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发展中国家剖腹产率的社会经济差异:回顾性分析
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
概括
根据发展中国家的社会经济地位,获得拯救生命的剖腹产手术的机会有很大差异. 许多贫困人口几乎没有医疗服务,而一些更富裕的国家的医疗需求超过了医疗服务的需求,这凸显了迫切的政策问题.
科学领域:
- 产科和妇科 产科和妇科
- 全球卫生平等全球卫生平等
- 医疗保健服务研究 医疗服务研究
背景情况:
- 获得剖腹产的机会对于减少孕产妇死亡率至关重要.
- 在获得必要的产科手术的社会经济差异是不太了解.
- 这项研究调查了发展中国家不同社会经济阶层的剖腹产出生率.
研究的目的:
- 检查基于人口的剖腹产率的社会经济差异.
- 为了确定获得拯救生命的产科手术的差异.
- 为制定有关母亲健康干预措施的政策提供信息.
主要方法:
- 利用了来自非洲,亚洲和拉丁美洲的42个人口和健康调查的数据.
- 分析了按财富五分位数分层的剖腹产率.
- 包括农村子组在内的最富裕和最贫穷人口之间的比较率.
主要成果:
- 在20个国家的最贫困20%中,剖腹产率低于1%.
- 在六个国家,只有不到1%的人口可以接受剖腹产.
- 七个国家,主要在拉丁美洲,超过了至少40%的人口的15%门.
结论:
- 存在显著的差异,撒哈拉以南非洲最贫困的贫困人口获得的机会很少.
- 一些中等收入国家表现出超过医疗必需品的病率.
- 迫切需要国家和国际层面的政策关注,以解决这些不平等问题.
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