探索印度儿童便不安全处置的驱动因素,使用等级回归模型
Margubur Rahaman1, Avijit Roy2, Pradip Chouhan3
1Department of Migration & Urban Studies, International Institute for Population Sciences (IIPS), Deonar, Mumbai, India.
PloS one
|March 18, 2024
概括
儿童便的不安全处置影响了61.3%的印度家庭,受到母亲的教育和卫生设施等因素的影响. 有针对性的干预措施对于改善儿童健康和预防便口腔疾病传播至关重要.
科学领域:
- 公共卫生 公共卫生
- 环境健康 环境健康
- 儿科 儿科 儿科
背景情况:
- 儿童便处置是印度卫生计划的一个被忽视的方面.
- 不安全的处置增加了便口腔疾病在儿童中传播的风险.
- 社会经济和人口因素显著影响儿童便处理的做法.
研究的目的:
- 确定与印度不安全的儿童便处理有关的社会经济和人口因素.
- 估计不安全的儿童便处置实践的地理差异.
- 告知有针对性的公共卫生干预措施,以改善儿童的卫生条件.
主要方法:
- 利用了来自国家家庭健康调查 (2019-21) 两年以下的78,074例分娩的数据.
- 采用描述性统计,用于双变量分析的千平方测试.
- 应用了四层层次的层次逻辑回归模型来分析预测因素.
主要成果:
- 观察到全国61.3%的不安全儿童便处置的流行率.
- 在农村 (45%) 和城市 (67%) 地区之间发现了显著的差异.
- 母亲的教育,财富五分位数和卫生设施的准入是关键预测因素;存在相当大的地理差异.
结论:
- 广泛存在的不安全的儿童便处理需要有针对性的干预措施.
- 诸如教育,财富,卫生和水的供应等因素至关重要.
- 家庭和社区层面的地理差异凸显了对本地化策略的需求.
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