代理和榜样：他们对少女的性健康和生殖健康有影响吗？
Agency and role models: do they matter for adolescent girls' sexual and reproductive health?
机构信息
Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA.
Department of Global Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA.
出版信息
BMC Womens Health. 2023 Sep 27;23(1):515. doi: 10.1186/s12905-023-02659-8.
Despite recent declines in early childbearing in Ethiopia, improved sexual and reproductive health continues to elude many adolescent girls, partially due to constrained agency and role models. This study examined the relationship between agency, role models and two sexual and reproductive health outcomes, ideal age at childbirth and attitude towards gender-differentiated parental control, among adolescent girls in Ethiopia. Agency and role model presence were positively associated with ideal age at childbirth (β = 0.23, p < .01 and β = 0.77, p < .001, respectively). Having family members, friends or famous individuals as role models was significantly associated with an increase of 1.45 years (p < .01), 1.32 years (p < .05) and 1.01 years (p < .01) in ideal age at childbirth, respectively, compared to having no role model. Agency was positively associated with attitude towards gender-differentiated parental control of adolescent behaviors (OR = 1.18, p < .001). This study highlights the need for interventions aimed at increasing agency and providing role models for adolescent girls.
尽管埃塞俄比亚的早育率最近有所下降，但许多青少年女孩的性健康和生殖健康仍未得到改善，这部分是由于她们的自主权和榜样受限。本研究调查了埃塞俄比亚青少年女孩的自主权、榜样与两个性健康和生殖健康结果（理想生育年龄和对性别差异化父母控制的态度）之间的关系。自主权和榜样的存在与理想生育年龄呈正相关（β=0.23，p<0.01 和 β=0.77，p<0.001）。有家庭成员、朋友或名人作为榜样与理想生育年龄增加 1.45 岁（p<0.01）、1.32 岁（p<0.05）和 1.01 岁（p<0.01）显著相关，而没有榜样的则没有显著相关性。自主权与青少年行为的性别差异化父母控制态度呈正相关（OR=1.18，p<0.001）。本研究强调需要干预措施来增强青少年女孩的自主权和提供榜样。
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