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首页> 外文期刊>BMC Public Health >The impact of armed conflict on adolescent transitions: a systematic review of quantitative research on age of sexual debut, first marriage and first birth in young women under the age of 20?years
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The impact of armed conflict on adolescent transitions: a systematic review of quantitative research on age of sexual debut, first marriage and first birth in young women under the age of 20?years

机译：武装冲突对青少年过渡的影响：对20岁以下年轻女性的性初婚，初婚和初生年龄的定量研究的系统综述

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Background Young women in conflict-affected regions are at risk of a number of adverse outcomes as a result of violence, economic deterioration and the breakdown of community structures and services. This paper presents the findings of a systematic review of quantitative literature reporting how key sexual and reproductive health (SRH) outcomes among young women under the age of 20?years are affected by exposure to armed conflict; namely, sexual debut, first marriage and first birth. Increases in these outcomes among young women are all associated with potential negative public health consequences. It also examines and documents possible causal pathways for any changes seen. Methods To fit with our inclusion criteria, all reviewed studies included outcomes for comparable populations not exposed to conflict either temporally or spatially. A total of 19 studies with results from 21 countries or territories met our inclusion criteria; seven presented findings on marriage, four on fertility and eight on both of these outcomes. Only one study reporting on sexual debut met our criteria. Results Findings show clear evidence of both declines and increases in marriage and childbirth among young women in a range of conflict-affected settings. Several studies that showed increases in marriage below the age of 20?years reported that such increases were concentrated in the younger teenagers. Trends in fertility were predominantly driven by marriage patterns. Suggested causal pathways for the changes observed could be grouped into three categories: involuntary, gender and psycho-social and economic and material factors. Conclusion The review reveals a paucity of literature on the impact of conflict on SRH outcomes of young women. Further quantitative and qualitative studies are needed to explore how conflict influences SRH events in young women over both the short- and longer-term.
机译：背景技术受暴力影响，经济恶化以及社区结构和服务崩溃的结果，受冲突影响地区的年轻妇女有可能遭受许多不利后果。本文介绍了对定量文献进行系统回顾的结果，这些文献报道了20岁以下年轻女性在武装冲突中如何影响关键的性健康和生殖健康（SRH）结果;即性出道，初婚和初生。年轻妇女中这些结果的增加都与潜在的负面公共卫生后果有关。它还检查并记录所见到的任何变化的可能的因果路径。方法为了符合我们的纳入标准，所有经过审查的研究均纳入了在时间或空间上未遭受冲突的可比较人群的结果。共有19项研究来自21个国家或地区，其结果符合我们的纳入标准;七个提出了关于婚姻的发现，四个关于生育率，八个关于这两个结果。只有一项关于性行为首次亮相的研究符合我们的标准。结果研究结果清楚地表明，在一系列受冲突影响的环境中，年轻妇女的婚姻和分娩人数下降和上升。几项研究表明20岁以下的婚姻增加了，这些增加主要集中在年轻的青少年中。生育趋势主要由婚姻模式驱动。建议的观察到的变化的因果途径可以分为三类：非自愿，性别和心理社会以及经济和物质因素。结论综述揭示了关于冲突对年轻女性SRH结果的影响的文献很少。需要进行进一步的定量和定性研究，以探讨冲突如何影响短期和长期的年轻女性的性健康和生殖健康事件。

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