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Estimating Post-Emergency Fertility Among Disaster-Affected Adolescents: Findings From a Case-Control Study in Aceh Province, Indonesia

Published online by Cambridge University Press:  22 September 2015

Mari Kinoshita ,
Suhardan Suhardan ,
Damsyik Danila Danila ,
Chifa Chiang  and
Atsuko Aoyama
Mari Kinoshita*
Affiliation:
AIDS Clinical Center, National Center for Global Health and Medicine, Tokyo, Japan
Suhardan Suhardan
Affiliation:
Ujong Fatihah Hospital, Nagan Raya District, Aceh Province, Indonesia
Damsyik Danila Danila
Affiliation:
Regional Family Planning and Population Board of Ogan Ilir Regency, Indralaya, South Sumatera, Indonesia
Chifa Chiang
Affiliation:
Nagoya University Graduate School of Medicine, Department of Public Health and Health Systems, Nagoya, Japan.
Atsuko Aoyama
Affiliation:
Nagoya University Graduate School of Medicine, Department of Public Health and Health Systems, Nagoya, Japan.
*
Correspondence and reprint requests to Mari Kinoshita, RN, PHN, MPH, AIDS Clinical Center, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo, Japan, 162-8655 (e-mail: mkinoshi@acc.ncgm.go.jp).
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Abstract

Objective

We aimed to retrospectively estimate adolescent fertility rates before and after a large-scale natural disaster.

Methods

A case-control study was conducted in Aceh Province, Indonesia, 2 years after the Indian Ocean tsunami in 2004. The age-specific fertility rates of 15–19-year-old-women (ASFR 15–19) was estimated each year from 2004 to 2006 by creating hypothetical age cohorts. The results were compared with data from the closest edition of the Indonesian Demographic Health Survey (IDHS).

Results

The pre-disaster ASFR 15–19 (4.4% in 2004) was not significantly different from the 2002–2003 IDHS data (P=0.49), whereas the post-disaster ASFR 15–19 (1.1% in 2005–2006) was significantly lower than the provincial estimation in the 2007 IDHS (P<0.01). ASFR 15–19 was reduced by 76% in the post-disaster period compared with the pre-disaster period (rate ratio: 0.24, P=0.02).

Conclusions

The creation of hypothetical age cohorts enabled valid and useful estimation of the ASFR in disaster-affected areas where reliable vital statistics are not available. For pre-disaster fertility estimation, however, we suggest excluding data from the 40-week period preceding the disaster, because the data may be biased by excess mortality in childbearing mothers and newborn babies in the disaster. (Disaster Med Public Health Preparedness. 2016;10:80–86)

Keywords

pre/post-disasteradolescent fertilitysurvivor effect
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 10 , Issue 1 , February 2016 , pp. 80 - 86
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

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