埃塞俄比亚农村地区五岁以下儿童死亡率的预测因素:一个横截面研究
Gebru Gebremeskel Gebrerufael1, Bsrat Tesfay Hagos2
1Department of Statistics, College of Natural and Computational Science, Adigrat University, P.O. Box 50, Adigrat, Ethiopia. gebrugebremeskel12@gmail.com.
BMC pediatrics
|December 15, 2023
概括
在埃塞俄比亚农村地区,五岁以下儿童死亡率仍然很高,其中6.2%的儿童在5岁之前死亡. 关键因素包括分娩间隔,多胎,母乳养和疫苗接种情况.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 流行病学 流行病学
背景情况:
- 五岁以下儿童死亡率 (UFCM) 是一个重要的公共卫生指标.
- 尽管全球范围内有所减少,但撒哈拉以南非洲,特别是埃塞俄比亚的UFCM率仍然很高.
- 这项研究重点关注埃塞俄比亚农村人口中的UFCM.
研究的目的:
- 评估各种因素与埃塞俄比亚农村地区五岁以下儿童死亡率之间的关联.
- 确定5岁以下儿童死亡率的关键预测因素.
主要方法:
- 2019年埃塞俄比亚小型人口和健康调查 (EMDHS) 的二次数据分析.
- 最终包括了4425名5岁以下的儿童.
- 使用了卡普兰-梅尔和考克斯的比例危险模型,调整了危险比率 (AHR) 和95%的置信区间 (CI).
主要成果:
- 埃塞俄比亚农村地区的UFCM率为6.2% (95% CI:5.43,6.86).
- 与UFCM的显著关联包括:较长的先前分娩间隔 (保护性),多胎 (风险),母乳养 (保护性) 和未接种疫苗的状态 (风险).
- 针对每个重要因素,报告了特定的AHR和CI.
结论:
- 埃塞俄比亚农村的UFCM率为6.2%,发现了重要的关联.
- 干预措施应针对多胎儿,未接种疫苗的儿童和非母乳养的婴儿.
- 促进更长的分娩间隔和对UFCM的持续研究对于有效的公共卫生战略至关重要.
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