奇平方自动交互检测决策树 分析弗吉尼亚州低出生体重的社会决定因素
Priyadarshini Pattath1, Meagan Robinson Maynor1, Rexford Anson-Dwamena1
1Virginia Department of Health, Richmond, VA 23218, USA.
概括
社会不平等对弗吉尼亚州的出生结果产生了重大影响. 种族/种族,产前护理和母亲教育是低出生体重的关键预测因素,指导有针对性的干预措施.
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:
- 社会不平等深深地影响出生结果,需要进行详细的调查.
- 弗吉尼亚州面临着低出生体重患病率的挑战,影响公共卫生倡议.
- 了解社会人口统计学因素和产妇护理服务的相互作用至关重要.
研究的目的:
- 分析影响弗吉尼亚州出生结果的社会不平等现象.
- 通过决策树分析识别低出生体重的关键预测因素.
- 为改善婴儿健康提供有针对性的干预信息.
主要方法:
- 奇平方自动相互作用检测 (CHAID) 分析应用于弗吉尼亚州出生登记数据 (2015-2019).
- 出生体重作为结果变量,社会人口统计学因素和产妇护理沙漠作为预测因素.
- 多层次的相互作用分析,以揭示复杂的风险因素关系.
主要成果:
- 弗吉尼亚州的低出生体重患病率为8.1%.
- CHAID模型揭示了风险因素 (34个节点) 之间的显著多层次相互作用.
- 种族/种族成为主要预测因素,其次是产前护理和母亲教育,每个种族/民族群体都有不同的途径.
结论:
- 在弗吉尼亚州确定了低出生体重的可修改风险因素.
- CHAID分析有效地突出了干预的目标人群.
- 研究结果支持优先考虑计划和政策,以解决出生结果的差异.
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