与即时产后控制相关的社会人口统计因素:基于秘鲁人口和健康调查的横截面研究,2019年
Alonso Díaz-Canales1, Juan Pablo Noel-Meza1, Brenda Caira-Chuquineyra2
1Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Peru.
概括
2019年,秘鲁的即时产后控制 (IPC) 遵守率为59.6%,城市和高地/林地区的比例较低. 农村居住和适当的产前护理与更高的IPC合规性有关.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 流行病学 流行病学
背景情况:
- 秘鲁面临着高的孕产妇死亡率,在拉丁美洲排名第五.
- 2013年实施了即时产后控制 (IPC),以改善产后护理和减少孕产妇死亡.
研究的目的:
- 确定2019年秘鲁立即产后控制 (IPC) 合规性的频率.
- 确定与秘鲁女性IPC遵守相关的社会人口因素.
主要方法:
- 一项分析性横截面研究利用了来自秘鲁2019年人口和家庭健康调查 (ENDES) 的数据.
- 用Poisson通用线性模型计算相关因素的流行率 (PR) 和95%置信区间 (95%CI).
- 这项研究包括了11854名年龄在15-49岁之间的妇女,她们在调查前五年内分娩.
主要成果:
- 总体而言,IPC遵守率为59.6%,城市地区 (58.8%) 和高原 (57%) 和林 (57.2%) 地区的比例较低.
- 与更高的IPC遵守相关的因素包括农村居住 (aPR: 1.13),适当的产前护理 (aPR: 1.05),以及低出生体重新生儿的分娩 (aPR: 1.20).
- 生活在高地或林地区与较低的IPC合规性有关 (aPR:0.86).
结论:
- 几乎十分之四的妇女没有立即接受产后控制.
- 存在显著的区域差异,秘鲁的城市,高地和林地区的IPC率较低.
- 有针对性的干预措施可能是必要的,以改善服务不足的地区和人口的IPC采用.
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