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居住在智利的拉丁美洲和加勒比地区年轻移民女性的性与生殖健康

[Sexual and reproductive health of young migrant women from Latin America and the Caribbean living in Chile].

作者信息

Leal-Fuentes Ingrid, Molina-González Temístocles, Carstens-Riveros Carolina

机构信息

IL: Matrona. M. Sc. Salud Pública. Universidad de Chile. Santiago de Chile, Chile.

TM: Estadístico. M. Sc. Bioestadística. Universidad de Chile. Santiago de Chile, Chile.

出版信息

Rev Salud Publica (Bogota). 2023 May 1;25(3):101507. doi: 10.15446/rsap.V25n3.101507. eCollection 2023 Jun.

Abstract

OBJECTIVE

To analyze SRH variables of migrant and Chilean adolescent and young women.

METHODS

cross-sectional, analytical study of the 9th National Youth Survey. The sample consisted of 3,140 foreign and Chilean women aged 24 years old and younger. Descriptive and association analysis was performed using the Rao-Scott test. The association was measured by calculating odds ratio. Multiple linear, multiple logistic and multiple regression models were adjusted.

RESULTS

young migrant women are 3.47 °% of the sample. On average, they arrived in Chile at 17.58 years old. Young women in cohabitation and with children were mostly migrants (21.49% v/s 10.67%) (p=0.002), (45.28% v/s 23.69%) (p=0.002) and were older at the time of unplanned pregnancy (18.92 years v/s 17.67) (p=0.033). The first sexual partner, husband or cohabitant, was more frequent in foreign women (19.47% and 6.09%) (p=0.017). Foreign young women were 2.6 (OR: 0.38; 95% CI: 0.16 -0.91) times less likely to have anal sex and 2 times more likely to use a less effective contraceptive at first and last intercourse (OR: 2.19; 95 % CI: 1.03 - 4.64) (OR: 2.40; 95 % CI: 1.16 - 4.97), compared to Chilean women.

CONCLUSIONS

Foreign young women are a small group within the young population living in Chile. There are similarities between migrants and Chilean women in terms of access to contraceptives, and differences in relation to the type of partner and marital status at the time of initiation of sexual relations, number of children, sexual practices and type of contraceptive used.

摘要

目的

分析移民及智利青少年和年轻女性的性与生殖健康变量。

方法

对第九次全国青年调查进行横断面分析研究。样本包括3140名24岁及以下的外国和智利女性。使用Rao-Scott检验进行描述性和关联性分析。通过计算比值比来衡量关联性。调整了多元线性、多元逻辑和多元回归模型。

结果

年轻移民女性占样本的3.47%。她们平均于17.58岁抵达智利。同居且育有子女的年轻女性大多是移民(21.49%对10.67%)(p = 0.002),(45.28%对23.69%)(p = 0.002),且意外怀孕时年龄更大(18.92岁对17.67岁)(p = 0.033)。外国女性中首次性伴侣、丈夫或同居者的比例更高(19.47%和6.09%)(p = 0.017)。与智利女性相比,外国年轻女性进行肛交的可能性低2.6倍(比值比:[此处原文有误,推测应为]0.38;95%置信区间:0.16 - 0.91),在首次和末次性交时使用效果较差的避孕措施的可能性高2倍(比值比:2.19;95%置信区间:1.03 - 4.64)(比值比:2.40;95%置信区间:1.16 - 4.97)。

结论

外国年轻女性是居住在智利的年轻人群中的一小部分。移民女性和智利女性在获得避孕药具方面存在相似之处,但在性伴侣类型、开始性关系时的婚姻状况、子女数量、性行为和所用避孕措施类型方面存在差异。

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