Department of Economics and Management, Northern Arctic Federal University , Arkhangelsk, Russian.
Laboratory for Studying the Mechanisms of Physical FactorsAction,Center for Testing and Examination of Natural Healing Resources, National Medical Research Center for Rehabilitation and Balneology, Ministry of Health of the Russian Federation , Moscow, Russia.
Int J Circumpolar Health. 2021 Dec;80(1):1855913. doi: 10.1080/22423982.2020.1855913.
In the Russian Arctic, alarming trends (shortage of nomadic Indigenous women, high reproductive loss, child mortality rates) indicate long-term changes towards demographic decline. This study aimed at comparing some indicators of the reproductive health (childbirth rates, number of pregnancies, pregnancy loss) of Indigenous and non-Indigenous women in the exploration of cultural and social factors influencing reproductive behaviour. A multidisciplinary approach draws on methods of medicine, sociology and health economics. It includes data of the women's reproductive health collected from surveys of 879 women (of whom 627 were Indigenous) during expeditions to the settlements and the tundra of the Yamal-Nenets Autonomous Okrug in 2013-2019. In the tundra, 66.7% of registered Indigenous women's pregnancies resulted in childbirth, 7.8% in induced abortions, 25.5% in spontaneous miscarriage. More than three children were delivered by 59.1% of Indigenous women. Most Indigenous families suffered from high pregnancy loss. Marriage between close relatives was 27.0%. Child mortality equalled 24.4%, three times higher than in the population of the settlements and eight times higher than in families immigrating from other regions. The survival of Indigenous peoples significantly depends on women's reproductive health and sufficient medical service that requires targeted policy.
在俄罗斯北极地区，令人担忧的趋势（游牧原住民妇女短缺、高生殖损失、儿童死亡率）表明人口长期呈下降趋势。本研究旨在比较探索影响生殖行为的文化和社会因素时，原住民和非原住民妇女的一些生殖健康指标（出生率、妊娠次数、妊娠丢失）。多学科方法借鉴了医学、社会学和健康经济学的方法。它包括了在 2013 年至 2019 年对亚马尔-涅涅茨自治区定居点和苔原进行的探险中，对 879 名妇女（其中 627 名是原住民）的生殖健康数据的收集。在苔原地区，66.7%注册的原住民妇女怀孕后分娩，7.8%人工流产，25.5%自然流产。59.1%的原住民妇女生育了超过三个孩子。大多数原住民家庭都经历了较高的妊娠丢失率。近亲结婚占 27.0%。儿童死亡率为 24.4%，是定居点人口的三倍，是从其他地区移民家庭的八倍。原住民的生存状况显著取决于妇女的生殖健康和充足的医疗服务，这需要有针对性的政策。
