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乌干达东部伊甘加县农村新生儿死亡率的风险因素:一个病例控制研究
Bruce Donald Ndyomugyenyi1, Betty Nabukeera1, Davis Natukwatsa2
1Makerere University Centre for Health and Population Research, Iganga-Mayuge Health and Demographic Surveillance Site, Kampala, Uganda.
The East African health research journal
|September 2, 2024
概括
乌干达东部的新生儿死亡率与母亲有5个以上的孩子,不到4次产前检查和双胞胎出生有关. 在怀孕和分娩期间专注于新生儿护理对于减少婴儿死亡至关重要.
科学领域:
- 公共卫生 公共卫生
- 新生儿医学 新生儿医学
- 流行病学 流行病学
背景情况:
- 乌干达东部的新生儿死亡率 (NM) 超过了全国平均水平,尽管整体儿童死亡率下降,但仍处于停滞状态.
- 减少NM对于改善5岁以下儿童存活率至关重要.
研究的目的:
- 在乌干达东部的一个农村地区确定与新生儿死亡率相关的风险因素.
- 在类似的环境中为减少新生儿死亡率提供有针对性的干预措施的信息.
主要方法:
- 在伊甘加地区进行了一项匹配的病例控制研究,比较了91名死去的新生儿 (病例) 与182名活着的新生儿 (对照).
- 通过家庭调查收集有关母亲,社会人口和新生儿变量的数据.
- 使用条件后勤回归分析来确定新生儿死亡率的独立风险因素.
主要成果:
- 出生五个或更多孩子 (AOR=2.88) 和参加不到四次产前护理访问 (AOR=2.27) 显著增加了新生儿死亡的风险.
- 生双胞胎 (AOR=6.30) 是一个强大的风险因素,而在卫生机构分娩显示出保护作用 (AOR=0.26).
结论:
- 新生儿死亡率的关键风险因素包括高平价,不充分的产前护理和多胎.
- 在怀孕和分娩期间强调新生儿护理对于减少乌干达农村环境中的新生儿死亡率至关重要.
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