血缘关系,怀孕结果和子女死亡率之间的联系在21世纪的印度
Mir Azad Kalam1, Santosh Kumar Sharma2, Saswata Ghosh3
1Narasinha Dutt College, Howrah, India. imirazad@gmail.com.
Scientific reports
|September 28, 2024
概括
血缘婚姻增加了自发流产和新生儿死亡的风险. 然而,改善的社会经济因素和医疗保健服务缓冲了与血缘关系相关的儿童死亡率上升.
科学领域:
- 生殖健康 生殖健康
- 人口统计学 人口统计学
- 公共卫生 公共卫生
背景情况:
- 在许多社会中普遍存在的血缘婚姻在历史上与不良妊娠结果和儿童死亡率有关.
- 血缘关系对儿童存活率的影响可能受到不断变化的人口,社会经济和医疗保健环境的影响.
研究的目的:
- 调查血缘婚姻与不良妊娠结果和儿童死亡率之间的关联.
- 评估全球化后时代发展对血缘关系和儿童存活率之间的关系的调节作用.
主要方法:
- 利用印度国家家庭健康调查4 (2015-2016) 和5 (2019-2021) 的数据.
- 采用二进制后勤回归和考克斯比例危险回归模型来分析与近亲 (CC) 和远亲 (DC) 相关的风险,与非血缘关系 (NC) 相比.
- 研究了对自发流产,死胎,新生儿死亡率,新生儿后死亡率和儿童死亡率的影响.
主要成果:
- 血缘关系 (CC和DC) 显著增加了自发流产的风险 (p < 0.001).
- 与NC相比,远距离血缘关系 (DC) 显著增加了新生儿死亡风险 (p < 0.001).
- 血缘关系和整体儿童死亡率之间没有发现显著的关联.
结论:
- 血缘关系的内生影响继续对胎儿和新生儿的生存构成风险.
- 外源因素,如改善的社会经济条件和获得医疗保健,似乎可以减轻血缘关系中儿童死亡的风险.
- 将血缘关系纳入现有的儿童生存框架,如莫斯利和陈的 (1984),对于理解发展中国家儿童生存至关重要.
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