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Indigenous women's reproductive health in the Arctic zone of Western Siberia: challenges and solutions.

Authors
  • Bogdanova, Elena1
  • Andronov, Sergei2
  • Lobanov, Andrey2
  • Kochkin, Ruslan3
  • Popov, Andrei3
  • Asztalos Morell, Ildiko4
  • Odland, JonØyvind5, 6
  • 1 Department of Economics and Management, Northern Arctic Federal University , Arkhangelsk, Russian.
  • 2 Laboratory for Studying the Mechanisms of Physical FactorsAction,Center for Testing and Examination of Natural Healing Resources, National Medical Research Center for Rehabilitation and Balneology, Ministry of Health of the Russian Federation , Moscow, Russia. , (Russia)
  • 3 Department of Social and Psychological Research, Department of Medical Research, Arctic Scientific Research Centre of Yamal-Nenets Autonomous Okrug , Nadym, Russia.
  • 4 Department of Urban and Rural Development, Swedish University of Agricultural Sciences , Uppsala, Sweden. , (Sweden)
  • 5 International Research Laboratory for Reproductive Ecotoxicology (IL RET), The National Research University Higher School of Economics , Moscow, Russia.
  • 6 NTNU The Norwegian University of Science and Technology, Faculty of Health Sciences , Trondheim, Norway. , (Norway)
Type
Published Article
Journal
International Journal of Circumpolar Health
Publisher
Informa UK (Taylor & Francis)
Publication Date
Dec 01, 2021
Volume
80
Issue
1
Pages
1855913–1855913
Identifiers
DOI: 10.1080/22423982.2020.1855913
PMID: 33287680
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

In the Russian Arctic, alarming trends (shortage of nomadic Indigenous women, high reproductive loss, child mortality rates) indicate long-term changes towards demographic decline. This study aimed at comparing some indicators of the reproductive health (childbirth rates, number of pregnancies, pregnancy loss) of Indigenous and non-Indigenous women in the exploration of cultural and social factors influencing reproductive behaviour. A multidisciplinary approach draws on methods of medicine, sociology and health economics. It includes data of the women's reproductive health collected from surveys of 879 women (of whom 627 were Indigenous) during expeditions to the settlements and the tundra of the Yamal-Nenets Autonomous Okrug in 2013-2019. In the tundra, 66.7% of registered Indigenous women's pregnancies resulted in childbirth, 7.8% in induced abortions, 25.5% in spontaneous miscarriage. More than three children were delivered by 59.1% of Indigenous women. Most Indigenous families suffered from high pregnancy loss. Marriage between close relatives was 27.0%. Child mortality equalled 24.4%, three times higher than in the population of the settlements and eight times higher than in families immigrating from other regions. The survival of Indigenous peoples significantly depends on women's reproductive health and sufficient medical service that requires targeted policy.

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