在埃塞俄比亚,空间时间模式和导致新生儿死亡率的因素:从2000年到2019年的EDHS数据
Getiye Dejenu Kibret1,2, Habtamu Mellie Bizuayehu3, Abel F Dadi4,5
1School of Public Health, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
PloS one
|November 4, 2024
概括
埃塞俄比亚的新生儿死亡热点在地理上发生了转变,早期母乳养显著减少了婴儿死亡. 家庭分娩和男婴面临更高的死亡风险,突出了针对性干预的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 空间分析 空间分析
背景情况:
- 新生儿死亡率仍然是埃塞俄比亚的重大公共卫生挑战,尽管健康指标的整体改善.
- 在2016年至2019年期间,新生儿死亡率出现了令人担忧的增加.
研究的目的:
- 研究埃塞俄比亚新生儿死亡率的空间分布和时间趋势.
- 确定与新生儿死亡率相关的关键孕产妇,新生儿和卫生服务相关因素.
主要方法:
- 分析2000年至2019年的埃塞俄比亚人口和健康调查 (EDHS) 数据.
- 使用空间扫描分析和Getis-Ord Gi*统计数据来识别时间空间模式.
- 采用多级物流回归来确定导致因素.
主要成果:
- 随着时间的推移,新生儿死亡率集群从中部/西部/北部地区转移到埃塞俄比亚东部 (包括索马里地区).
- 早期开始母乳养与新生儿死亡率显著减少有关 (AOR=0.27).
- 家庭分娩 (AOR=1.46),男性性别 (AOR=1.36),更高的平价率 (AOR=1.36),以及较短的分娩间隔 (AOR=0.76) 与新生儿死亡风险增加有关.
结论:
- 新生儿死亡率的空间模式已经演变,需要更新区域干预策略.
- 优先考虑早期开始母乳养对于改善新生儿存活率至关重要.
- 需要针对在家出生的新生儿,男婴,以及来自具有高平价或短分娩间隔的母亲的新生儿提供有针对性的关注.
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