在埃塞俄比亚使用EDHS 2019的关键时期,产后护理利用的地理空间分布和预测因素:空间和地理加权回归分析
Muluken Chanie Agimas1, Tigabu Kidie Tesfie1, Nebiyu Mekonnen Derseh1
1Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine, University of Gondar, Gondar, Ethiopia.
PloS one
|January 8, 2025
概括
早期产后护理 (PNC) 对埃塞俄比亚的母亲和新生儿健康至关重要,但只有三分之一的妇女获得了护理. 地理空间分析揭示了显著的区域差异,并确定了改善PNC利用的关键预测因素.
科学领域:
- 公共卫生 公共卫生
- 地理空间流行病学
- 孕产妇和儿童的健康
背景情况:
- 在分娩后2天内提供早期产后护理 (PNC) 对降低产妇和新生儿死亡率至关重要,特别是在撒哈拉以南非洲.
- 埃塞俄比亚面临高的孕产妇和新生儿死亡率,这强调了需要有效的早期PNC战略.
- 使用最近的数据,关于埃塞俄比亚早期PNC的空间分布和预测因素的研究有限.
研究的目的:
- 评估在埃塞俄比亚关键的早期产后期使用产后护理的地理空间分布.
- 通过2019年EDHS数据,确定与埃塞俄比亚产后护理利用相关的关键预测因素.
- 应用地理加权回归来理解影响早期产后护理的预测因素的空间变化.
主要方法:
- 2019年埃塞俄比亚人口与健康调查 (EDHS) 涉及2105名妇女的横截面研究的二次数据分析.
- 使用Getis-Ord Gi*,Moran's I和卫星扫描统计数据进行空间分析,以确定早期PNC的集群和空间自相关性.
- 地理加权回归用于分析影响早期产后护理利用率的预测因素的空间变化.
主要成果:
- 总体而言,早期产后护理利用率为34% (95% CI: 31.5%-36.5%),在埃塞俄比亚的空间分布是非随机的.
- 早期PNC利用的热点地区在贝尼尚古尔,古姆兹和西蒂格雷被确定;冷点在南部国家西部.
- 热点地区早期PNC的预测因素包括产前护理访问,设施交付,没有正式教育和媒体曝光.
结论:
- 埃塞俄比亚三分之一的妇女使用早期产后护理,在使用方面存在显著的区域差异.
- 产前护理,设施交付,教育水平和媒体曝光是早期PNC利用的重要预测因素.
- 建议采取促进设施提供,媒体接入和识字的干预措施,以提高埃塞俄比亚的早期PNC利用率.
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