尼日利亚与婴儿死亡率相关的因素:范围审查
Loveth Dumebi Nwanze1, Alaa Siuliman1, Nuha Ibrahim1
1Department of Public Health, School of Medicine, Faculty of Education and Health Sciences, University of Limerick, Limerick, Ireland.
PloS one
|November 15, 2023
概括
尼日利亚的婴儿死亡率受到多个层面的因素的影响,从个体的母亲健康到国家公共政策. 解决这些多方面的决定因素对于减少该国婴儿死亡率至关重要.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 人口统计学 人口统计学
背景情况:
- 婴儿死亡率仍然是一个重要的全球公共卫生问题,低中等收入国家 (LIMCs) 的比例不成比例.
- 尼日利亚面临的婴儿死亡率非常严重,明显超过全球平均水平,突出了对导致因素的研究的迫切需要.
- 与欧洲相比,非洲的婴儿死亡风险要高得多,这凸显了区域差异.
研究的目的:
- 进行范围审查,以确定和总结有关尼日利亚婴儿死亡率相关因素的现有证据.
- 在尼日利亚背景下绘制有关婴儿死亡率决定因素的研究范围.
主要方法:
- 该审查采用了阿克西和奥马利的五阶段框架.
- 在四个主要的电子数据库 (Ovid MEDLINE,PubMed,CINAHL Complete,Web of Science) 进行了全面的搜索,没有日期或研究类型的限制.
- 使用社会生态模型进行主题分析和综合,对48篇入选文章进行了应用,这些文章从最初的8,139个参考资料中进行了选择.
主要成果:
- 影响尼日利亚婴儿死亡率的因素在社会生态模型的五个层面上被确定.
- 个人层面:与母亲和儿童有关的因素.
- 人际层面:社会经济和社会文化因素;组织层面:医疗服务提供,利用,劳动力,资源和获取;社区层面:住房,社区和环境因素;公共政策层面:政府因素.
结论:
- 尼日利亚的婴儿死亡率与跨越个人,人际关系,组织,社区和公共政策层面的复杂因素相互作用有关.
- 了解这些多层次的决定因素对于开发有效的干预措施来减少尼日利亚的婴儿死亡率至关重要.
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