确定多哥北部五岁以下儿童死亡率的决定因素
Samantha R Levano1,2,3, John Kraemer4, Désiré Dabla2
1Department of Pediatrics, Albert Einstein College of Medicine, Bronx, New York, USA.
Journal of global health
|February 1, 2024
概括
托哥的五岁以下儿童死亡率仍然很高,兄弟姐妹死亡和母亲因素增加了风险. 产前护理显著降低了儿童死亡率,突出了改善母婴健康服务的需要.
科学领域:
- 全球健康 全球健康
- 人口统计学 人口统计学
- 公共卫生 公共卫生
背景情况:
- 托哥的五岁以下儿童死亡率仍然很高,尽管全球的死亡率有所下降.
- 像多哥这样的低收入和中等收入国家 (LMICs) 面临着在儿童生存率方面取得足够进展的挑战.
- 确定五岁以下儿童死亡率的决定因素对于托哥北部的有针对性的干预措施至关重要.
研究的目的:
- 确定与多哥北部五岁以下儿童死亡率相关的结构性和中间决定因素.
- 在特定的LMIC背景下分析导致儿童死亡率的因素.
- 为减少儿童死亡率差异的战略提供信息.
主要方法:
- 从人口统计家庭调查 (DHS) 和多指标集群调查 (MICS) 改编的横截面家庭调查于2018年在多哥北部进行.
- 从生育年龄的妇女收集数据,重点关注调查前10年出生的5岁以下儿童的死亡率.
- 考克斯的比例危险模型被用来估计选择的决定因素与五岁以下儿童死亡率之间的关联.
主要成果:
- 总共有4.80%的活产导致5岁以下儿童死亡率.
- 与增加死亡风险相关的因素包括先前的兄弟姐妹死亡,母亲的种族,多胎状态,母亲的年龄在25岁以下,分娩间隔较短和出生顺序较高.
- 女孩的五岁以下死亡风险较低,接受产前护理与死亡风险降低有关.
结论:
- 托哥的五岁以下儿童死亡率有所下降,但仍然高于其他LMICs.
- 兄弟姐妹的先前死亡和几个中间决定因素与增加的死亡风险有关.
- 获得产前护理是一个重要的保护因素,强调加强母婴健康服务的重要性,以减少死亡率差异.
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