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马里农村地区5至19岁儿童的死亡率
Jenny X Liu1, Yacouba Samake2, Oumar Tolo2
1Institute for Health & Aging, School of Nursing, University of California, San Francisco, San Francisco, California, United States of America.
PLOS global public health
|January 21, 2025
概括
马里农村的儿童和青少年死亡率很高,未经处理的水和贫困增加了风险. 女青少年面临急性死亡风险,与母亲教育水平较低有关.
科学领域:
- 全球健康 全球健康
- 儿科 儿科 儿科
- 人口统计学 人口统计学
背景情况:
- 低收入和中等收入国家的儿童 (5-9岁) 和青少年 (10-19岁) 的医疗保健需求往往被忽视.
- 马里农村地区面临着高的五岁以下儿童死亡率,需要对老年儿童和青少年健康进行研究.
研究的目的:
- 估计马里农村地区5-9岁儿童和青少年的死亡率.
- 确定与这些年龄组死亡率相关的个人和家庭风险因素.
主要方法:
- 分析了马里班卡斯区ProCCM试验 (2016-2017) 的横截面基线家庭调查数据.
- 利用考克斯回归来分析与死亡率相关的因素,包括家庭信息和妇女的出生史.
- 研究人口:23,485名儿童 (5-9岁) 和17,910名青少年 (10-19岁) 来自7,720个家庭.
主要成果:
- 5-9岁儿童的死亡率为3.10死亡/1000人/年,青少年的死亡率为1.90死亡/1000人/年.
- 在未经处理的水的家庭中,5-9岁儿童的死亡风险增加.
- 在最贫穷的家庭和妇女没有上学的地方,青少年死亡风险更高.
- 女青少年面临的死亡风险高于男性,与母亲教育水平低有很强的关联.
结论:
- 马里农村的儿童和青少年死亡率很高,受社会经济和环境因素的影响.
- 获得清洁水和母亲教育是关键的保护因素.
- 需要有针对性的干预措施来应对女性青少年不成比例地更高的死亡风险.
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