在撒哈拉以南非洲地区与出生体重相关的因素的多层次多项回归分析
Meklit Melaku Bezie1, Getayeneh Antehunegn Tesema2, Beminate Lemma Seifu3
1Department of Public Health, Institute of Public Health, College of Medicine and Health Sciences and Comprehensive Specialized Hospital, University of Gondar, Gondar, Ethiopia. mesiyemaki@gmail.com.
Scientific reports
|April 22, 2024
概括
低出生体重和巨是撒哈拉以南非洲重要的公共卫生问题. 母亲的教育,财富,年龄和获得医疗保健是影响这些出生体重极端的关键因素.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 孕产妇和儿童的健康
背景情况:
- 出生的体重是新生儿和长期婴儿健康的关键决定因素.
- 撒哈拉以南非洲 (SSA) 面临着日益增长的低出生体重 (LBW) 和宏观贫困的双重负担.
- 关于SSA出生体重变化的流行率和相关因素的研究有限.
研究的目的:
- 为了调查LBW和SSA中的宏观体的大小.
- 确定与SSA中的LBW和宏观性相关的个人和社区层面的因素.
主要方法:
- 利用来自36个南亚国家人口与健康调查 (DHS) 的数据.
- 在对207548名活产婴儿的加权样本采用多层多项逻辑回归分析.
- 使用调整的相对风险比率 (aRRR) 和95%信心区间 (CI) 确定了重要的因素.
主要成果:
- 在研究人群中,LBW的患病率为10.44%,宏观为8.33%.
- 与LBW和宏观症相关的个体因素包括母亲的教育,财富,年龄和怀孕次数.
- 社区层面的因素包括居住地和SSA地区;LBW与健康设施的距离有关,而宏观性与平价,婚姻状况和想要怀孕有关.
结论:
- 在SSA中,LBW和宏观体构成重大公共卫生挑战.
- 母亲的社会经济地位,教育,医疗保健和人口因素是关键的决定因素.
- 干预措施应侧重于改善孕产妇的社会经济条件和医疗保健的可获得性,以减轻异常出生体重的双重负担.
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