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用调查重量进行离散时间生存分析:塞拉利昂儿童死亡年龄的案例研究
Fundiswa Pearl Mdluli1, Jesca Mercy Batidzirai2
1School of Mathematics, Statistics and Computer Science, University of KwaZulu-Natal, Pietermaritzburg, South Africa. pearliemdluli@gmail.com.
BMC public health
|August 10, 2023
概括
塞拉利昂的儿童死亡率在城市地区和母亲使用避孕药或已婚的儿童中较高. 缺乏医疗保险和年龄较大的母亲也会增加儿童死亡风险.
科学领域:
- 人口统计学 人口统计学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 儿童死亡率是国家福利的关键指标,反映了健康的可及性和发展.
- 了解特定年龄的风险和儿童死亡率的决定因素对于有效的公共卫生规划至关重要.
研究的目的:
- 分析塞拉利昂儿童死亡 (五岁以下死亡率) 的决定因素.
- 确定与增加儿童死亡率的几率相关的特定风险因素.
主要方法:
- 利用了来自塞拉利昂2019年人口和健康调查 (DHS) 的数据.
- 使用离散时间生存分析与逻辑链接,结合调查权重.
- 使用多项式函数建模了基线危险.
主要成果:
- 城市地区的儿童死亡率低于农村地区的儿童 (OR=0.861).
- 孕产妇使用避孕药和婚姻状况与增加儿童死亡率有关.
- 缺乏医疗保险和母亲年龄较大 (20-40岁以上) 显著增加了儿童死亡风险.
结论:
- 城市居住,母亲的婚姻状况,缺乏医疗保险,使用避孕药,以及母亲的晚年是儿童死亡的重要风险因素.
- 强调需要加强卫生基础设施,提高所有地区对妊娠相关并发症的认识.
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