索马里女性的生育能力、不孕不育状况及儿童存活率
Fertility, infertility and child survival of Somali women.
作者信息
Omar M M, Högberg U, Bergström B
机构信息
Department of Community Health, Faculty of Medicine, Somali National University, Mogadishu.
出版信息
Scand J Soc Med. 1994 Sep;22(3):194-200. doi: 10.1177/140349489402200306.
The relationship of reproductive patterns, some socio-economic factors and child survival was studied in 766 rural Somali women. A structured questionnaire was the method of data collection. Teenage marriage was the norm for the women, and divorce was very common. The mean number of live births was 5.2, and the mean number of surviving children was 3.7. 2/3 of the women aged 45+ had a parity of 6 or more, about one third had had at least one miscarriage and one fifth had experienced one stillbirth. Primary infertility was observed in 7% of the women aged 45+, while 20% were considered subfertile. Verbal autopsy showed that mortality was highest among infants and accounted for 63% of the child deaths. Major causes of death were neonatal tetanus, diarrhoea and respiratory diseases. Child survival and reproductive outcome ratios were found to be negatively related to the increasing age of the mother and parity. Divorce and widowhood were also found to be associated with low child survival.
对766名索马里农村妇女的生育模式、一些社会经济因素与儿童生存之间的关系进行了研究。采用结构化问卷进行数据收集。早婚是这些妇女的常态，离婚也很常见。平均活产数为5.2，存活子女的平均数为3.7。45岁及以上的妇女中有三分之二生育6个及以上子女，约三分之一至少有过一次流产，五分之一经历过一次死产。45岁及以上的妇女中有7%存在原发性不孕，而20%被认为是亚生育能力。死因推断表明，婴儿死亡率最高，占儿童死亡的63%。主要死因是新生儿破伤风、腹泻和呼吸道疾病。发现儿童生存和生殖结局比率与母亲年龄增长和生育胎次呈负相关。还发现离婚和丧偶与儿童低生存率有关。
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