Institute for Gender Studies, University of South Africa.
Afr J Reprod Health. 2022 Nov;26(11):119-128. doi: 10.29063/ajrh2022/v26i11.11.
This study investigated the association between internal migration and teenage fertility in South Africa. Data were from the 2007 and 2016 South African community surveys, N2007= 89800 and N2016=239733, age range 12 to 19, black teenagers= 81.5% and 89.4%, respectively. Results showed that between 2007 and 2016 internal migration levels decreased by 2% nationally, but increased for Gauteng, Western Cape and KwaZulu Natal provinces. Teenage fertility levels decreased in all provinces except the Northern Cape in the study period. In both years teenage fertility was observed at higher levels among girls that were older, heads of households, and who were in secondary schooling. Random-intercept multilevel binary logistic regression revealed that the risk of teenage fertility differed between more rural and urban provinces. In provinces that were predominantly rural the risk of teenage pregnancy increased as community-levels of internal migration increased while the risk decreased as internal migration increased in provinces that were predominantly urban. Findings suggest that the effects of internal migration on teenage pregnancy are largely dependent on the local context making it necessary to create interventions that are context-specific at sub-national levels.
本研究调查了南非国内迁移与青少年生育率之间的关联。数据来自 2007 年和 2016 年南非社区调查，N2007=89800，N2016=239733，年龄范围为 12 至 19 岁，黑人青少年分别为 81.5%和 89.4%。结果表明，2007 年至 2016 年期间，全国范围内的国内迁移水平下降了 2%，但在豪登省、西开普省和夸祖鲁-纳塔尔省有所上升。在研究期间，除了北开普省外，所有省份的青少年生育率都有所下降。在这两年中，年龄较大、户主身份和正在接受中等教育的女孩中，青少年生育率更高。随机截距多水平二项逻辑回归显示，青少年生育率的风险在更多农村和城市省份之间存在差异。在以农村为主的省份，社区内部迁移水平的上升会增加青少年怀孕的风险，而在以城市为主的省份，内部迁移的增加则会降低青少年怀孕的风险。研究结果表明，内部迁移对青少年怀孕的影响在很大程度上取决于当地情况，因此有必要在国家以下各级制定具体情况的干预措施。
