通过多层次的逻辑回归来确定孟加拉国产后护理的影响因素
Imran Hossain Sumon1, Md Sifat Ar Salan1, Mohammad Alamgir Kabir1
1Department of Statistics and Data Science, Jahangirnagar University, Savar, Dhaka, Bangladesh.
PloS one
|November 7, 2024
概括
孟加拉国的产后护理 (PNC) 受孩子的性别,出生顺序和母亲的就业影响. 专注于这些因素可以改善孕产妇和儿童的健康状况,有助于实现可持续发展目标.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 孕产妇和儿童的健康
背景情况:
- 在分娩后的六周内,产后护理 (PNC) 对母亲和新生儿的健康至关重要.
- 产后期对母亲和婴儿带来了重大健康风险.
- 确定PNC的关键决定因素对于改善孟加拉国的健康结果至关重要.
研究的目的:
- 确定影响孟加拉国产后护理利用的重要因素.
- 为提高PNC提供有针对性的干预措施提供证据.
主要方法:
- 孟加拉国人口与健康调查 (BDHS) 2017/18的二次数据分析.
- 采用描述性统计学,千二测试和多层次物流回归.
主要成果:
- 产后护理的使用率因地区而异,锡尔赫特的使用率最高 (73.7%),达卡的使用率最低 (57.1%).
- 女性婴儿的性别,有兄弟姐妹,最近的发烧和母亲的就业等因素显著影响了PNC几率.
- 与没有兄弟姐妹的孩子相比,有1-3个兄弟姐妹的孩子接受PNC的几率是1.82倍.
结论:
- 儿童的性别,出生顺序,居住地,BCG疫苗接种,产前护理访问,最近发烧,家庭规模,媒体曝光和家庭设施是PNC的重要预测因素.
- 针对特定变量进行有针对性的干预是必要的,以改善儿童健康.
- 调查结果支持决策者减少儿童发病率,并实现可持续发展目标,以促进母亲和儿童的生存.
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