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利用人口与健康调查了解撒哈拉以南非洲地区性与生殖健康结果的动态变化:开展纵向研究的必要性。

Understanding the dynamics of sexual and reproductive health outcomes in sub-Saharan Africa using the Demographic and Health Survey: the need for longitudinal studies.

作者信息

Osborne Augustus, Seidu Abdul-Aziz, Ahinkorah Bright Opoku

机构信息

Department of Biological Sciences, School of Basic Sciences, Njala University, PMB, Freetown, Sierra Leone.

Division of Public Health and Tropical Medicine, James Cook University, Townsville, QLD, 4811, Australia.

出版信息

Reprod Health. 2025 Apr 9;22(1):51. doi: 10.1186/s12978-025-01997-0.

Abstract

Sub-Saharan Africa has considerable obstacles in sexual and reproductive health, encompassing unwanted pregnancies, unsafe abortions, sexually transmitted illnesses, and sexual assault. Although cross-sectional data, like the Demographic and Health Survey, offer useful insights, they are constrained in their ability to capture the dynamic aspects of sexual and reproductive health issues. This perspective contends that a thorough comprehension of sexual and reproductive health necessitates the incorporation of longitudinal studies to guide evidence-based practices. Longitudinal studies can monitor temporal changes, identify risk factors, assess intervention efficacy, and offer a more nuanced comprehension of sexual and reproductive health dynamics in sub-Saharan Africa. Notwithstanding the difficulties inherent in longitudinal research, commitment to this methodology is crucial for formulating effective policies and programmes aimed at enhancing sexual and reproductive health outcomes in the region.

摘要

撒哈拉以南非洲在性健康和生殖健康方面面临诸多障碍,包括意外怀孕、不安全堕胎、性传播疾病和性侵犯。尽管横断面数据,如人口与健康调查,能提供有用的见解,但它们在捕捉性健康和生殖健康问题动态方面的能力有限。该观点认为,要全面理解性健康和生殖健康,就需要纳入纵向研究以指导循证实践。纵向研究可以监测时间变化、识别风险因素、评估干预效果,并更细致地理解撒哈拉以南非洲的性健康和生殖健康动态。尽管纵向研究存在固有困难,但致力于这种方法对于制定旨在改善该地区性健康和生殖健康结果的有效政策和计划至关重要。

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