对尼日利亚剖腹产患病率和相关因素的多层次分析
Kobi V Ajayi1,2, Samson Olowolaju3, Yusuf H Wada4
1Educating Directing Empowerment & Nurturing (EDEN) Foundation, Abuja, Nigeria.
PLOS global public health
|June 26, 2023
概括
尼日利亚的剖腹产率低至3.11%,受种族,宗教和儿童数量等因素的影响. 了解这些多层次因素对于改善母亲和新生儿健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 产科和妇科 产科和妇科
- 人口统计学 人口统计学
背景情况:
- 母婴和新生儿的健康受到剖腹产 (CS) 率的重大影响.
- 尼日利亚的CS吸收率低于最佳水平表明产科护理需求未得到满足,导致不良健康结果.
- 尼日利亚的孕产妇健康问题仍然是一个重大的公共卫生问题.
研究的目的:
- 为了确定尼日利亚生育年龄妇女中剖腹产 (CS) 的患病率.
- 确定与尼日利亚剖腹产 (CS) 使用相关的多层次因素.
主要方法:
- 来自2018年尼日利亚人口与健康调查的数据分析.
- 包括19964名在过去五年内分娩的生育年龄妇女.
- 应用多层次逻辑回归来确定剖腹产 (CS) 的预测因素.
主要成果:
- 剖腹产 (CS) 的患病率为3.11%.
- 诸如约鲁巴族裔,更高的平价 (2+儿童),伊斯兰教信仰和正常出生体重等因素与较低的CS率有关.
- 与城市地区和中北部地区相比,农村地区和南南地区的居住表明CS的可能性较低.
结论:
- 个人和社区层面的因素,包括宗教,儿童数量,种族和居住地区,与剖腹产 (CS) 使用有显著的关联.
- 需要基于证据的政策和计划,以解决区域,地方和文化背景,以便在尼日利亚获得公平的CS.
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