@article{ref1,
title="Estimating post-emergency fertility among disaster-affected adolescents: findings from a case-control study in Aceh Province, Indonesia",
journal="Disaster medicine and public health preparedness",
year="2015",
author="Kinoshita, Mari and Suhardan, Suhardan and Danila Danila, Damsyik and Chiang, Chifa and Aoyama, Atsuko",
volume="10",
number="1",
pages="80-86",
abstract="OBJECTIVE: We aimed to retrospectively estimate adolescent fertility rates before and after a large-scale natural disaster. <br><br>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). <br><br>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). <br><br>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. 2015;0:1-7).<p /> <p>Language: en</p>",
language="en",
issn="1935-7893",
doi="10.1017/dmp.2015.104",
url="http://dx.doi.org/10.1017/dmp.2015.104"
}