马达加斯加社会人口统计学特征与由合格人员协助分娩之间的关联
1Regional Directorate of Public Health Atsinanana, Toamasina, Madagascar.
Journal of family & reproductive health
|May 9, 2025
概括
马达加斯加的机构分娩率很低,为37.4%. 年龄,教育和经济状况等关键因素对获得熟练分娩助理的机会产生了重大影响,突出了公平医疗保健改进的必要性.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 孕产妇健康 孕产妇健康
背景情况:
- 在分娩期间获得熟练分娩助理的机会对于产妇和新生儿的结果至关重要.
- 社会人口统计学因素对医疗保健利用有很大影响,尤其是在像马达加斯加这样的资源较低的环境中.
研究的目的:
- 分析社会人口统计学特征与在马达加斯加医疗机构分娩的可能性之间的关联.
- 根据各种人口和社会经济因素,确定获得机构分娩服务的差异.
主要方法:
- 利用了2021年马达加斯加人口和健康调查的数据,包括15-49岁妇女的代表性样本.
- 采用千平方测试来评估社会人口统计学变量 (年龄,出生顺序,教育程度,居住地,经济地位) 和分娩地点之间的关联.
- 在使用R.软件进行统计分析时,设置5%的显著性值.
主要成果:
- 在马达加斯加,机构分娩的流行率为37.4%.
- 年轻女性 (20岁以下) 的援助率为36.7%,而primiparas的援助率为49.9%.
- 年龄,出生顺序,地区,居住地,教育和经济五分位数显著影响了获取 (p<0.0001). 最低经济五分之一的妇女只有17.5%获得合格的援助.
结论:
- 包括年龄,出生顺序,居住地,教育和社会经济地位在内的社会人口统计因素是机构分娩的重要决定因素.
- 在获得熟练分娩护士的机会上的差异强调了有针对性的干预措施的必要性.
- 为了提高公平性和提高马达加斯加的机构交付率,必须采取多部门的方法.
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