Gender inequality, women's empowerment, and adolescent birth rates in 363 Latin American cities

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dc.article.number115566
dc.catalogadorgjm
dc.contributor.authorBraverman-Bronstein, Ariela
dc.contributor.authorOrtigoza, Ana F.
dc.contributor.authorVidaña-Pérez, Dèsirée
dc.contributor.authorBarrientos-Gutiérrez, Tonatiuh
dc.contributor.authorBaldovino-Chiquillo, Laura
dc.contributor.authorBilal, Usama
dc.contributor.authorFriche, Amélia Augusta de Lima
dc.contributor.authorDiez-Canseco, Francisco
dc.contributor.authorMaslowsky, Julie
dc.contributor.authorVives Vergara, Alejandra
dc.contributor.authorDiez Roux, Ana V.
dc.contributor.otherCEDEUS (Chile)
dc.date.accessioned2024-09-10T15:45:58Z
dc.date.available2024-09-10T15:45:58Z
dc.date.issued2023
dc.description.abstractBackground: Gender inequality is high in Latin America (LA). Empowering girls and young women and reducing gender gaps has been proposed as a pathway to reduce adolescent pregnancy. We investigated the associations of urban measures of women's empowerment and gender inequality with adolescent birth rates (ABR) in 366 Latin American cities in nine countries. Methods: We created a gender inequality index (GII) and three Women Achievement scores reflecting domains of women's empowerment (employment, education, and health care access) using censuses, surveys, and political participation data at city and sub-city levels. We used 3-level negative binomial models (sub-city-city-countries) to assess the association between the GII and scores, with ABR while accounting for other city and sub-city characteristics. Results: We found within country heterogeneity in gender inequality and women's empowerment measures. The ABR was 4% higher for each 1 standard deviation (1-SD) higher GII (RR 1.04; 95%CI 1.01,1.06), 8% lower for each SD higher autonomy score (RR 0.92; 95%CI 0.86, 0.99), and 12% lower for each SD health care access score (RR 0.88; 95%CI 0.82,0.95) after adjustment for city level population size, population growth, homicide rates, and sub-city population educational attainment and living conditions scores. Conclusion: Our findings show the key role cities have in reducing ABR through the implementation of strategies that foster women's socioeconomic progress such as education, employment, and health care access.
dc.description.funderSalud Urbana en América Latina
dc.description.funderNational Institutes of Health
dc.description.funderWellcome Trust
dc.fechaingreso.objetodigital2024-09-10
dc.format.extent8 páginas
dc.fuente.origenSIPA
dc.identifier.doi10.1016/j.socscimed.2022.115566
dc.identifier.eissn1873-5347
dc.identifier.issn0277-9536
dc.identifier.pubmedid36446141
dc.identifier.scopusidSCOPUS_ID:85142692503
dc.identifier.urihttps://doi.org/10.1016/j.socscimed.2022.115566
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/87824
dc.information.autorucEscuela de Medicina; Vives Vergara, Alejandra; 0000-0001-5851-0693; 135637
dc.language.isoen
dc.nota.accesosin adjunto
dc.revistaSocial Science and Medicine
dc.rightsacceso abierto
dc.rights.licenseCC BY 4.0 Attribution 4.0 International Deed
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectAdolescent birth rates
dc.subjectGender equity
dc.subjectLatin America
dc.subjectUrban
dc.subjectWomen empowerment
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleGender inequality, women's empowerment, and adolescent birth rates in 363 Latin American cities
dc.typeartículo
dc.volumen317
sipa.codpersvinculados135637
sipa.trazabilidadSCOPUS;02-03-2023
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