探索死胎的多层次决定因素:在撒哈拉以南非洲国家进行全面分析
Khadijat Adeleye1, Oluwabunmi Ogungbe2,3, Yvette Yeboah-Kordieh4
1Elaine Marieb College of Nursing, University of Massachusetts Amherst, Amherst, Massachusetts, USA kadeleye@umass.edu.
BMJ open
|June 23, 2025
概括
在撒哈拉以南的非洲,死产是一个主要问题. 母亲教育和婚姻状况降低了风险,而就业和农村生活增加了SSA的死产风险.
科学领域:
- 生殖健康 生殖健康
- 孕产妇和儿童的健康
- 全球健康 全球健康
背景情况:
- 死产在撒哈拉以南非洲 (SSA) 是一个重大的公共卫生问题,占全球死产的很大一部分.
- 该地区面临着高出生死胎的负担,需要对导致因素进行研究.
研究的目的:
- 调查29个撒哈拉以南非洲国家的女性死产的个人层面和背景决定因素.
- 确定与SSA地区死产相关的关键风险和保护因素.
主要方法:
- 在29个南非国家/地区的15-49岁妇女加权样本的横截面分析.
- 纳入标准:曾经分娩或死产的妇女.
主要成果:
- 死胎的发病率为每1000个活产婴儿中有8.4个.
- 与晚年母亲年龄,就业和农村居住相关的风险增加.
- 与分居/有伴侣的女性相比,观察到高学历的母亲和单身女性的风险降低.
结论:
- 在SSA中死产的结果受到个人和上下文因素的复杂相互作用的影响.
- 综合性,跨部门的护理方法对于解决死胎的多方面的决定因素以及改善孕产妇和新生儿健康结果至关重要.
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