关于加纳剖腹产分娩的地理不平等情况的日志双项贝叶斯地质增值半参数分析
1Department of Population and Health, Faculty of Social Sciences, College of Humanities and Legal Studies, University of Cape Coast, Cape Coast, Ghana. famoakojohnson@ucc.edu.gh.
BMC pregnancy and childbirth
|November 10, 2023
概括
加纳的剖腹产率显示出显著的地理不平等,富裕是关键因素. 需要有针对性的干预措施来解决区域差异,并与世卫组织的建议保持一致.
科学领域:
- 公共卫生 公共卫生
- 地理空间流行病学
- 卫生经济学 卫生经济学
背景情况:
- 剖腹产是对母亲和新生儿生存至关重要的干预措施.
- 现有研究强调了加纳剖腹产使用的社会经济差异.
- 在地区一级的剖腹产产生的地理不平等仍然没有得到充分的研究.
研究的目的:
- 在迦纳的地区层面研究剖腹产产生的地理不平等情况.
- 调查妊娠并发症,分娩风险,获得医疗保健,富裕和剖腹产摄取的地理不平等之间的相关性.
主要方法:
- 利用了2017年加纳孕产妇健康调查的数据.
- 采用了日志-二项式贝叶斯地质加法半参数回归.
- 在地区层面分析了剖腹产分娩的地理聚类和空间相关性.
主要成果:
- 加纳的整体剖腹产率为16.0%.
- 地理空间分析揭示了剖腹产分娩频率中明显的南北分裂.
- 财富被确定为空间差异的主要相关因子,比怀孕并发症或获得医疗保健更重要.
结论:
- 加纳在剖腹产出生率方面表现出显著的地理不平等.
- 地区层面的,与当地相关的干预措施对于解决过度使用和不足使用至关重要.
- 干预措施的目标应该是使剖腹产率与世界卫生组织的10%~15%的最佳门保持一致.
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