Center on Gender Equity and Health (GEH), University of California San Diego School of Medicine, 9500 Gilman Drive, La Jolla, CA, 92093, USA.
School of Social Work, San José State University, 1 Washington Square, San José, CA, 95192, USA.
Afr J Reprod Health. 2022 Dec;26(12s):38-47. doi: 10.29063/ajrh2022/v26i12s.5.
This study in rural Niger examines if gender equity attitudes of married adolescent girls and their husbands are associated with recent unintended pregnancy (UIP) and ever-use of family planning (FP). Logistic regression models were used to calculate adjusted associations between husbands' and wives' equity (jointly and separately) and the two outcomes. UIP was less likely to be reported by adolescent girls with equitable husbands, controlling for wife's equity (adjusted odds ratio/aOR: 0.57, 95% confidence interval/CI: 0.41-0.80), and was more likely to be reported by equitable wives (aOR: 2.26, CI: 1.59-3.24). In stratified analyses, wife's equity was associated with a nearly three-fold likelihood of UIP in couples with inequitable husbands (aOR: 2.79, CI: 1.58-5.05). Ever having used FP was not associated with husbands' or wives' gender equity. Interventions targeting reproductive health outcomes for married adolescent girls should focus on spousal equity attitudes - improving wives' equity might be ineffective if husbands remain inequitable.
本研究在尼日尔农村地区探讨了已婚少女及其丈夫的性别平等态度是否与近期非意愿妊娠 (UIP) 和计划生育 (FP) 的使用有关。使用逻辑回归模型计算了丈夫和妻子的平等（联合和单独）与两个结果之间的调整关联。在控制妻子平等的情况下，与不平等的丈夫相比，具有平等丈夫的少女报告 UIP 的可能性较小（调整后的优势比/aOR：0.57，95%置信区间/CI：0.41-0.80），而平等的妻子报告 UIP 的可能性更大（aOR：2.26，CI：1.59-3.24）。在分层分析中，在丈夫不平等的夫妇中，妻子平等与 UIP 的可能性几乎增加了三倍（aOR：2.79，CI：1.58-5.05）。曾经使用过 FP 与丈夫或妻子的性别平等无关。针对已婚少女生殖健康结果的干预措施应侧重于配偶平等态度——如果丈夫仍然不平等，提高妻子的平等可能无效。
