Brooks Nina, Grace Kathryn, Kristiansen Devon, Shukla Shraddhanand, Brown Molly E
School of Public Policy, University of Connecticut, Hartford, CT 06103, United States.
Department of Geography, Environment, and Society, University of Minnesota, Minneapolis, MN 55455, United States.
Glob Environ Change. 2023 May;80:102677. doi: 10.1016/j.gloenvcha.2023.102677.
Agricultural production and household food security are hypothesized to play a critical role connecting climate change to downstream effects on women's health, especially in communities dependent on rainfed agriculture. Seasonal variability in agriculture strains food and income resources and makes it a challenging time for households to manage a pregnancy or afford a new child. Yet, there are few direct assessments of the role locally varying agricultural quality plays on women's health, especially reproductive health. In this paper we build on and integrate ideas from past studies focused on climate change and growing season quality in low-income countries with those on reproductive health to examine how variation in local seasonal agricultural quality relates to childbearing goals and family planning use in three countries in sub-Saharan Africa: Burkina Faso, Kenya, and Uganda. We use rich, spatially referenced data from the Performance Monitoring for Action (PMA) individual surveys with detailed information on childbearing preferences and family planning decisions. Building on recent advances in remote monitoring of seasonal agriculture, we construct multiple vegetation measures capturing different dimensions of growing season conditions across varying time frames. Results for the Kenya sample indicate that if the recent growing season is better a woman is more likely to want a child in the future. In Uganda, when the growing season conditions are better, women prefer to shorten the time until their next birth and are also more likely to discontinue using family planning. Additional analyses reveal the importance of education and birth spacing in moderating these findings. Overall, our findings suggest that, in some settings, women strategically respond to growing season conditions by adjusting fertility aspirations or family planning use. This study also highlights the importance of operationalizing agriculture in nuanced ways that align with women's lives to better understand how women are impacted by and respond to seasonal climate conditions.
农业生产和家庭粮食安全被认为在将气候变化与对妇女健康的下游影响联系起来方面起着关键作用,特别是在依赖雨养农业的社区。农业的季节性变化使粮食和收入资源紧张,对家庭来说,这是一个管理怀孕或抚养新生儿具有挑战性的时期。然而,很少有直接评估当地农业质量差异对妇女健康,尤其是生殖健康的作用。在本文中,我们借鉴并整合了过去关于低收入国家气候变化和生长季节质量的研究以及关于生殖健康的研究思路,以研究撒哈拉以南非洲三个国家(布基纳法索、肯尼亚和乌干达)当地季节性农业质量的差异如何与生育目标和计划生育使用情况相关联。我们使用来自行动绩效监测(PMA)个人调查的丰富的、具有空间参考的数据,这些数据包含有关生育偏好和计划生育决策的详细信息。基于季节性农业遥感监测的最新进展,我们构建了多个植被指标,以捕捉不同时间框架内生长季节条件的不同维度。肯尼亚样本的结果表明,如果最近的生长季节更好,女性未来更有可能想要孩子。在乌干达,当生长季节条件更好时,女性更倾向于缩短下次生育的时间间隔,并且也更有可能停止使用计划生育。进一步的分析揭示了教育和生育间隔在调节这些结果方面的重要性。总体而言,我们的研究结果表明,在某些情况下,女性会通过调整生育意愿或计划生育使用情况来战略性地应对生长季节条件。这项研究还强调了以与女性生活相契合的细致入微的方式开展农业研究的重要性,以便更好地理解女性如何受到季节性气候条件的影响以及如何应对这些条件。