绘制与孟加拉国家庭分娩相关的流行率和共变量:多层次回归分析
Rakhi Dey1, Susmita Rani Dey1, Meem Haque1
1Statistics Discipline, Khulna University, Khulna, Bangladesh.
PloS one
|November 12, 2024
概括
尽管努力改善孕产妇医疗保健,但孟加拉国家庭分娩仍然很高,为46.41%. 高等教育,财富和产前护理访问降低了家庭分娩的风险,而更老的母亲年龄和意外怀孕增加了风险.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 流行病学 流行病学
背景情况:
- 孟加拉国面临着持续高的家庭分娩率,尽管对孕产妇医疗保健服务的投资.
- 了解家庭分娩的流行率和预测因素对于有针对性的公共卫生干预至关重要.
研究的目的:
- 为了确定孟加拉国家庭分娩的地区普遍性.
- 确定与女性家庭分娩相关的个人和社区层面的因素.
主要方法:
- 利用了来自孟加拉国2019年多指标集群调查 (MICS) 的数据.
- 包括在调查前两年分娩的9,166名妇女.
- 采用多级 (2级) 后勤回归分析,以考虑调查设计和确定预测因素.
主要成果:
- 家庭分娩的整体加权流行率为46.41%,地区差异很大 (Bandarban 84.58%与Meherpur 6.95%).
- 与较低家庭分娩几率相关的个人因素包括高等教育,财富,产前护理访问和第一次结婚时的18岁以上.
- 与更高的家庭分娩概率相关的因素包括35-49岁的母亲年龄和意外怀孕. 社区层面的财富,妇女的教育和媒体曝光与较低的家庭分娩率有关.
结论:
- 在孟加拉国,家庭分娩仍然是一个重大的公共卫生问题.
- 需要针对社会经济地位,教育,医疗保健和计划生育的有针对性的干预措施,以减少家庭分娩率和改善孕产妇的结果.
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