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首页> 外文期刊>Open access Journal of Contraception >Child spacing and contraception among the poor in Zambia
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Child spacing and contraception among the poor in Zambia

机译：赞比亚穷人中的儿童间距和避孕

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Abstract: For decades, family planning programs have targeted women in developing countries. These programs bestow a great deal of autonomy on women with respect to fertility decision making. It is well known that a number of close relatives in multigenerational and extended family systems influence women’s fertility decisions with respect to child spacing and contraceptive use. One approach toward a systematic study of fertility decision making is to explicitly consider the husband’s influences on fertility decision making. This study examines the effects of a selected number of factors on the desired birth interval lengths. We interviewed husbands and wives separately from 165 randomly selected households from two poor neighborhoods in the city of Kitwe, Zambia. Three ordinal birth interval groups were obtained for both husbands and wives separately. The effect of selected factors on the likelihood of influencing the three groups was examined using ordinal logistic regression methods. Data from husbands and wives were analyzed separately. Qualitative methods such as semistructured interviews were used to gather extensive information on the various factors that husbands and wives perceive to influence their child spacing decisions. We found differences in accounts with respect to child spacing between husbands and wives, likely due to a lack of communication. A gender-sensitive approach is necessary to promote spacing methods among poor couples in Zambia.
机译：摘要：几十年来，计划生育计划已针对发展中国家的妇女。这些方案在生育决策方面赋予妇女很大的自主权。众所周知，多代和大家庭系统中的许多近亲会影响妇女在生育间隔和避孕方法方面的生育能力决定。系统研究生育决策的一种方法是明确考虑丈夫对生育决策的影响。这项研究检查了选定数量的因素对期望的生育间隔长度的影响。我们分别从赞比亚基特韦市两个贫困社区的165个随机选择的家庭中分别采访了丈夫和妻子。丈夫和妻子分别获得了三个有序的生育间隔组。使用有序逻辑回归方法检查选定因素对影响三组可能性的影响。分别分析了丈夫和妻子的数据。使用定性方法（例如半结构化访谈）来收集有关丈夫和妻子认为会影响其孩子间距决定的各种因素的广泛信息。我们发现，由于缺乏沟通，丈夫和妻子之间的子女间隔差异有所不同。必须采取一种对性别问题敏感的方法，以在赞比亚促进贫困夫妇之间的间隔方法。

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