在印度尼西亚,不想要的怀孕与低出生体重联系的途径:条件调解分析
Dedik Sulistiawan1,2, Chyi-Huey Bai1,3
1School of Public Health, College of Public Health, Taipei Medical University, New Taipei City, 235, Taiwan.
Heliyon
|September 26, 2024
概括
意外怀孕并不直接导致低出生体重 (LBW). 相反,不完整的产前护理 (ANC) 起到了关键的调解作用,突出了改善孕产妇健康服务和家庭支持的需要.
科学领域:
- 生殖健康 生殖健康
- 孕产妇和儿童的健康
- 发展中国家的公共卫生
背景情况:
- 意外怀孕在发展中国家面临重大挑战,影响母亲和儿童的福祉,包括低出生体重 (LBW).
- 虽然不想要的怀孕和LBW之间存在联系,但确切的机制和调解因素仍然不清楚.
- 现有研究表明,关于意外怀孕和LBW之间的直接关联,存在不一致的结果.
研究的目的:
- 调查产前护理 (ANC) 完整性在印度尼西亚意外怀孕和LBW之间关系中的调解作用.
- 检查家庭支持对意外怀孕和LBW之间的关联的缓解效应.
- 澄清复杂的途径,将意外怀孕与不良分娩结果联系起来.
主要方法:
- 利用了2017年印尼人口和健康调查 (IDHS) 的数据,这是一项基于人口的研究.
- 包括13,179名年龄在15-49岁的妇女,她们有1-5岁的孩子.
- 采用多重物流回归和通用结构方程建模 (GSEM) 来分析数据.
主要成果:
- 在初步分析中,意外怀孕与LBW没有直接关联.
- GSEM发现,不完整的ANC完全调解了意外怀孕对LBW的影响 (b=0.32,p<0.001).
- 意外怀孕对LBW的间接影响受到不同程度的家庭支持的影响.
结论:
- 不完整的产前护理是解释意外怀孕和低出生体重之间的联系的关键调解者.
- 加强ANC服务和加强家庭支持是减轻意外怀孕不良后果的关键政策干预措施.
- 这项研究更清楚地了解了意外怀孕影响母亲和儿童健康的机制.
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