确定因素对巴基斯坦儿童死亡率的空间溢出影响:来自空间德宾模型的证据
Muhammad Ramzan Sheikh1, Sami Ullah Khan2, Munir Ahmed3
1School of Economics, Bahauddin Zakariya University, Multan, Pakistan.
BMC public health
|August 23, 2023
概括
巴基斯坦的儿童死亡率显示出显著的空间模式. 解决贫困,脆弱性,改善获得产后护理和安全饮用水的机会,可以减少儿童死亡,特别是在高风险地区.
科学领域:
- 公共卫生 公共卫生
- 空间流行病学 空间流行病学
- 人口统计学 人口统计学
背景情况:
- 儿童死亡率仍然是巴基斯坦和其他发展中国家的关键公共卫生问题.
- 减少儿童死亡率对于改善公共卫生,人类福祉和国家繁荣至关重要.
- 这项研究调查了巴基斯坦的空间集群和对儿童死亡率的决定性影响.
研究的目的:
- 确定巴基斯坦各个地区儿童死亡率的空间集群.
- 分析各种决定因素对儿童死亡率 (CMR) 的直接和空间溢出效应.
主要方法:
- 利用了联合国儿童基金会多项指标集群调查 (MICS) 的数据.
- 采用空间单变量自相关性来评估区间之间的空间依赖.
- 应用空间德宾模型 (SDM) 来量化空间溢出效应.
主要成果:
- 在各个地区发现了显著的空间关联 (31%),在旁遮普邦确定了高高的CMR"热点".
- SDM证实了贫困 (最贫穷的财富五分位数,MPI脆弱性) 对CMR的积极直接和溢出影响.
- 在获得产后护理和改善饮用水方面观察到对CMR的负面直接和间接影响.
结论:
- 空间依赖和显著的溢出效应显著地影响了巴基斯坦的儿童死亡率.
- 针对高死亡率的地区和解决贫困,MPI脆弱性,产后护理和安全饮用水是关键干预措施.
- 战略干预可以有效地减少儿童死亡率,提高整体公共卫生结果.
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