在印度使用产前护理服务时,女性的决策自主性是否重要? 来自全国代表性调查的分析
Koyel Majumder1, Mithun Sarkar1, Rahul Mallick2
1Department of Geography, University of Gour Banga (UGB), Malda, West Bengal, India.
PloS one
|August 22, 2024
概括
妇女的决策自主性显著改善了印度的产前护理 (ANC) 使用情况. 赋予妇女在医疗保健选择中的权力对于提高孕产妇健康结果和社会福祉至关重要.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 生殖健康 生殖健康
背景情况:
- 产前护理 (ANC) 对于母亲和儿童的健康至关重要,但在使用方面存在很大的差异在印度.
- 妇女的决策自主性是寻求医疗行为的关键决定因素,但其对ANC利用的影响需要进一步研究.
研究的目的:
- 调查女性决策自主权与印度永久已婚妇女使用产前护理 (ANC) 服务之间的联系.
- 确定与充分使用ANC服务相关的因素,以告知公共卫生干预措施.
主要方法:
- 利用来自国家家庭健康调查 (NFHS-5) (2019-21) 的二次数据.
- 包括34,618名15-49岁的已婚女性,在过去五年中生下了活产.
- 采用双变量和多变量逻辑回归分析来评估自主性和ANC利用之间的关联.
主要成果:
- 很大一部分女性不符合世卫组织推的ANC标准.
- 多变量分析显示,女性的决策自主性与充分利用ANC服务之间存在显著的积极关联 (AOR: 1.316,95%CI: 1.197-1.446,p<0.05).
- 在25-34岁的女性中,也观察到ANC使用率更高,受过教育的女性,有媒体访问的人,来自最富有的五分之一,居住在南部,西部和东部地区.
结论:
- 提高妇女的决策自主性是改善印度产前护理利用的关键策略.
- 解决性别差异和促进妇女赋权对于改善孕产妇和整体社会健康至关重要.
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