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在长期流离失所背景下童婚的驱动因素和后果:在埃及的叙利亚难民中进行的一项定性研究。

Drivers and consequences of child marriage in a context of protracted displacement: a qualitative study among Syrian refugees in Egypt.

机构信息

Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.

Independent consultant, Cairo, Egypt.

出版信息

BMC Public Health. 2021 Apr 7;21(1):674. doi: 10.1186/s12889-021-10718-8.

Abstract

BACKGROUND

Child marriage is a human rights violation disproportionately impacting girls in low- and middle-income countries. In the Middle East region, conflict and displacement have prompted concerns that families are increasingly resorting to child marriage to cope with economic insecurity and fears from sexual violence. This study set out to examine child marriage among Syrian refugees residing in Egypt with the aim of understanding drivers of child marriage in this context of displacement as well as how child marriage affects refugee girls' wellbeing.

METHODS

This analysis draws from 15 focus group discussions (FGD) conducted with married and unmarried girls, as well as parents of adolescent girls in three governorates in Egypt. FGDs included a participatory ranking exercise and photo-elicitation. Additionally, we conducted 29 in-depth interviews with girls and mothers, as well as 28 key informant interviews with health providers, community leaders, and humanitarian actors. The data was thematically analyzed using a combination of inductive and deductive coding.

RESULTS

A prevalent phenomenon in pre-war Syria, child marriage has been sustained after the influx of Syrian refugees into Egypt by pre-existing cultural traditions and gender norms that prioritize the role of girls as wives and mothers. However, displacement into Egypt engendered different responses. For some families, displacement-specific challenges such as disruptions to girls' education, protection concerns, and livelihood insecurity were found to exacerbate girls' vulnerability to child marriage. For others, however, displacement into urban areas in Egypt may have contributed to the erosion of social norms that favored child marriage, leading to marriage postponement. Among girls who were married early, we identified a range of negative health and social consequences, including lack of family planning use, disruption to schooling and curtailment of girls' mobility as well as challenges with marriage and birth registration which accentuated their vulnerability.

CONCLUSION

Efforts to address child marriage among Syrian refugees must acknowledge the different ways in which displacement can influence child marriage attitudes and practices and should capitalize on positive changes that have the potential to catalyze social norm change. Moreover, targeted, focused and contextualized interventions should not only focus on preventing child marriage but also on mitigating its impacts.

摘要

背景

童婚是一种侵犯人权的行为,对中低收入国家的女孩影响尤为严重。在中东地区,冲突和流离失所引发了人们的担忧,即越来越多的家庭为了应对经济不安全和性暴力的恐惧而选择童婚。本研究旨在探讨居住在埃及的叙利亚难民中的童婚现象,目的是了解在这种流离失所背景下童婚的驱动因素,以及童婚如何影响难民女孩的福祉。

方法

本分析基于在埃及三个省进行的 15 次焦点小组讨论(FGD),参与者包括已婚和未婚女孩以及未成年女孩的父母。FGD 包括参与式排名练习和照片启发式讨论。此外,我们对女孩和母亲进行了 29 次深入访谈,对卫生提供者、社区领导和人道主义行为者进行了 28 次关键知情人访谈。使用归纳和演绎编码相结合的方法对数据进行主题分析。

结果

童婚在战前的叙利亚是一种普遍现象,随着叙利亚难民涌入埃及,这种现象得以延续,原因是存在优先强调女孩作为妻子和母亲角色的文化传统和性别规范。然而,进入埃及的流离失所情况引起了不同的反应。对于一些家庭来说,女孩教育的中断、保护问题和生计不安全等流离失所特有的挑战,加剧了女孩童婚的脆弱性。然而,对于另一些家庭来说,进入埃及的城市地区可能导致有利于童婚的社会规范受到侵蚀,从而导致婚姻推迟。对于那些早婚的女孩,我们发现了一系列负面的健康和社会后果,包括缺乏计划生育的使用、学业中断和女孩的行动受限,以及婚姻和出生登记方面的挑战,这些都使她们更加脆弱。

结论

解决叙利亚难民中的童婚问题,必须承认流离失所对童婚态度和实践的不同影响,并利用可能促进社会规范变革的积极变化。此外,有针对性、集中和有针对性的干预措施不仅应侧重于预防童婚,还应侧重于减轻其影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6c1/8028254/aeaa692f2880/12889_2021_10718_Fig1_HTML.jpg

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