在巴布亚新几内亚,妇女的地位,赋权和熟练交付服务的利用:基于结构方程建模的经验分析
Hao Shen1,1, Hang Zhao1,1, Baoqin Wang1,1
1School of Public Health, Chongqing Medical University, Chongqing, China.
Frontiers in public health
|January 25, 2024
概括
巴布亚新几内亚的妇女赋权,特别是家庭决策和获得医疗服务,对熟练助产员 (SBA) 的使用产生了积极的影响. 改善教育和医疗保健的准入可以提高母亲和新生儿的健康结果.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 巴布亚新几内亚 (PNG) 面临着高的孕产妇死亡率,熟练分娩护士 (SBA) 的利用率很低.
- 妇女的地位和赋权是母亲和儿童健康结果的关键决定因素.
- 了解影响SBA利用的因素对于改善PNG的孕产妇保健至关重要.
研究的目的:
- 评估妇女地位,赋权和PNG的SBA利用之间的因果关系.
- 确定女性地位和赋权影响SBA利用的机制.
- 为改善新几内亚的孕产妇健康提供基于证据的干预措施.
主要方法:
- 利用了2016-2018年巴布亚新几内亚人口健康调查 (PNG DHS) 的数据,涉及18175名女性.
- 采用了使用STATA 17.0和MPLUS 8.2.2.的结构方程建模 (SEM) 和路径分析.
- 评估了女性赋权和SBA利用之间的关联.
主要成果:
- 家庭决策 (β=0.049,p<0.05) 和获得医疗服务 (β=0.069,p<0.01) 与SBA使用有积极的关联.
- 对伴侣暴力的态度没有显示出与SBA使用的统计学意义上的关联.
- 教育通过改善获得医疗服务的机会间接影响了SBA的使用 (β=0.011,95%CI:0.002,0.022).
结论:
- 妇女地位和赋权对PNGSBA利用的直接和间接影响已得到证实.
- 强调提高妇女教育,决策权和获得医疗保健的重要性.
- 建议采取有针对性的干预措施,以加强新加坡新几内亚和其他太平洋小岛屿发展中国家 (PSIDS) 的母亲和新生儿健康.
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