Rahman Mizanur, Curtis Siân L, Chakraborty Nitai, Jamil Kanta
MEASURE Evaluation Carolina Population Center University of North Carolina, Chapel Hill, USA.
Carolina Population Center University of North Carolina, Chapel Hill, USA.
SSM Popul Health. 2017 Jun 15;3:525-533. doi: 10.1016/j.ssmph.2017.06.001. eCollection 2017 Dec.
Bangladesh has made significant social, economic, and health progress in recent decades, yet many reproductive health indicators remain weak. Access to television (TV) is increasing rapidly and provides a potential mechanism for influencing health behavior. We present a conceptual framework for the influence of different types of TV exposure on individual's aspirations and health behavior through the mechanisms of observational learning and ideational change. We analyze data from two large national surveys conducted in 2010 and 2011 to examine the association between women's TV watching and five reproductive health behaviors controlling for the effects of observed confounders. We find that TV watchers are significantly more likely to desire fewer children, are more likely to use contraceptives, and are less likely to have a birth in the two years before the survey. They are more likely to seek at least four antenatal care visits and to utilize a skilled birth attendant. Consequently, continued increase in the reach of TV and associated growth in TV viewing is potentially an important driver of health behaviors in the country.
近几十年来，孟加拉国在社会、经济和健康方面取得了显著进展，但许多生殖健康指标仍然不佳。电视的普及率正在迅速提高，并提供了一种影响健康行为的潜在机制。我们提出了一个概念框架，以说明不同类型的电视接触如何通过观察学习和观念转变机制影响个人的愿望和健康行为。我们分析了2010年和2011年进行的两项大型全国性调查的数据，以检验女性看电视与五种生殖健康行为之间的关联，并控制观察到的混杂因素的影响。我们发现，看电视的人明显更希望少生孩子，更有可能使用避孕药具，并且在调查前两年内生育的可能性较小。他们更有可能至少进行四次产前检查并使用熟练的助产人员。因此，电视覆盖率的持续提高以及电视观看人数的相应增长可能是该国健康行为的一个重要驱动因素。
