使用2000-2016年EDHS数据在埃塞俄比亚的五岁以下儿童死亡率和相关风险因素的时空空间建模
Endashaw Amuka1, Aweke A Mitiku2, Melkamu A Zeru1
1Department of Statistics, College of Science, Bahir Dar University, Bahir Dar, Ethiopia.
BMC pediatrics
|March 22, 2024
概括
埃塞俄比亚的五岁以下儿童死亡率显示出显著的空间和时间变化. 诸如母亲的文盲和缺乏疫苗接种等因素增加了儿童死亡率,而避孕药的使用和产前护理访问减少了儿童死亡率.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 流行病学 流行病学
背景情况:
- 五岁以下儿童死亡率是医疗保健系统绩效的关键指标.
- 埃塞俄比亚面临着持续高的五岁以下儿童死亡率,尽管略有下降.
- 在埃塞俄比亚各个地区,五岁以下儿童死亡率存在显著的空间和时间差异.
研究的目的:
- 确定与埃塞俄比亚五岁以下儿童死亡率相关的风险因素.
- 分析埃塞俄比亚行政区五岁以下儿童死亡率的时空变化.
主要方法:
- 利用了2000-2016年埃塞俄比亚人口与健康调查 (EDHS) 的数据.
- 采用时空动态模型分析来自65个行政区的数据.
- 包括43029个5岁以下儿童死亡病例的加权样本.
主要成果:
- 对于五岁以下儿童的死亡率,观察到一个显著的时空相互作用效应.
- 增加的孕产妇文盲,缺乏疫苗接种和未改善的水源与较高的死亡率相关.
- 增加避孕药的使用和超过四次产前护理访问与死亡率的降低有关.
结论:
- 埃塞俄比亚的五岁以下儿童死亡率虽然在下降,但仍然很高,具有显著的空间和时间变化.
- 母亲教育,疫苗接种情况,水质,避孕药的使用和产前护理是影响儿童生存的关键因素.
- 解决五岁以下儿童死亡率问题需要考虑空间关系和时间趋势.
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