SAMRC-Wits Developmental Pathways for Health Research Unit, Faculty of Health Sciences, Corner College and Clinic Roads, Chris Hani Baragwanath Academic Hospital, University of the Witwatersrand, Soweto, Johannesburg, Gauteng, South Africa.
DSI-NRF Centre of Excellence in Human Development, University of the Witwatersrand, Johannesburg, Gauteng, South Africa.
J Public Health Policy. 2021 Sep;42(3):373-389. doi: 10.1057/s41271-021-00289-8. Epub 2021 May 19.
Social vulnerability indices (SVI) can predict communities' vulnerability and resilience to public health threats such as drought, food insecurity or infectious diseases. Parity has yet to be investigated as an indicator of social vulnerability in young women. We adapted an SVI score, previously used by the US Centre for Disease Control (CDC), and calculated SVI for young urban South African women (n = 1584; median age 21.6, IQR 3.6 years). Social vulnerability was more frequently observed in women with children and increased as parity increased. Furthermore, young women classified as socially vulnerable were 2.84 times (95% CI 2.10-3.70; p < 0.001) more likely to report household food insecurity. We collected this information in 2018-2019, prior to the current global COVID-19 pandemic. With South Africa having declared a National State of Disaster in March 2020, early indicators suggest that this group of women have indeed been disproportionally affected, supporting the utility of such measures to inform disaster relief efforts.
社会脆弱性指数（SVI）可以预测社区对干旱、粮食不安全或传染病等公共卫生威胁的脆弱性和恢复能力。均等性尚未被视为年轻女性社会脆弱性的一个指标。我们采用了美国疾病控制与预防中心（CDC）之前使用的 SVI 评分，并计算了南非城市年轻女性（n=1584；中位数年龄 21.6，IQR 3.6 岁）的 SVI。社会脆弱性在有子女的女性中更为常见，并且随着生育次数的增加而增加。此外，被归类为社会脆弱的年轻女性报告家庭粮食不安全的可能性是 2.84 倍（95%CI 2.10-3.70；p<0.001）。我们在 2018-2019 年收集了这些信息，当时正值当前全球 COVID-19 大流行之前。随着南非在 2020 年 3 月宣布国家灾难状态，早期迹象表明，这一群体的女性确实受到了不成比例的影响，这支持了这些措施在为灾难救援工作提供信息方面的效用。
