家庭技术将孕产妇死亡与贫困联系起来
Wendy J Graham1, Ann E Fitzmaurice, Jacqueline S Bell
1Dugald Baird Centre for Research on Women's Health, Department of Obstetrics and Gynaecology, University of Aberdeen, Scotland, UK. w.graham@abdn.ac.uk
Lancet (London, England)
|January 16, 2004
概括
贫困显著增加了孕产妇死亡风险. 这项研究使用了一种新的家庭技术和家庭调查数据来证明一个明显的梯度,印度尼西亚最贫穷的妇女面临的风险是印度尼西亚的3-4倍. 这凸显了对以贫困为重点的卫生干预措施的需要.
科学领域:
- 全球健康 全球健康
- 人口统计学 人口统计学
- 公共卫生 公共卫生
背景情况:
- 贫困和健康在低收入国家越来越被认为是相互关联的.
- 孕产妇死亡率是贫困相关目标的潜在标志物,但个人层面的证据很少.
- 引入了一种新的家庭技术,以探索贫困和产妇死亡率之间的关系.
研究的目的:
- 调查个人贫困和产妇死亡率之间的联系.
- 评估一种新的家族技术对分析这种关系的有用性.
- 为以贫困为重点的卫生战略提供证据.
主要方法:
- 利用了来自十个发展中国家的11个家庭调查的数据.
- 采用家庭技术,将受访者姐妹联系起来,以评估贫困状况和生存结果.
- 分析了妇女与贫困相关的特征 (教育,水,卫生,地板) 和生存状态 (活着,非孕产妇死亡,孕产妇死亡).
主要成果:
- 在不同国家的妇女贫困状况和生存率之间发现了显著的关联.
- 越来越多的贫困与更高比例的非孕产妇和孕产妇死亡率相关.
- 在印度尼西亚,32-34%的孕产妇死亡发生在最贫穷的五分之一,与最富有的人相比,最贫穷的人的风险是最富有的3-4倍.
结论:
- 家庭技术有效地利用现有的调查数据来研究孕产妇死亡率和贫困.
- 调查结果显示,在孕产妇死亡率方面存在明显的贫困梯度.
- 该方法在检查社会经济群体之间的健康差异方面具有更广泛的潜力.
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