全球健康指标和儿童死亡率趋势:来自全球小组的见解 分析了200个国家的数据
Myung-Bae Park1, Young-Joo Won1
1Division of Health Administration, Yonsei University, Wonju, Republic of Korea.
International journal of social determinants of health and health services
|September 27, 2024
概括
这项研究发现,虽然全球有更多的医生减少婴儿和五岁以下儿童死亡率,但卫生支出显示出积极的关联. 疫苗的影响因地区和覆盖率不同而有所不同.
科学领域:
- 全球健康 全球健康
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 婴儿死亡率 (IMR) 和五岁以下死亡率 (U-5MR) 是国家健康的关键指标.
- 了解IMR和U-5MR的决定因素对于公共卫生政策至关重要.
- 假设医疗资源和疫苗覆盖率会影响儿童死亡率.
研究的目的:
- 研究医疗资源,疫苗覆盖率和IMR/U-5MR之间的关系.
- 分析全球不同地区之间的这些关系.
- 确定影响1990-2021年儿童死亡率趋势的因素.
主要方法:
- 对200个国家的纵向面板数据分析 (1990-2021).
- 数据根据地理和流行病学相似之处分为七个区域.
- 使用了相关性和二次回归分析.
主要成果:
- 卫生支出与IMR/U-5MR之间的总体积极关联.
- 每1000人医生和IMR/U-5MR之间的全球负相关性,在四名医生左右停滞不前.
- 特定疫苗 (HBV,MCV,BCG) 与死亡率负相关;疫苗覆盖率显示出值效应.
结论:
- 医生的可用性增加在全球范围内持续降低儿童死亡率.
- 卫生支出和疫苗对死亡率的影响存在区域差异.
- 需要量身定制的全球战略,以有效地减少IMR和U-5MR.
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