泰国5岁以下死亡率的空间关联和建模,2020年
Suparerk Suerungruang1, Kittipong Sornlorm2, Wongsa Laohasiriwong3
1Faculty of Public Health, Khon Kaen University, Khon Kaen. iampokpak@gmail.com.
Geospatial health
|September 5, 2023
概括
泰国5岁以下死亡率 (U5MR) 的差异与社会经济,卫生服务和环境因素有关. 解决这些问题需要有针对性的多部门战略,以改善儿童健康结果.
科学领域:
- 公共卫生 公共卫生
- 空间流行病学 空间流行病学
- 健康的社会经济决定因素
背景情况:
- 5岁以下的死亡率 (U5MR) 是儿童健康和国家发展的关键指标.
- 尽管取得了进展,但泰国在各省的U5MR仍然存在差异.
- 了解U5MR的空间分布及其决定因素对于有效的干预至关重要.
研究的目的:
- 检查影响泰国U5MR的社会经济,卫生服务和环境因素.
- 用空间分析建模这些因素与U5MR之间的空间关系.
- 确定U5MR的关键驱动因素和保护因素,以制定有针对性的政策.
主要方法:
- 利用来自泰国国家来源的二次数据.
- 采用全球和本地莫兰的I统计数据来评估空间自相关性.
- 应用空间回归模型,包括普通最小平方 (OLS),空间滞后模型 (SLM) 和空间错误模型 (SEM).
主要成果:
- 在泰国各地观察到U5MR的显著空间差异.
- 低出生体重和失业率等因素与U5MR正相关.
- 高等教育,社区组织,获得医疗保健 (人均床位) 和母乳养都显示出保护作用 (SEM R2 = 0.588).
结论:
- 综合性,多部门战略对于减少泰国的U5MR差异至关重要.
- 政策干预应侧重于改善社会经济条件,医疗保健质量和高死亡率地区的可访问性.
- 为了有效的儿童健康干预,需要根据空间分析制定量身定制的,本地化的卫生政策.
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