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埃塞俄比亚剖腹产的空间分布和相关因素使用迷你EDHS 2019数据:基于社区的横截面研究
Abebaw Gedef Azene1, Gizachew Tadesse Wassie2, Desale Bihonegn Asmamaw3
1Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia. abebaw2516@gmail.com.
Scientific reports
|September 16, 2024
概括
埃塞俄比亚的剖腹产分娩显示出显著的地理聚类,主要地区的热点. 针对穆斯林,最贫穷和没有受过教育的母亲的干预措施对于降低孕产妇死亡率至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 产科 产科 产科 产科 产科
背景情况:
- 孕产妇健康是一个全球公共卫生挑战.
- 剖腹产 (C-section) 的分娩对于降低复杂怀孕和分娩的孕产妇发病率和死亡率至关重要.
- 了解剖腹产的空间分布和相关因素对于埃塞俄比亚的有针对性的干预至关重要,因为在埃塞俄比亚,获得产科服务的机会因地区而异.
研究的目的:
- 评估埃塞俄比亚剖腹产产生的空间变化,并确定相关因素.
- 分析国家代表性数据以了解剖腹产分娩的地理模式和决定因素.
主要方法:
- 一项基于社区的横截面研究,使用2019年埃塞俄比亚人口与健康调查 (EDHS) 数据.
- 一个两阶段分层抽样设计包括5753名母亲.
- 空间分析使用全球莫兰的I和Getis-OrdGi*统计数据来分布和热点识别,并使用Kuldorff的SaTScan进行集群分析.
- 多级二进制物流回归确定了重要的相关因素.
主要成果:
- 剖腹产分娩在埃塞俄比亚显示出显著的地理聚类.
- 在亚的斯亚贝巴,奥罗米亚,提格雷,迪雷达瓦,阿姆哈拉和SNNR地区确定了剖腹产的热点地区.
- 与剖腹产相关的关键因素包括母亲的年龄,高等教育水平,穆斯林宗教,较贫穷至最富裕的财富指数,平等性和多胎妊娠. 值得注意的是,超过四分之一的剖腹产发生在私人机构中,54.74%的母亲没有受过教育.
结论:
- 埃塞俄比亚的剖腹产分娩在地理上是集中的,特定的地区被确定为热点.
- 母亲的教育,社会经济地位,宗教和怀孕特征显著影响了剖腹产率.
- 与世卫组织建议一致的地理目标干预措施对于改善母亲和婴儿的结果至关重要,特别是对于穆斯林,最贫穷和未受过教育的母亲等弱势群体.
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