与撒哈拉以南非洲的围产死亡率相关的因素:多层次分析
Meklit Melaku Bezie1, Hiwot Altaye Asebe2, Angwach Abrham Asnake3
1Department of Public Health, Institute of Public Health, College of Medicine and Health Sciences and Comprehensive Specialized Hospital, University of Gondar, Gondar, Ethiopia.
PloS one
|November 21, 2024
概括
围产期死亡率仍然是撒哈拉以南非洲的一个关键公共卫生问题. 影响这一点的关键因素包括母亲的年龄,分娩间隔,获得医疗保健和社会经济地位,突出了改善孕产妇健康服务的需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 人口统计学 人口统计学
背景情况:
- 围产死亡率是一个重大的全球卫生挑战,特别是在撒哈拉以南非洲 (SSA).
- 关于SSA中产周死亡率的发生率和贡献因素的研究有限.
- 本研究通过调查该地区与围产死亡率相关的因素来解决知识差距.
研究的目的:
- 确定和分析与撒哈拉以南非洲的围产死亡率相关的关键因素.
- 为有针对性的公共卫生干预提供基于证据的见解.
主要方法:
- 从27个SAS国家的人口和健康调查 (DHS) 数据的二次数据分析.
- 包括前五年的大约314,099个出生.
- 应用一个多层次的二元物流回归模型来确定显著的关联.
主要成果:
- 在SSA的总体围产死亡率为每1000例出生37.31.
- 与围产死亡率增加相关的因素包括较高的孕产妇年龄,多夫多妻制,农村居住和难以获得医疗保健.
- 与降低围产死亡率相关的因素包括适当的分娩间隔,产前护理访问,更高的母亲教育和更大的家庭财富.
结论:
- 产前死亡率是SSA的一个重大公共卫生问题,受到社会人口统计学,产科和医疗保健相关因素的结合的影响.
- 干预措施应侧重于加强孕产妇保健服务和解决社会经济差异.
- 整体医疗保健策略对于减少该地区围产期死亡率至关重要.
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