埃塞俄比亚的空间变化和缺失出生准备和并发症准备 (BPCR) 消息的预测因素
Aklilu Habte1, Samuel Hailegebreal2, Tamirat Melis3
1School of Public Health, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia.
埃塞俄比亚失踪的出生准备和并发症准备 (BPCR) 信息的高率突显了空间差异. 关键预测因素包括贫困,有限的医疗保健准入和媒体曝光率低,需要有针对性的干预措施.
科学领域:
- 公共卫生 公共卫生
- 空间流行病学 空间流行病学
- 孕产妇和儿童的健康
背景情况:
- 出生准备和并发症准备 (BPCR) 信息是减少孕产妇和新生儿死亡率的关键产前干预措施.
- 关于埃塞俄比亚缺失的BPCR信息的空间分布和预测因素的证据有限.
- 本研究通过分析国家一级的空间模式和确定与缺失的BPCR信息相关的关键因素来解决这一差距.
研究的目的:
- 在埃塞俄比亚国家一级确定缺失的出生准备和并发症准备 (BPCR) 消息的空间预测因素.
- 绘制空间变异的地图,并识别缺失的BPCR消息的集群.
- 为改善孕产妇和新生儿的结果提供有针对性的公共卫生干预信息.
主要方法:
- 分析2016年埃塞俄比亚人口健康调查数据 (n=4771名女性).
- 使用Arc-GIS和SaTScan进行空间分析,以识别集群和热点 (全球莫兰的I,基于伯努利的空间扫描,Getis-Ord Gi*).
- 空间回归 (OLS,GWR) 用于确定缺失的BPCR信息的预测因素.
主要成果:
- 缺失的BPCR信息的总流行率为44.0%,具有显著的空间变化 (莫兰的I = 0.218,p<0.001).
- 确定了七个重要的空间集群,热点集中在索马里,阿法尔中部和冈贝拉地区.
- 贫困,单次ANC访问,无线电接入有限,经济困难,缺乏手机和没有医疗保险是重要的预测因素.
结论:
- 在埃塞俄比亚,缺失的BPCR信息的高流行率显示出显著的空间异质性.
- 干预措施应侧重于提高妇女的经济地位,寻求健康的行为和媒体参与.
- 建议制定促进全民医疗覆盖和医疗保险入学率的区域战略.
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