空间分析和与加纳低出生体重相关的因素,使用2017年加纳孕产妇健康调查数据:空间和多层次分析
Dennis Boateng1, Felix Boakye Oppong2, Ephraim Kumi Senkyire3
1Global Statistical Consult, Accra, Ghana deebiz84@gmail.com.
BMJ open
|August 6, 2024
概括
空间分析揭示了加纳的低出生体重 (LBW) 集群.
科学领域:
- 公共卫生 公共卫生
- 空间流行病学 空间流行病学
- 地理信息系统 地理信息系统
背景情况:
- 低出生体重 (LBW) 是新生儿健康的关键指标,具有持久的发育影响.
- 了解LBW的地理分布对于解决健康不平等至关重要.
- 加纳的有限研究已经探索了LBW的空间模式.
研究的目的:
- 探索加纳低出生体重 (LBW) 的个人和集群级空间分布.
- 通过空间分析来确定影响LBW的共同决定因素.
- 为减少LBW.W.提供有针对性的公共卫生干预信息.
主要方法:
- 利用了2017年加纳孕产妇健康调查的数据.
- 进行了个人和集群级别的LBW分析,包括居住地和居住区.
- 采用空间和调查设计方法,包括后勤和波松回归模型.
主要成果:
- 热点分析确定了加纳中部和北部地区的LBW显著集群.
- 与农村地区相比,城市集群的LBW率明显较低 (p=0.017).
- 北方区域集群与沿海区域 (p=0.018) 相比,与更高的LBW率有关.
结论:
- Choropleth热点地图突出显示了加纳北部和中部地区LBW的集中区域.
- 解决农村-城市连续性的差异至关重要.
- 需要有针对性的关注,以弥合北部和中部地区的医疗保健系统差距,以减少LBW.
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