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马绍尔群岛的生育与避孕

Fertility and contraception in the Marshall Islands.

作者信息

Levy S J, Taylor R, Higgins I L, Grafton-Wasserman D A

机构信息

South Pacific Commission, Noumea, New Caledonia.

出版信息

Stud Fam Plann. 1988 May-Jun;19(3):179-85.

PMID:3406966
Abstract

Data on fertility and contraception in Micronesian women in the Marshall Islands were collected during a women's health survey in 1985. High total fertility rates were found. The reproductive pattern of many Marshallese women is one that has been associated with adverse health consequences: pregnancies in teenagers and in women over 39 years, high parities of four or more births, and short birth intervals. The practice of breastfeeding is declining in younger women. The prevalence of contraceptive use is low, and the availability of reversible methods is limited. Most contraceptive nonusers would like to practice contraception, but are inhibited by the lack of information about family planning. It is suggested that more attention needs to be given to family planning services in the Marshall Islands, in particular to improving the availability of reversible methods of contraception and of information about family planning. Further research is also needed on how family planning services might best be organized to maximize participation by women and their partners who wish to use such services.

摘要

1985年在一次妇女健康调查中收集了马绍尔群岛密克罗尼西亚妇女的生育和避孕数据。发现总生育率很高。许多马绍尔妇女的生育模式与不良健康后果相关:青少年和39岁以上妇女怀孕、生育四胎或更多胎的高胎次以及短生育间隔。年轻女性中母乳喂养的做法正在减少。避孕措施的使用率很低,可逆避孕方法的可及性有限。大多数未使用避孕措施的人希望采取避孕措施,但因缺乏计划生育信息而受到阻碍。建议马绍尔群岛更多地关注计划生育服务,特别是提高可逆避孕方法和计划生育信息的可及性。还需要进一步研究如何最好地组织计划生育服务,以使希望使用此类服务的妇女及其伴侣的参与度最大化。

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