评估条件现金转移计划与早产儿之间的关系:使用1亿巴西队列的回顾性纵向研究
Naiá Ortelan1,2, Márcia Furquim de Almeida3, Elzo Pereira Pinto Júnior4
1Center for Data and Knowledge Integration for Health (CIDACS), Gonçalo Moniz Institute (IGM), Oswaldo Cruz Foundation (FIOCRUZ-BA), Salvador, Bahia, Brazil. naia.ortelan@fiocruz.br.
BMC public health
|March 5, 2024
概括
博尔萨家族计划减少了巴西的极端早产. 这种效应在适当的产前护理和良好的计划管理下更为强烈,突出了其对公共卫生的影响.
科学领域:
- 公共卫生 公共卫生
- 健康的社会经济决定因素
- 孕产妇和儿童的健康
背景情况:
- 过早分娩是导致婴儿和儿童死亡率和发病率的重要因素.
- 贫困和不充分的产前护理与早产率的增加密切相关.
- 条件现金转移计划,如Bolsa Familia,旨在减轻贫困和改善健康结果.
研究的目的:
- 评估巴西Bolsa Familia计划对减少早产婴儿的影响.
- 调查该计划的效果是否因早产的严重程度而有所不同.
- 探索产前护理质量和计划管理对该协会的影响.
主要方法:
- 在巴西 (2004-2015年) 进行了超过100万个单胎婴儿的回顾性队列研究.
- 将出生记录与Bolsa Familia受益者数据和产前护理信息联系起来.
- 使用倾向评分方法和加权后勤回归来分析Bolsa Familia和早产之间的关联.
主要成果:
- 博尔萨家族与整体,中度到晚期或严重的早产没有显著的关联.
- 在受益者中观察到极端早产 (<28周) 的显著减少 (OR:0.69).
- 这种减少在有足够产前护理的母亲和有更好的计划管理的市政当局中更为明显.
结论:
- 像Bolsa Familia这样的有条件现金转移计划可以有效地减少极度早产的数量.
- 该计划的影响力通过适当的产前护理和高效的管理来增强.
- 这些发现支持收入转移计划在实现全球健康和发展目标中的作用.
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