与马拉维妇女晚期产前启动相关的因素
1Population and Health Research Entity, North-West University, Mafikeng 2735, South Africa.
International journal of environmental research and public health
|February 24, 2024
概括
在马拉维,75.6%的妇女开始产前护理 (ANC) 的时间较晚,往往是在第一季度之后. 地区,教育和婚姻状况等因素与延迟ANC启动有关,影响母亲和儿童的健康结果.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 人口统计学 人口统计学
背景情况:
- 早期启动产前护理 (ANC) 对于管理妊娠并发症至关重要.
- 在全球范围内,许多女性推迟了第一次ANC访问,增加了风险.
- 本研究涉及马拉维晚期ANC启动的流行率和决定因素.
研究的目的:
- 确定马拉维迟到开始产前护理的流行情况.
- 确定与ANC访问延迟相关的社会人口和产科因素.
主要方法:
- 利用了2015-16年马拉维人口和健康调查 (MDHS) 的数据.
- 包括13,251名在调查前五年分娩的妇女.
- 采用千二测试和多变量逻辑回归进行分析.
主要成果:
- 在马拉维,晚期ANC启动的流行率为75.6%.
- 晚期启动的几率增加与北部/中部地区,城市居住,没有/小学教育,<4次ANC访问,未婚状态和非剖腹产分娩有关.
- 在20-34岁的女性中观察到更低的几率.
结论:
- 晚期产前护理的启动是马拉维的一个重要问题,受到地区,居住地,教育,婚姻状况和年龄的影响.
- 调查结果强调需要修订ANC政策,以促进早期利用.
- 建议针对受教育程度有限的妇女和年轻的未婚妇女进行有针对性的干预,以改善母亲和儿童的健康.
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