乌干达的亲密伴侣暴力和产前护理利用预测因素:应用安德森医疗保健利用行为模型的分析
Ronald Anguzu1,2, Rebekah J Walker3,4, Harriet M Babikako5
1Division of Epidemiology and Social Sciences, Institute for Health and Equity, Medical College of Wisconsin, Milwaukee, US. ranguzu@mcw.edu.
亲密伴侣暴力 (IPV) 与乌干达更少的产前护理 (ANC) 访问有关. 提高妇女的教育,自主性和媒体曝光率可以增加女性经历IPV的ANC利用率.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 社会学 社会学 社会学
背景情况:
- 优化产前护理 (ANC) 的利用对于积极的怀孕经历和分娩结果至关重要.
- 有限证据表明,影响在乌干达遭受亲密伴侣暴力 (IPV) 的女性中使用ANC的因素.
研究的目的:
- 为了确定IPV暴露和ANC利用之间的关联.
- 用安德森的医疗保健利用行为模型来确定ANC利用的预测因素.
主要方法:
- 分析2016年乌干达人口与健康调查数据 (n=1768名女性).
- 以ANC访问次数来衡量ANC的使用率.
- IPV暴露被定义为自我报告的身体,性或情感暴力.
- 用于评估关联和预测指标的Poisson回归模型,控制共变量.
主要成果:
- 经历IPV的女性与没有经历IPV的女性相比,ANC访问次数较少 (p=0.013).
- 在控制启用因素和医疗保健系统因素后,IPV暴露与ANC利用有负相关性.
- 高等教育,妇女的自主权和大众媒体的曝光预测了ANC使用率的增加.
结论:
- 建议针对助力因素 (教育,自主,媒体曝光) 和医疗保健系统因素的干预措施,以增加乌干达妇女经历IPV的ANC使用率.
- IPV预防和应对策略应包括加强这些因素的措施,以改善孕产妇获得医疗保健的机会.
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