全球孕产妇死亡率预测按城市/农村位置和教育水平:基于模拟的分析分析
Zachary J Ward1,2, Rifat Atun2,3,4, Gary King5
1Center for Health Decision Science, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA.
EClinicalMedicine
|May 27, 2024
概括
农村妇女和受教育程度较低的妇女的孕产妇死亡率明显高. 改善妇女教育可以大大减少全球产妇死亡率.
科学领域:
- 全球健康 全球健康
- 人口统计学 人口统计学
- 公共卫生 公共卫生
背景情况:
- 孕产妇死亡率是一个全球性健康挑战,国际上已知存在差异.
- 各国中各个子组之间的孕产妇健康结果的内部差异较少被理解.
- 这项研究旨在量化各国各个子组的孕产妇健康指标.
研究的目的:
- 估计每个国家女性子组的孕产妇健康指标.
- 分析基于城市/农村位置和教育水平的孕产妇健康差异.
- 预测教育干预措施对孕产妇健康结果的影响.
主要方法:
- 利用全球孕产妇健康 (GMatH) 微模拟模型进行基于模拟的分析.
- 从1990年到2050年为200个国家/地区估计的孕产妇健康指标.
- 模拟个人生殖生命周期,包括计划生育,生物条件和先前并发症等因素,根据子组而异.
主要成果:
- 发现了显著的差异:2022年全球孕产妇死亡率 (MMR) 在农村妇女中为292,而在城市妇女中为100.
- 根据教育程度,MMR的发生率有所不同:每10万活产儿中有536例 (低),143例 (中),85例 (高).
- 预计到2030年,如果所有女性完成中学教育,全球MMR可能会从167下降到97,其中阿富汗和也门等国家取得了重大进展.
结论:
- 孕产妇健康的子组差异对全球健康公平构成重大挑战.
- 低教育程度的农村妇女面临最差的结果,需要有针对性的干预措施.
- 投资妇女教育和解决社会决定因素对于改善母亲健康以及卫生系统干预至关重要.
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