎没有关联，而来自七个国家的证据支持孤儿身份与初次性行为过早之间存在关联。研究结果对多变量模型的使用、孤儿类型和国家背景很敏感。在许多国家，仅孤儿身份可能不足以成为解决这些问题的有效目标机制；一个更广泛的多维度目标方案，包括孤儿类型、教育程度和贫困指标，在识别和帮助面临风险的年轻女性方面会更有力。
