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调查印度洪水与低出生体重之间的关联:使用地理空间方法
Sourav Biswas1, Suresh Mondal2, Adrita Banerjee3
1Department of Population & Development, International Institute for Population Science, Deonar, Mumbai 400088, India.
The Science of the total environment
|December 27, 2023
概括
印度的洪水显著增加了婴儿低出生体重 (LBW) 和非常低出生体重 (VLBW) 的风险,特别是在弱势群体中. 这凸显了需要综合防灾和公共卫生干预措施,以保护母亲和儿童的健康.
科学领域:
- 环境健康 环境健康
- 公共卫生 公共卫生
- 地理空间分析是什么
背景情况:
- 洪水等自然灾害对印度的公共卫生构成重大威胁.
- 低出生体重 (LBW) 是与新生儿死亡率相关的关键全球健康问题.
- 在印度,洪水危险与LBW之间的关联尚未得到充分研究.
研究的目的:
- 利用地理空间方法调查印度洪水风险和LBW之间的关联.
- 为了揭示洪水对出生体重的影响的空间动态.
- 提供关于洪水对不同地理区域出生体重的影响的见解.
主要方法:
- 利用国家家庭健康调查 (NFHS-5) 数据 (2019-21) 和洪水区域地图.
- 将出生体重分为非常低,低和正常的类别.
- 采用双变量分析,多项逻辑回归,莫兰的I和地理加权回归进行空间分析.
主要成果:
- 受洪水影响的地区的出生体重非常低 (VLBW) 和LBW婴儿的比例更高.
- 洪水暴露与LBW风险增加8%和VLBW风险增加27%有关.
- 地理加权回归表明,洪水风险解释了52%的LBW变化;最贫穷的家庭暴露在洪水中,LBW的可能性高出5%.
结论:
- 洪水和LBW之间存在显著的关联,强调了对灾难准备和公共卫生战略的需要.
- 揭开洪水引起的LBW差异的空间复杂性,为更健康的出生结果和降低儿童死亡率提供了洞察力.
- 解决环境挑战和社会经济不平等的整体政策对于洪水易患地区的母亲和婴儿健康至关重要.
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