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World Health Organization Guidance on Ethical Considerations in Planning and Reviewing Research Studies on Sexual and Reproductive Health in Adolescents.世界卫生组织关于青少年性与生殖健康研究规划与审查中伦理考量的指南。
J Adolesc Health. 2019 Apr;64(4):427-429. doi: 10.1016/j.jadohealth.2019.01.008.
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Effectiveness of a girls' empowerment programme on early childbearing, marriage and school dropout among adolescent girls in rural Zambia: study protocol for a cluster randomized trial.赞比亚农村地区女孩赋权项目对少女早育、婚姻和辍学情况的影响:一项整群随机试验的研究方案
Trials. 2016 Dec 9;17(1):588. doi: 10.1186/s13063-016-1682-9.
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Global burden of diseases, injuries, and risk factors for young people's health during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013.1990-2013 年期间青少年健康的疾病、伤害及危险因素全球负担:2013 年全球疾病负担研究系统分析。
Lancet. 2016 Jun 11;387(10036):2383-401. doi: 10.1016/S0140-6736(16)00648-6. Epub 2016 May 9.
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Adverse maternal and perinatal outcomes in adolescent pregnancies: The Global Network's Maternal Newborn Health Registry study.青少年妊娠中的不良孕产妇和围产期结局:全球网络孕产妇新生儿健康登记研究
Reprod Health. 2015;12 Suppl 2(Suppl 2):S8. doi: 10.1186/1742-4755-12-S2-S8. Epub 2015 Jun 8.
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Maternal and perinatal outcomes among nulliparous adolescents in low- and middle-income countries: a multi-country study.低、中收入国家中初产妇及围产期结局:一项多国研究。
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The impact of early age at first childbirth on maternal and infant health.初育年龄对母婴健康的影响。
Paediatr Perinat Epidemiol. 2012 Jul;26 Suppl 1(0 1):259-84. doi: 10.1111/j.1365-3016.2012.01290.x.
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Supporting adolescent orphan girls to stay in school as HIV risk prevention: evidence from a randomized controlled trial in Zimbabwe.支持青少年孤儿女童接受教育以预防艾滋病毒风险:来自津巴布韦一项随机对照试验的证据。
Am J Public Health. 2011 Jun;101(6):1082-8. doi: 10.2105/AJPH.2010.300042. Epub 2011 Apr 14.
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The short-term impacts of a schooling conditional cash transfer program on the sexual behavior of young women.学校教育有条件现金转移支付计划对年轻女性性行为的短期影响。
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Teenage pregnancy: who suffers?青少年怀孕:谁是受害者?
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Marriage and childbirth as factors in dropping out from school: an analysis of DHS data from sub-Saharan Africa.婚姻和生育作为辍学因素:对撒哈拉以南非洲地区人口与健康调查数据的分析
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赞比亚青春期女性的经济支持、教育和性决策:一项定性研究。

Economic support, education and sexual decision making among female adolescents in Zambia: a qualitative study.

机构信息

Choma College of Nursing and Midwifery, P.O. Box 630063, Choma, Zambia.

School of Public Health, University of Zambia, Ridgeway Campus, P.O. Box 50110, Lusaka, Zambia.

出版信息

BMC Public Health. 2021 Jul 9;21(1):1360. doi: 10.1186/s12889-021-11372-w.

DOI:10.1186/s12889-021-11372-w
PMID:34243752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8268295/
Abstract

BACKGROUND

The importance of educating female adolescents has been recognized as critical to the development of any country. However, in low income countries like Zambia they often drop out of school due to poverty, early pregnancy and early marriages. Some studies indicate that economic support such as Social Cash Transfers (SCTs) can mitigate the effects of poverty on female adolescents by improving their school participation and helping postpone pregnancy and marriage. This study aimed to explore the role of economic support in influencing education and sexual decision making among female adolescents in a randomised controlled trial in Zambia.

METHODS

The study adopted a qualitative approach. It utilized purposive and convenient sampling. Data were collected from 6 schools using 18 in-depth interviews (IDIs) and 4 focus group discussions (FGDs) comprising 48 school-going female adolescents in grade 8 aged 14 to 17. All participants received economic support in form of SCTs and payment of school fees as part of the Research Initiative to Support the Empowerment of Girls (RISE), a Cluster Randomised Controlled Trial. Data were analyzed using thematic analysis.

RESULTS

Findings suggested several benefits of the economic support for the female adolescents such as economic independence and empowerment; increased assertiveness and autonomy; reduced desire for sexual relationships with boys in exchange for cash and gifts; increased motivation for school; enhanced parental and community support for female adolescents' education and; reduced school dropouts. However, they also experienced jealousy from those who did not benefit from the economic support.

CONCLUSION

Economic support played a significant role in influencing both educational and sexual decision making among female adolescents.

TRIAL REGISTRATION

ISRCTN Registry: ISRCTN12727868 , (4 March 2016).

摘要

背景

教育少女的重要性已被认为对任何国家的发展都至关重要。然而,在像赞比亚这样的低收入国家,少女们往往因贫困、早孕和早婚而辍学。一些研究表明,经济支持,如社会现金转移(SCTs),可以通过改善她们的学校参与度并帮助推迟怀孕和婚姻,减轻贫困对少女的影响。本研究旨在探讨经济支持在赞比亚一项随机对照试验中对少女教育和性决策的影响。

方法

本研究采用定性方法。它利用了有目的和便利的抽样。数据是从 6 所学校收集的,采用 18 次深度访谈(IDIs)和 4 次焦点小组讨论(FGDs),共涉及 48 名 14 至 17 岁的八年级在校少女。所有参与者都接受了 SCTs 的经济支持,并支付了学费,这是支持女孩赋权研究倡议(RISE)的一部分,这是一项整群随机对照试验。使用主题分析对数据进行分析。

结果

研究结果表明,经济支持对少女有多种好处,如经济独立和赋权;增加自信和自主权;减少为了现金和礼物与男孩发生性关系的欲望;提高对学校的积极性;增强父母和社区对少女教育的支持;以及减少辍学率。然而,她们也因此遭到了没有得到经济支持的人的嫉妒。

结论

经济支持在影响少女的教育和性决策方面发挥了重要作用。

试验注册

ISRCTN 注册:ISRCTN66226462 (2016 年 3 月 4 日)。