在加纳的五岁以下儿童死亡率的时间和地理差异
Kamaldeen Mohammed1, Abdul Razak Abubakari2, Daniel Amoak1
1Department of Geography and Environment, University of Western Ontario, London, Ontario, Canada.
PloS one
|September 12, 2023
概括
加纳的五岁以下儿童死亡率显示了农村和城市的巨大差异. 北部城市地区和大阿克拉以外的农村地区存在更高的风险,需要针对儿童生存进行有针对性的医疗干预.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 儿童生存研究 儿童生存研究
背景情况:
- 尽管全球医疗保健取得了进展,但加纳的五岁以下儿童死亡率仍然是一个关键的公共卫生问题.
- 在加纳,儿童生存率存在显著的地理差异,需要集中调查.
研究的目的:
- 检查加纳五岁以下儿童死亡率的地理差异.
- 确定导致儿童死亡风险的特定地区和人口因素.
主要方法:
- 利用了2017年母亲健康调查的数据 (n = 4785).
- 用Kaplan-Meier估计器进行生存分析和Cox比例危险分析进行分类风险评估.
- 分析了农村和城市之间的差异以及死亡时间的区域差异.
主要成果:
- 在五岁以下儿童死亡率上观察到显著的农村和城市差异 (Log-rank:p<0.001).
- 加纳北部城市地区 (上西部,上东部) 的儿童与阿克拉大区相比,面临更高的死亡风险.
- 在大多数地区的农村儿童,除了大阿克拉,死亡风险较高.
- 儿童的性别,母亲的年龄,互联网使用,家庭规模,种族和财富是重要的因素.
结论:
- 医疗保健政策必须优先考虑免疫和负担得起的服务,特别是在高风险的农村地区.
- 由于基础设施和贫困挑战,改善加纳北部城市地区的医疗保健服务至关重要.
- 解决地理和社会经济差异对于降低加纳五岁以下儿童死亡率至关重要.
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