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5岁以下儿童死亡年龄和相关决定因素的空间多层次分析:EDHS 2000-2016年
Bezawit Tarekegn Agidew1, Denekew Bitew Belay2, Lijalem Melie Tesfaw3,4
1Department of Statistics, Debre Markos University, Debre Markos, Ethiopia.
BMJ open
|October 18, 2023
概括
埃塞俄比亚的5岁以下儿童死亡率在2000年至2016年期间显著下降,新生儿死亡率显示出更高的比率和空间变化. 医疗机构分娩降低了新生儿死亡风险.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 流行病学 流行病学
背景情况:
- 在全球范围内,5岁以下儿童死亡率仍然是一个关键的公共卫生问题,特别是在低收入国家.
- 埃塞俄比亚在儿童生存方面取得了进展,但了解5岁以下死亡的趋势,空间模式和决定因素对于有针对性的干预至关重要.
研究的目的:
- 研究埃塞俄比亚5岁以下儿童死亡年龄的趋势,空间分布和决定因素.
- 确定影响不同地区和调查年龄5岁以下儿童死亡率的关键因素.
主要方法:
- 利用了2000年,2005年,2011年和2016年埃塞俄比亚人口和健康调查的二次数据.
- 采用多层次的局部顺序逻辑回归模型来分析各种决定因素对5岁以下儿童死亡率的影响.
- 应用全球莫兰指数来评估死亡率模式中的空间自相关性.
主要成果:
- 从2000年到2016年,观察到5岁以下儿童死亡率显著下降,新生儿,婴儿和幼儿死亡率显著下降.
- 在埃塞俄比亚的不同地区检测到死亡率的显著空间自相关性.
- 与家庭分娩相比,在卫生机构的分娩与新生儿死亡的几率较低有关.
结论:
- 尽管总体下降趋势,新生儿的死亡率较高,而埃塞俄比亚的5岁以下死亡率仍然存在显著的空间变化.
- 儿童的性别,母亲的年龄,宗教,出生大小,分娩地点,产前护理和财富指数是5岁以下儿童死亡率的重要决定因素.
- 需要继续努力解决空间差异,改善获得医疗保健服务的机会,特别是新生儿.
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