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発展途上国における帝王切開率における社会経済的差異: 遡及的分析
Carine Ronsmans1, Sara Holtz, Cynthia Stanton
1Infectious Disease Epidemiology Unit, London School of Hygiene and Tropical Medicine, London, UK. carine.ronsmans@lshtm.ac.uk
Lancet (London, England)
|October 31, 2006
まとめ
命を救う帝王切開手術へのアクセスは,開発途上国の社会経済的地位によって大きく異なります. 多くの貧困層は医療へのアクセスが限られているが,一部の裕福な国々は医療の必要性を超えており,緊急の政策上の懸念を強調している.
科学分野:
- 産婦人科と産婦人科を担当しています.
- グローバル・ヘルス・エクイティ・エクイティ
- 医療サービス 研究 医療サービス
背景:
- 帝王切開による出産へのアクセスは,妊産婦の死亡率を減らすために非常に重要です.
- 必須産科手術へのアクセスにおける社会経済的格差は十分に理解されていない.
- この研究は,途上国の異なる社会経済的層における帝王切開による出生率を調査しています.
研究 の 目的:
- 人口ベースの帝王切開率における社会経済的差異を調査する.
- 命を救う産科手術へのアクセスにおける格差を特定する.
- 母親の健康への介入に関する政策を策定する.
主な方法:
- アフリカ,アジア,ラテンアメリカにおける42の人口統計と健康調査のデータを活用した.
- 帝王切開率を富のクインチルによって階層化して分析した.
- 田舎のサブグループを含む,最も裕福な人口と最も貧しい人口との比率の比較.
主要な成果:
- 帝王切開の割合は,20カ国の最も貧しい20%では1%未満でした.
- 6カ国では,人口の1%未満が帝王切開の治療を受けていた.
- 7カ国,主にラテンアメリカでは,人口の少なくとも40%の15%の値を超えました.
結論:
- サハラ以南のアフリカでは,最も貧しい人々のアクセスが最小限で,大きな格差が存在します.
- 中所得国のいくつかは,医療上の必要を上回る割合を示しています.
- これらの不平等に対処するために,国内および国際レベルで緊急の政策的注意が必要である.
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