使用NFHS-4数据的孕妇产前护理质量的决定因素:一条路径分析方法
Sachit Ganapathy1, Bhanushree Soni2, Akash Mishra3
1Department of Biostatistics, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Puducherry, India.
概括
这项研究使用因果调解分析来确定影响印度产前护理质量 (QANC) 的因素. 关键决定因素包括社会经济地位,教育,及时登记怀孕,为孕产妇健康政策提供信息.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 孕产妇健康 孕产妇健康
背景情况:
- 优质产前护理 (QANC) 是一个国家的公共卫生基础设施的关键指标.
- 了解QANC的决定因素对于改善孕产妇健康结果至关重要.
研究的目的:
- 评估印度接受QANC的女性比例.
- 通过因果调解分析来确定QANC的个人和人口水平的决定因素.
主要方法:
- 利用了国家家庭健康调查-4 (NFHS-4) 的数据.
- 采用通用的因果路径分析来估计变量的直接,间接和总影响.
- 通过文献审查,专家意见和数据可用性确定了独立和调解变量.
主要成果:
- 对于QANC来说,重要的独立因素包括地区,教育,财富,宗教,工作状态,丈夫的教育和年龄.
- 关键的调解变量是丈夫的酒精状况,怀孕意识的时间,丈夫在访问期间的存在,登记月份,情绪暴力和第一次ANC访问的时间.
结论:
- 因果路径分析提供了对QANC决定因素的强有力的理解.
- 调查结果可以为基于证据的政策提供信息,以加强印度的孕产妇医疗保健服务.
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