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在莱索托使用人口和健康调查数据对五岁以下儿童死亡率的时空建模
Mthobisi Mxolisi Zondi1, Henry G Mwambi1, Sileshi Fanta Melesse1
1University of KwaZulu-Natal-School of Mathematics, Statistics and Computer Science, Pietermaritzburg, KwaZulu-Natal, South Africa.
African health sciences
|February 15, 2024
概括
在莱索托,母乳养和母亲教育显著降低了五岁以下儿童死亡率 (U5M). 增加的出生率和儿童年龄也提高了U5M风险,突出了针对性卫生干预的必要性.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 生殖健康 生殖健康
背景情况:
- 莱索托的目标是到2030年将五岁以下儿童死亡率 (U5M) 降至每1000名活产儿的25例死亡,与联合国可持续发展目标 (SDGs) 保持一致.
- 五岁以下儿童死亡率仍然是SDG地区的重大公共卫生挑战.
研究的目的:
- 调查影响莱索托五岁以下儿童死亡率的时空因素.
- 确定U5M的主要人口和社会经济决定因素.
主要方法:
- 使用了莱索托人口和健康调查 (LDHS) 数据集.
- 使用时空模型分析生殖年龄组 (女性15-49岁,男性15-54岁).
主要成果:
- 哺乳与儿童死亡风险降低有关.
- 较高的母亲教育水平显著降低了U5M的几率.
- 五岁以下儿童数量增加和儿童年龄增加与更高的U5M风险有关.
结论:
- 应该对母亲进行母乳养和避孕教育,以减少U5M.
- 优先考虑农村发展和改善初级医疗保健的可访问性至关重要.
- 公共卫生服务需要在农村地区扩大覆盖范围.
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