PDF(Pubmed)
Abstract：
BACKGROUND: spousal violence against women (SVAW) is a common form of violence that occurs within the family context, with spouses being the main perpetrators. Afghanistan has one of the highest rates of SVAW in the world, and its impact on reproductive health and fertility is not well understood. This study aims to investigate the extent to which SVAW influences the total fertility rate (TFR) of Afghan women.
METHODS: In this study, a regression model of discrete-time survival models was used to calculate the total fertility rate (TFR), parity progression ratio (PPRs), and average closed birth intervals (CBI) between two children. The method used in this study has its roots in the works of Griffin Finney (1983) and was further developed by Redford et al. (2010). The study population utilized the 2015 Afghanistan Demographic and Health Survey, and sample weights were used to ensure accurate estimates for the population of Afghanistan as a whole.
RESULTS: The study found that women in Afghanistan who have experienced SV are more likely to progress to the next parity, start childbearing faster, and continue to do so. Women who have not experienced SV tend to progress to higher parities at a slower pace during their initial reproductive years. The study also suggests that women with spousal violence (SV) experience may have slightly higher fertility rates and shorter birth intervals for certain birth orders, although the differences between the two groups are generally small. Specifically, the total fertility rate (TFR) for women who experienced SV was 6.9, while the TFR for women who did not experience SV was 6.2.
CONCLUSIONS: These results provide valuable information for policymakers and public health professionals in developing effective policies and programs to address SVAW and improve maternal and child health outcomes in Afghanistan.
METHODS: In this study, a regression model of discrete-time survival models was used to calculate the total fertility rate (TFR), parity progression ratio (PPRs), and average closed birth intervals (CBI) between two children. The method used in this study has its roots in the works of Griffin Finney (1983) and was further developed by Redford et al. (2010). The study population utilized the 2015 Afghanistan Demographic and Health Survey, and sample weights were used to ensure accurate estimates for the population of Afghanistan as a whole.
RESULTS: The study found that women in Afghanistan who have experienced SV are more likely to progress to the next parity, start childbearing faster, and continue to do so. Women who have not experienced SV tend to progress to higher parities at a slower pace during their initial reproductive years. The study also suggests that women with spousal violence (SV) experience may have slightly higher fertility rates and shorter birth intervals for certain birth orders, although the differences between the two groups are generally small. Specifically, the total fertility rate (TFR) for women who experienced SV was 6.9, while the TFR for women who did not experience SV was 6.2.
CONCLUSIONS: These results provide valuable information for policymakers and public health professionals in developing effective policies and programs to address SVAW and improve maternal and child health outcomes in Afghanistan.
摘要：
背景：对妇女的配偶暴力（SVAW）是在家庭环境中发生的常见暴力形式，配偶是主要肇事者。阿富汗是世界上SVAW发生率最高的国家之一，其对生殖健康和生育的影响尚不清楚。这项研究旨在调查SVAW对阿富汗妇女总生育率（TFR）的影响程度。
方法：在本研究中，使用离散时间生存模型的回归模型来计算总生育率(TFR)，奇偶校验进展比(PPRs)，和两个孩子之间的平均封闭出生间隔（CBI）。本研究中使用的方法源于GriffinFinney（1983）的著作，并由Redford等人进一步开发。(2010)。研究人群利用了2015年阿富汗人口和健康调查，和样本权重被用来确保对整个阿富汗人口的准确估计。
结果：研究发现，经历过SV的阿富汗妇女更有可能进入下一个生育阶段，更快地开始生育，并继续这样做。没有经历过SV的妇女在最初的生殖年龄中往往会以较慢的速度进步到较高的奇偶校验。该研究还表明，有配偶暴力（SV）经历的妇女的生育率可能略高，某些出生顺序的生育间隔较短，尽管两组之间的差异通常很小。具体来说,经历SV的女性的总生育率(TFR)为6.9,未经历SV的女性的TFR为6.2.
结论：这些结果为决策者和公共卫生专业人员制定有效的政策和计划以解决SVAW并改善阿富汗的母婴健康结果提供了有价值的信息。
方法：在本研究中，使用离散时间生存模型的回归模型来计算总生育率(TFR)，奇偶校验进展比(PPRs)，和两个孩子之间的平均封闭出生间隔（CBI）。本研究中使用的方法源于GriffinFinney（1983）的著作，并由Redford等人进一步开发。(2010)。研究人群利用了2015年阿富汗人口和健康调查，和样本权重被用来确保对整个阿富汗人口的准确估计。
结果：研究发现，经历过SV的阿富汗妇女更有可能进入下一个生育阶段，更快地开始生育，并继续这样做。没有经历过SV的妇女在最初的生殖年龄中往往会以较慢的速度进步到较高的奇偶校验。该研究还表明，有配偶暴力（SV）经历的妇女的生育率可能略高，某些出生顺序的生育间隔较短，尽管两组之间的差异通常很小。具体来说,经历SV的女性的总生育率(TFR)为6.9,未经历SV的女性的TFR为6.2.
结论：这些结果为决策者和公共卫生专业人员制定有效的政策和计划以解决SVAW并改善阿富汗的母婴健康结果提供了有价值的信息。
