多层次分析儿童腹的医疗保健利用率在高死亡率的五岁以下国家
Misganaw Guadie Tiruneh1, Melak Jejaw2, Kaleb Assegid Demissie2
1Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P.O. BOX 196, Gondar, Ethiopia. mguadie41@gmail.com.
Scientific reports
|July 4, 2024
概括
在高死亡率的国家,儿童腹的医疗保健利用率仍然很低,超过40%的儿童没有得到护理. 改善教育和财富等因素对于减少儿童因腹死亡至关重要.
科学领域:
- 全球健康 全球健康
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 儿童腹是导致五岁以下儿童死亡的主要原因,特别是在撒哈拉以南非洲和南亚.
- 寻求医疗服务的延迟显著导致儿童因腹死亡,尽管它对降低死亡率的影响很大.
- 高的五岁以下儿童死亡率需要对儿童腹的医疗寻求行为进行评估.
研究的目的:
- 评估在五岁以下儿童死亡率高的国家对儿童腹的医疗保健利用率.
- 确定这些高负担地区儿童腹与寻求医疗保健行为相关的因素.
主要方法:
- 利用来自人口和健康调查 (2013/14-2019) 的二次数据在四个高低五岁以下死亡率的国家.
- 包括7254名5岁以下儿童母亲的加权样本.
- 采用多层二进制物流回归分析来确定相关因素.
主要成果:
- 在研究的国家,儿童腹的整体医疗保健利用率为58.40%.
- 积极的预测因素包括伴侣的教育程度,家庭财富,媒体曝光,口服补水信息和分娩地点.
- 负面预测因素包括活着的儿童数量;居住国 (与几内亚相比) 也是一个因素.
结论:
- 在高死亡率国家,超过40%的腹儿童没有获得医疗保健.
- 改善家庭财富,媒体曝光和教育机会的策略对于增加医疗保健利用至关重要.
- 进一步的研究应该探索疾病感知和口服补水解决方案知识作为影响寻求护理的因素.
相关概念视频
01:26Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
01:20Comparing the Survival Analysis of Two or More Groups
175
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
175
01:26Traditional Level Of Health Care System
2.7K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.7K
01:18Introduction To Survival Analysis
212
Survival analysis is a statistical method used to study time-to-event data, where the "event" might represent outcomes like death, disease relapse, system failure, or recovery. A unique feature of survival data is censoring, which occurs when the event of interest has not been observed for some individuals during the study period. This requires specialized techniques to handle incomplete data effectively.
The primary goal of survival analysis is to estimate survival time—the time...
The primary goal of survival analysis is to estimate survival time—the time...
212
01:30Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
01:18Drugs Affecting GI Tract Motility: Antimicrobials as Antidiarrheal Agents
115
Acute diarrhea, a common gastrointestinal disturbance, is characterized by the rapid evacuation of fluid stools, leading to an excessive weight in fluid. This condition typically arises from disorders affecting intestinal water and electrolyte transport. It can be triggered by an increased osmotic load within the intestine, excessive secretion of electrolytes and water, mucosal exudation of protein and fluid, or altered intestinal motility. The primary risks of acute diarrhea are dehydration...
115