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玻利维亚的意愿性和非意愿性生育:种族差异重要吗?

Wanted and unwanted fertility in Bolivia: does ethnicity matter?

机构信息

University of Texas at Austin, Austin, TX, USA.

出版信息

Int Perspect Sex Reprod Health. 2009 Dec;35(4):166-75. doi: 10.1363/ipsrh.35.166.09.

DOI:10.1363/ipsrh.35.166.09
PMID:20123650
Abstract

CONTEXT

In Bolivia, the total fertility rate (TFR) among indigenous populations is higher than that among the nonindigenous population. It is important to investigate whether this difference is attributable to ethnic differences in wanted or unwanted fertility.

METHODS

Data from the 2003 Bolivian Demographic and Health Survey were used to estimate women's wanted and unwanted TFRs. Logistic regression analyses were conducted to examine whether women's, men's and couples' characteristics were associated with use of any contraceptive method and modern methods.

RESULTS

The TFRs for indigenous and nonindigenous women were 1.5 and 1.7, [corrected] respectively. The wanted fertility rate for indigenous women was nearly the same as that for nonindigenous women (2.8 and 1.4, [corrected] respectively); virtually all of the ethnic difference in the TFRs was attributable to the ethnic difference in unwanted fertility. The proportion of women in need of contraception was greater among indigenous women than among nonindigenous women (26% vs. 19%). In logistic regression analyses, male fertility preferences explained only a small part of the ethnic difference in contraceptive use.

CONCLUSION

Women's, men's and couples' preferences contribute only marginally to unwanted fertility, suggesting that structural factors act as obstacles to preventing unwanted fertility.

摘要

背景

在玻利维亚,土著人口的总生育率(TFR)高于非土著人口。有必要调查这种差异是否归因于对期望生育和非期望生育的种族差异。

方法

使用 2003 年玻利维亚人口与健康调查的数据来估计妇女的期望和非期望 TFR。进行逻辑回归分析,以检验妇女、男子和夫妇的特征是否与使用任何避孕方法和现代方法有关。

结果

土著和非土著妇女的 TFR 分别为 1.5 和 1.7。土著妇女的期望生育率与非土著妇女几乎相同(分别为 2.8 和 1.4);TFR 的种族差异几乎完全归因于非期望生育率的种族差异。需要避孕的妇女比例在土著妇女中高于非土著妇女(分别为 26%和 19%)。在逻辑回归分析中,男性生育偏好仅解释了避孕使用种族差异的一小部分。

结论

妇女、男子和夫妇的偏好对非期望生育的影响微乎其微,这表明结构因素是阻碍防止非期望生育的障碍。

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Wanted and unwanted fertility in Bolivia: does ethnicity matter?玻利维亚的意愿性和非意愿性生育:种族差异重要吗?
Int Perspect Sex Reprod Health. 2009 Dec;35(4):166-75. doi: 10.1363/ipsrh.35.166.09.
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Why do women have more children than they want? Understanding differences in women's ideal and actual family size in a natural fertility population.为什么女性的生育子女数会超过她们的意愿?在自然生育人群中理解女性理想家庭规模和实际家庭规模的差异。
Am J Hum Biol. 2012 Nov-Dec;24(6):786-99. doi: 10.1002/ajhb.22316. Epub 2012 Sep 17.