印度低出生体重家庭财富梯度:一个横截面分析
1Center for Social Capital and Environmental Research, Ottawa, ON K1M OZ2, Canada.
Children (Basel, Switzerland)
|July 29, 2023
概括
低出生体重影响印度16.86%的婴儿,贫困家庭的风险更高. 提高家庭财富对于减少低出生体重和提高婴儿健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康的社会经济决定因素
- 孕产妇和儿童的健康
背景情况:
- 低出生体重是一个重要的全球健康问题,与各种生理,环境和社会经济因素有关.
- 它增加了婴儿呼吸困难,发育迟缓和死亡的风险.
- 社会经济地位,特别是家庭财富,是影响印度低出生体重的关键因素,但尚未得到充分研究.
研究的目的:
- 分析印度不同家庭财富五分位数中低出生体重患病率的差异.
- 利用最近的国家数据,确定家庭财富状况与低出生体重风险之间的关联.
- 为公共卫生政策提供信息,以减轻社会经济因素对婴儿健康的影响.
主要方法:
- 利用了国家家庭健康调查 (NFHS 2019-21) 的数据,其中包括161596个母子双.
- 低出生体重定义为婴儿出生时体重<2500g.
- 在R工作室使用描述性统计和多变量回归分析来评估基于财富的差异.
主要成果:
- 总体而言,16.86%的婴儿出生时体重低.
- 观察到显著的州级差异,从纳加兰的3.85%到旁遮普的21.81%.
- 随着家庭财富五分位数的上升,平均出生体重逐渐增加,从2759.68g (最贫穷) 增加到2871.30g (最富有).
- 多变量分析证实,较高的财富五分位数与低出生体重的逐渐降低的风险有关 (例如,最富有的与最贫穷的风险降低了0.74倍).
- 这种关联在农村地区明显更强.
结论:
- 家庭财富状况是印度低出生体重的重要预测因素,低收入家庭受到了不成比例的影响.
- 解决财富不平等问题和支持弱势群体对于改善母亲和婴儿健康结果至关重要.
- 专注于社会经济决定因素的有针对性的干预措施对于减少低出生体重的负担至关重要.
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