在南印度地区的部落人口中,五岁以下儿童死亡率和相关因素
Yadlapalli Sriparvathi Kusuma1, Penatapati Siva Santoshkumar2, Tanguturi Madhu Sudhanarao3
1Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
在南印度的部落人口中,儿童死亡率很高,这与缺乏医疗保健和早产等因素有关. 针对性干预对于弱势部落群体 (VTGs) 和改善社区卫生基础设施至关重要.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 社会学 社会学 社会学
背景情况:
- 印度的部落人口占总人口的8.6%,包括75个特别脆弱的部落群 (PVTGs).
- 安得拉邦的维萨卡帕特南地区有大量的部落人口,需要专注的健康研究.
研究的目的:
- 报告在维萨卡帕特纳姆的部落人口 (PVTG和非PVTG) 中的五岁以下儿童死亡率.
- 确定与此人口中的儿童死亡率相关的社会人口统计学和健康寻求行为因素.
主要方法:
- 在四个子区进行了横截面研究.
- 通过面试官管理的问卷收集了来自277名母亲的数据,这些母亲的孩子年龄不到一年.
- 多重逻辑回归分析用于识别与儿童死亡相关的重要因素.
主要成果:
- 在632名活生生的婴儿中,56名在12个月内死亡.
- 与儿童死亡相关的重要因素包括:没有卫生设施的村庄,由女性领导的家庭,第一次分娩时的年龄较小,以及30岁或以上的母亲.
- 偏远的居住和社会经济条件加剧了脆弱性.
结论:
- 基于家庭的新生儿护理对于面临社会经济挑战和远程生活的部落社区至关重要.
- 需要健康教育来解决早婚和青少年怀孕的问题.
- 分散数据强调了需要针对特定人口的干预措施,改善基础设施 (道路,医疗保健准入) 和部落人口的整体社会经济发展.
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