印度不孕症的急剧趋势及其行为决定因素
Sampurna Kundu1, Balhasan Ali2, Preeti Dhillon2
1Centre of Social Medicine and Community Health, Jawaharlal Nehru University, New Delhi, India.
PloS one
|July 25, 2023
概括
不孕症是印度日益严重的公共卫生问题. 虽然初级不孕症下降,但二次不孕症在1992年至2015年间显著增加,这与生活方式和社会因素有关.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 生殖健康 生殖健康
背景情况:
- 世界卫生组织 (WHO) 承认不孕症是公共卫生问题.
- 生物因素是主要原因,但社会,健康和生活方式因素也会影响生殖.
- 由于印度人口众多,了解印度的不孕症趋势至关重要.
研究的目的:
- 了解印度的不孕症情景.
- 为了探索不孕不育的潜在原因.
- 分析1992-2015年初级和二级不孕症的趋势.
主要方法:
- 利用了四轮国家家庭健康调查 (NFHS) 数据 (1992-2015).
- 在时间分析中采用双变量分析,t测试和Chi平方测试.
- 应用多变量物流回归来评估社会经济,生活方式和行为因素在2015-16.
主要成果:
- 从1992年到2015年,初级不孕症呈现稳步下降的情况.
- 二次不育率从1992-93年的19.5%增加到2015-2016年的28.6%.
- 高等教育和晚年结婚与初级不育相关;酒精,吸烟,肥胖和非传染性疾病与二次不育相关.
结论:
- 在印度观察到生育动态的显著变化.
- 对公共卫生和生殖计划的紧急政策影响.
- 需要加强健康计划,生活方式教育和对生殖健康行为的认识.
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