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对艾滋病病毒风险的认知与儿童的数量和质量:以马拉维农村地区为例。

Perception of HIV risk and the quantity and quality of children: The case of rural Malawi.

作者信息

Castro Ruben, Behrman Jere R, Kohler Hans-Peter, Warren Fredrick J

机构信息

Ruben Castro is a researcher and professor at the Institute of Public Policy of the Universidad Diego Portales (Address: Ejército 260, Santiago de Chile, Phone 569-81497655, , Jere R. Behrman is William R. Kenan Jr. Professor of Economics, University of Pennsylvania, and Hans-Peter Kohler is Chair, Graduate Group in Demography, Fredrick J. Warren Professor of Demography, and Professor of Sociology, University of Pennsylvania.

出版信息

J Popul Econ. 2015 Jan;28(1):113-132. doi: 10.1007/s00148-013-0498-0.

DOI:10.1007/s00148-013-0498-0
PMID:25368449
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4215649/
Abstract

The empirical literature on the impact of HIV on the quality (Q) and quantity (N) of children provides limited and somewhat mixed evidence. This study introduces individual HIV risk perceptions, as a predictor of mortality, into a Q-N investment model. In this model, higher maternal mortality predicts lower N while higher child mortality predicts lower Q. Thus the two effects together make likely negative associations between HIV and both Q and N. Based on longitudinal micro data on mothers and their children in rural Malawi, our results suggest that higher mothers' reported HIV risk reduces both child quality, as reflected in children's schooling and health, and child quantity, when the perceived risk is already moderate or high. The effects are sizable, and, in the case of Q (schooling and health) are found for children and teenagers, both boys and girls, while in the case of N they are found for young and mature women.

摘要

关于艾滋病毒对儿童质量(Q)和数量(N)影响的实证文献提供的证据有限且有些混杂。本研究将个体对艾滋病毒风险的认知作为死亡率的预测因素引入Q-N投资模型。在这个模型中,较高的孕产妇死亡率预示着较低的N,而较高的儿童死亡率预示着较低的Q。因此,这两种影响共同使得艾滋病毒与Q和N之间可能存在负相关。基于马拉维农村地区母亲及其子女的纵向微观数据,我们的结果表明,当母亲报告的艾滋病毒风险较高时,会降低儿童质量(如儿童的教育和健康状况所示)以及儿童数量,前提是感知到的风险已经处于中等或较高水平。这些影响相当大,就Q(教育和健康)而言,在儿童和青少年(包括男孩和女孩)中都能发现,而就N而言,在年轻和成熟女性中能发现。

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本文引用的文献

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The impact of HIV testing on subjective expectations and risky behavior in Malawi.HIV 检测对马拉维主观预期和危险行为的影响。
Demography. 2012 Aug;49(3):1011-36. doi: 10.1007/s13524-012-0119-7.
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HIV and sexual behavior change: why not Africa?艾滋病毒与性行为改变:为何在非洲就行不通?
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Does more schooling reduce hospitalization and delay mortality? New evidence based on Danish twins.更多的教育是否能减少住院和延迟死亡?基于丹麦双胞胎的新证据。
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Nutritional supplementation in girls influences the growth of their children: prospective study in Guatemala.女性营养补充会影响其子女的生长:危地马拉的前瞻性研究。
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Overestimating HIV infection: The construction and accuracy of subjective probabilities of HIV infection in rural Malawi.高估HIV感染情况:马拉维农村地区HIV感染主观概率的构建与准确性
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Demography. 2009 Feb;46(1):43-63. doi: 10.1353/dem.0.0039.
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Effect of a nutrition intervention during early childhood on economic productivity in Guatemalan adults.危地马拉儿童早期营养干预对成年后经济生产力的影响。
Lancet. 2008 Feb 2;371(9610):411-6. doi: 10.1016/S0140-6736(08)60205-6.
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