计数回归模型分析影响埃塞俄比亚产前护理利用率的因素:原始文章
Birhanu Woldeyohannes1, Zemene Yohannes2, Habte T Likassa3
1Technical and Financial Team Leader, Addis Ababa Transport Bureau, Addis Ababa, Ethiopia.
Annals of medicine and surgery (2012)
|October 9, 2023
概括
埃塞俄比亚的产前护理 (ANC) 使用率很低,特别是在特定地区的农村,未受过教育和穆斯林妇女中. 有针对性的健康教育和宣传计划对于改善母亲和新生儿健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 产前护理 (ANC) 对于通过早期检测和预防感染来降低产妇和新生儿死亡率至关重要.
- 埃塞俄比亚在实现足够的ANC利用率方面面临挑战,需要了解影响因素.
研究的目的:
- 确定与埃塞俄比亚使用产前护理 (ANC) 相关的社会经济和人口因素.
- 确定最适合用于分析ANC利用模式的计数回归模型.
主要方法:
- 利用了来自2019年埃塞俄比亚小型人口和健康调查的数据,其中包括3962名女性.
- 应用的计数回归模型:Poisson,负二项式 (NB),零膨胀的Poisson (ZIP) 和零膨胀的负二项式 (ZINB).
- 零膨胀普森 (ZIP) 模型显示出对数据集的优越适应性.
主要成果:
- 只有42%的女性达到世卫组织推的最低四次ANC访问.
- 降低ANC使用率的因素包括农村居住,穆斯林,居住在索马里,SNNPR或甘贝拉地区.
- 增加的ANC利用率与居住在亚的斯亚贝巴,初级或高等教育以及中等到富裕的财富指数有关.
结论:
- 零膨胀鱼 (ZIP) 模型有效地确定了影响ANC利用的关键因素.
- 低ANC使用率与贫困,农村,缺乏教育,特定的区域差异和穆斯林信仰有关.
- 建议包括针对未受过教育的母亲提供有针对性的健康教育,以及为农村居民提供宣传计划,以提高ANC的普及率.
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