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调整妇女营养赋权指数:来自肯尼亚的经验教训。

Adapting the Women's empowerment in nutrition index: Lessons from Kenya.

作者信息

Lentz Erin, Jensen Nathan, Lepariyo Watson, Narayanan Sudha, Bageant Elizabeth

机构信息

Lyndon B Johnson School of Public Affairs, University of Texas at Austin, United States.

Global Academcy of Agriculture and Food Systems, University of Edinburgh, United Kingdom.

出版信息

World Dev. 2025 Apr;188:106887. doi: 10.1016/j.worlddev.2024.106887.

DOI:10.1016/j.worlddev.2024.106887
PMID:40171044
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11808626/
Abstract

Women face a disproportionate burden of malnutrition and food insecurity. Research has shown that women's empowerment can buffer women against nutritional problems. This paper contributes to ongoing efforts to measure women's empowerment that are both context-sensitive and universal, focusing on the recently developed Women's Empowerment in Nutrition Index (WENI). Earlier research has shown it is both a valid construct and positively related to dietary and nutritional outcomes of women in South Asia. We establish that WENI is generalizable to agropastoral and pastoral Kenya, an area with substantially different livelihoods, food system, norms, and institutions than South Asia. We find that a locally contextualized WENI is strongly associated with women's body mass index and dietary diversity as well as household level food insecurity. We also present findings for two shorter variations of WENI: an abbreviated WENI (A-WENI) and a cross context WENI (CC-WENI). A-WENI contains a small subset of WENI indicators identified using machine learning with South Asian data and therefore is context-specific. CC-WENI does not contain indicators specific to the validation context. We find that they perform comparably well with caveats. Thus, as use of WENI expands we recommend adapting WENI for in-depth analyses of women's nutritional empowerment; using CC-WENI for cross-context comparisons; and using A-WENI for rapid appraisals of community level progress in a given context.

摘要

女性面临着不成比例的营养不良和粮食不安全负担。研究表明,增强妇女权能可以使妇女免受营养问题的影响。本文有助于持续开展对妇女权能的衡量工作,这些衡量工作既考虑具体情况又具有普遍性,重点关注最近制定的营养领域妇女赋权指数(WENI)。早期研究表明,该指数不仅是一个有效的指标,而且与南亚妇女的饮食和营养状况呈正相关。我们证实,WENI可推广至肯尼亚农牧区和牧区,该地区的生计、粮食系统、规范和制度与南亚有很大不同。我们发现,根据当地情况调整的WENI与女性的体重指数、饮食多样性以及家庭层面的粮食不安全状况密切相关。我们还展示了WENI的两个较短版本的研究结果:一个简化版WENI(A-WENI)和一个跨背景WENI(CC-WENI)。A-WENI包含使用南亚数据通过机器学习确定的一小部分WENI指标,因此是特定于具体情况的。CC-WENI不包含特定于验证背景的指标。我们发现它们在有一些注意事项的情况下表现相当不错。因此,随着WENI的应用范围扩大,我们建议对WENI进行调整,以深入分析妇女的营养赋权情况;使用CC-WENI进行跨背景比较;使用A-WENI对特定背景下社区层面的进展进行快速评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d977/11808626/4d133ba7a823/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d977/11808626/752c69e212a2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d977/11808626/a0aa6d0870f1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d977/11808626/68f1a4a8b5a3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d977/11808626/51e34fe6107d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d977/11808626/796cb5ad93e3/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d977/11808626/4d133ba7a823/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d977/11808626/752c69e212a2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d977/11808626/a0aa6d0870f1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d977/11808626/68f1a4a8b5a3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d977/11808626/51e34fe6107d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d977/11808626/796cb5ad93e3/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d977/11808626/4d133ba7a823/gr6.jpg

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本文引用的文献

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Development and validation of a health and nutrition module for the project-level Women's Empowerment in Agriculture Index (pro-WEAI+HN).开发和验证项目层面妇女赋权农业指数(pro-WEAI+HN)的健康和营养模块。
Matern Child Nutr. 2023 Apr;19(2):e13464. doi: 10.1111/mcn.13464. Epub 2022 Dec 8.
2
Spatial variation and inequities in antenatal care coverage in Kenya, Uganda and mainland Tanzania using model-based geostatistics: a socioeconomic and geographical accessibility lens.利用基于模型的地质统计学,从社会经济和地理可达性角度来看肯尼亚、乌干达和坦桑尼亚大陆的产前护理覆盖的空间变化和不平等。
BMC Pregnancy Childbirth. 2022 Dec 6;22(1):908. doi: 10.1186/s12884-022-05238-1.
3
A simplified measure of nutritional empowerment: Using machine learning to abbreviate the Women's Empowerment in Nutrition Index (WENI).
营养赋权的简化衡量方法:利用机器学习简化营养领域妇女赋权指数(WENI)
World Dev. 2022 Jun;154:105860. doi: 10.1016/j.worlddev.2022.105860.
4
Do tradeoffs among dimensions of women's empowerment and nutrition outcomes exist? Evidence from six countries in Africa and Asia.妇女赋权的各个维度与营养成果之间是否存在权衡取舍?来自非洲和亚洲六个国家的证据。
Food Policy. 2021 Apr;100:102001. doi: 10.1016/j.foodpol.2020.102001.
5
What empowerment indicators are important for food consumption for women? Evidence from 5 sub-Sahara African countries.哪些赋权指标对女性的食物消费很重要?来自撒哈拉以南非洲5个国家的证据。
PLoS One. 2021 Apr 21;16(4):e0250014. doi: 10.1371/journal.pone.0250014. eCollection 2021.
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'If she gets married when she is young, she will give birth to many kids': a qualitative study of child marriage practices amongst nomadic pastoralist communities in Kenya.“如果她年轻时结婚,她将生育很多孩子”:肯尼亚游牧牧民社区童婚习俗的定性研究。
Cult Health Sex. 2022 Jul;24(7):886-901. doi: 10.1080/13691058.2021.1893821. Epub 2021 Mar 23.
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SWPER Global: A survey-based women's empowerment index expanded from Africa to all low- and middle-income countries.SWPER 全球:一个基于调查的女性赋权指数,从非洲扩展到所有低收入和中等收入国家。
J Glob Health. 2020 Dec;10(2):020343. doi: 10.7189/jogh.10.020434.
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Influence of the preference for sons on contraceptive use in Bangladesh: A multivariate analysis.孟加拉国重男轻女观念对避孕措施使用的影响:一项多变量分析。
Heliyon. 2020 Oct 7;6(10):e05120. doi: 10.1016/j.heliyon.2020.e05120. eCollection 2020 Oct.
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Development of the project-level Women's Empowerment in Agriculture Index (pro-WEAI).项目层面的农业领域妇女赋权指数(pro-WEAI)的制定。
World Dev. 2019 Oct;122:675-692. doi: 10.1016/j.worlddev.2019.06.018.
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Role of Women's Empowerment in Child Nutrition Outcomes: A Systematic Review.妇女赋权对儿童营养结局的影响:系统评价。
Adv Nutr. 2019 Nov 1;10(6):1138-1151. doi: 10.1093/advances/nmz056.