アジア太平洋地域における短い出生間隔の空間的変動
Catherine Chojenta1, Desalegn Markos Shifti2, Tesfalidet Beyene1
1School of Medicine and Public Health, the University of Newcastle, NSW, Australia; Centre for Women's Health Research, Hunter Medical Research Institute, Newcastle, NSW, Australia.
Midwifery
|August 30, 2025
まとめ
短い出産間隔 (SBI) は,母親と子供の健康に悪影響を及ぼします. この研究では,アジア太平洋地域のSBIホットスポットをマッピングし,標的型の家族計画介入を必要とする重要な地理的な違いを明らかにしました.
科学分野:
- 公衆衛生
- 地域流行病学
- 人口統計
背景:
- アジア太平洋地域では,死亡率を含む母親と子供の健康への悪影響が多く見られます.
- 生産間隔が短く 生産間隔が33ヶ月未満と定義され,これらの有害な結果に大きく寄与している.
- SBIの地理的分布を理解することは,標的を絞った公衆衛生介入の開発に不可欠です.
研究 の 目的:
- アジア太平洋地域における短い出生間隔 (SBI) の空間的変化を調査する.
- SBIの地理的なクラスター (ホットスポット) を特定し,家族計画サービスのリソースの割り当てを導く.
主な方法:
- アジア太平洋地域の8カ国の人口と健康調査 (DHS) データを利用した.
- SBIの空間的自己相関性を評価するために,Global MoranのI統計を用いた.
- SBIのクラスタリングを測定し,ホットスポットを特定するために,ゲティス・オーダーの一般的なGとGi*統計を適用した.
主要な成果:
- バングラデシュの21.3%からパキスタンの60.7%まで.
- SBIのホットスポットは,バングラデシュ,インド,ミャンマー,ネパール,パキスタン,フィリピン,ティモール・レステで特定されました.
- 研究対象のアジア太平洋諸国におけるSBIの有意な空間的異質性を示した.
結論:
- SBIはアジア太平洋全域で顕著に変化しており,複数の国でホットスポットが特定されています.
- リスクの高い地域では 強化され 対象となる家族計画サービスの必要性を強調しています
- この地域の母親と子供の健康状態を改善するために 最適な出産間隔についての意識を高めることが不可欠です
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