Background: Many sub-Saharan African countries have large populations of young people, and these cohorts have the potential to bring significant change. Understanding the changing lives of young people is important for ensuring individuals experience healthy and successful transitions to adulthood and for understanding how best to ensure they realise their full potential, for themselves and their communities. Methods: This analysis used detailed, prospectively collected data on men and women from the Karonga Health and Demographic Surveillance Site in rural Malawi between 2004–2017. Multi-channel sequence analysis was conducted for the domains of leaving school, getting married, and having children. Sequences were grouped into clusters and descriptive and multinomial logistic regression carried out to assess differences in the transition to adulthood by sex, calendar time, and sociodemographic factors. Conclusions: Many participants followed a fairly early and rapid transition to adulthood; however, a sizable proportion experienced later marriage. These participants were split into those (mostly men) who received little education and had a long delay between school-leaving and marrying, and those who spent longer in education. Access to secondary school increased over time for both men and women, while only women experienced delays in age at marriage. Where associations between sociodemographic factors and transitions to adulthood were found, they suggested that greater access to resources was associated with a later transition out of education, and therefore to marriage. Contribution: Sequence analysis applied to longitudinal HDSS data proved a useful tool to identify different trajectories to adulthood in this rural Malawian context.

中文翻译：

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使用序列分析研究 21 世纪马拉维农村地区男性和女性向成年的过渡：延迟的一些证据（作者：Estelle McLean、Maria Sironi、Emma Slaymaker、Rebecca Sear、Albert Dube、Amelia C Crampin）


背景：许多撒哈拉以南非洲国家拥有大量年轻人口，这些群体有潜力带来重大变革。了解年轻人生活的变化对于确保个人健康、成功地过渡到成年以及了解如何最好地确保他们充分发挥自己和社区的潜力非常重要。方法：本分析使用了 2004 年至 2017 年马拉维农村卡龙加健康和人口监测站的详细、前瞻性收集的男性和女性数据。对离校、结婚、生子领域进行多渠道序列分析。将序列分组为聚类，并进行描述性和多项式逻辑回归，以评估性别、日历时间和社会人口因素在成年过渡过程中的差异。结论：许多参与者相当早且快速地过渡到成年；然而，相当一部分人结婚较晚。这些参与者被分为两类：一类是受教育程度较低、离校和结婚时间较长的人（大部分是男性），另一类是接受教育时间较长的人。随着时间的推移，男性和女性进入中学的机会都在增加，而只有女性的结婚年龄出现了延迟。他们发现，社会人口因素与成年过渡之间存在关联，他们认为，获得更多资源与后来脱离教育、进而走向婚姻有关。贡献：事实证明，应用于纵向 HDSS 数据的序列分析是识别马拉维农村地区不同成年轨迹的有用工具。