Besnier Elodie
Centre for Global Health Inequalities Research (CHAIN), Department of Sociology and Political Science, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Glob Public Health. 2023 Jan;18(1):1849348. doi: 10.1080/17441692.2020.1849348. Epub 2020 Dec 13.
Empowering women is presented as a key strategy to achieve several goals of the sustainable development (SDG) agenda, including child health. However, the literature on the subject shows mixed results and is limited regarding political empowerment. Responding to this gap, we explore whether women's political empowerment is associated with positive health outcomes for children under 5 years of age. We use the V-Dem project's 'Women's Political Empowerment Index' (WPEI) in combination with selected SDG indicators of child health from the Institute for Health Metrics and Evaluation's 2017 Global Burden of Disease, for 161 countries, between 1990 and 2016. We estimate fixed-effects regressions for the WPEI against child mortality, stunting and immunisation coverage, controlling for structural and socio-economic indicators from the SDGs and potential lagged effects. The WPEI is associated with improved nutrition and immunisation but its substantive effect is small. High-, low-income and least developed countries benefit more from the effect of women's political empowerment on child mortality. The effect of women's political empowerment on stunting is stronger in middle-income countries while its effect on immunisation is more relevant to low-income and least developed countries. Our study demonstrates the complexity of the relations between women's political empowerment and child health.
增强妇女权能被视为实现可持续发展(SDG)议程若干目标(包括儿童健康)的关键战略。然而,关于这一主题的文献结果不一,且在政治赋权方面的研究有限。针对这一差距,我们探讨妇女的政治赋权是否与5岁以下儿童的积极健康成果相关。我们将V-Dem项目的“妇女政治赋权指数”(WPEI)与健康指标与评估研究所2017年全球疾病负担中选定的儿童健康SDG指标相结合,研究对象为1990年至2016年间的161个国家。我们估计了WPEI与儿童死亡率、发育迟缓及免疫接种覆盖率之间的固定效应回归,同时控制了SDG中的结构和社会经济指标以及潜在的滞后效应。WPEI与营养改善和免疫接种相关,但其实际效果较小。高收入、低收入和最不发达国家从妇女政治赋权对儿童死亡率的影响中受益更多。妇女政治赋权对发育迟缓的影响在中等收入国家更强,而其对免疫接种的影响在低收入和最不发达国家更为显著。我们的研究表明了妇女政治赋权与儿童健康之间关系的复杂性。