青少年怀孕和婴儿死亡率之间的关联:一个基于人口的研究
Farhana Rahman1, Mamunur Rashid2, Mohammad Rocky Khan Chowdhury3,4
1Department of Public Health Sciences, Faculty of Medicine, University of Lund, Lund, Sweden.
Frontiers in pediatrics
|April 28, 2025
概括
在孟加拉国,青少年怀孕在考虑获得医疗保健时,不会显著增加婴儿死亡风险. 改善孕产妇保健是减少婴儿死亡的关键.
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:
- 孟加拉国面临着高婴儿死亡率 (38例死亡/1000例活产).
- 青少年怀孕是对母亲和婴儿健康的全球风险因素.
- 青少年怀孕对孟加拉国婴儿死亡率的具体影响是研究不足的.
研究的目的:
- 调查孟加拉国青少年怀孕和婴儿死亡率之间的联系.
- 分析社会人口统计学,情境和医疗保健利用因素如何改变这种关系.
主要方法:
- 孟加拉国人口与健康调查2017-18年数据的横截面分析.
- 包括8759名出生于15至49岁的母亲的婴儿.
- 使用后勤回归来评估青少年怀孕和婴儿死亡率之间的关联,控制共变量.
主要成果:
- 16岁以下母亲的婴儿最初的死亡率较高 (AOR:1.45).
- 在调整了社会人口统计学和上下文因素后,这种关联仍然显著 (AOR: 1.41).
- 考虑到医疗保健利用率 (AOR:1.06) 后,这种关联不再具有统计学意义.
结论:
- 推迟从青春期到成年期的分娩可能会减少婴儿死亡率.
- 当考虑医疗保健利用时,仅青少年怀孕本身并不会增加婴儿死亡风险.
- 改善获得优质产前和产后护理的机会对于减少孟加拉国婴儿死亡率至关重要.
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