Universidad Peruana Cayetano Heredia

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

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dc.contributor.author Braverman-Bronstein, Ariela
dc.contributor.author Ortigoza, Ana F
dc.contributor.author Vidaña-Pérez, Desiree
dc.contributor.author Barrientos-Gutiérrez, Tonatiuh
dc.contributor.author Baldovino-Chiquillo, Laura
dc.contributor.author Bilal, Usama
dc.contributor.author Friche, Amelia Augusta de Lima
dc.contributor.author Diez-Canseco Montero, Francisco
dc.contributor.author Maslowsky, Julie
dc.contributor.author Vives V, Alejandra
dc.contributor.author Diez Roux, Ana V
dc.coverage.spatial Argentina
dc.coverage.spatial Brasil
dc.coverage.spatial Chile
dc.coverage.spatial Colombia
dc.coverage.spatial Costa Rica
dc.coverage.spatial Guatemala
dc.coverage.spatial México
dc.coverage.spatial Panamá
dc.coverage.spatial Perú
dc.date.accessioned 2023-01-06T13:40:11Z
dc.date.available 2023-01-06T13:40:11Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/12987
dc.description.abstract Background: 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. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Social Science and Medicine
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Adolescent birth rates en_US
dc.subject Gender equity en_US
dc.subject Women empowerment en_US
dc.subject Urban en_US
dc.subject Latin America en_US
dc.subject.mesh Birth Rate
dc.subject.mesh Gender Equity
dc.subject.mesh Latin America
dc.title Gender inequality, women's empowerment, and adolescent birth rates in 363 Latin American cities. en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.socscimed.2022.115566
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#6.01.01
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#6.03.01
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.00.00
dc.relation.issn 1873-5347


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