与孩子出生时权衡相关的因素:来自撒哈拉以南非洲16个国家的证据
Alex Bawuah1, Samuel Ampaw2, Edward Nketiah-Amponsah3
1Health Economics Research Unit, Aberystwyth Business School, Aberystwyth University, Aberystwyth, Ceredigion, WalesUnited Kingdom.
PloS one
|July 22, 2025
概括
出生体重测量对于撒哈拉以南非洲的新生儿健康至关重要. 更高的社会经济地位,教育和设施分娩预测了权衡,突出了新生儿护理方面的差异.
科学领域:
- 公共卫生 公共卫生
- 新生儿健康 新生儿健康
- 人口统计学 人口统计学
背景情况:
- 出生体重数据对于监测新生儿健康和指导撒哈拉以南非洲 (SSA) 的健康政策至关重要.
- 缺乏出生体重数据阻碍了极端出生体重和相关新生儿风险的识别和管理.
- 这项研究解决了理解影响新生儿称重实践的因素在SSA的关键差距.
研究的目的:
- 确定撒哈拉以南非洲新生儿体重的需求侧预测因素.
- 探索与出生体重测量相关的社会经济和人口因素.
- 为改善新生儿健康结果提供有针对性的干预信息.
主要方法:
- 利用来自16个南非国家 (2014-2021) 的人口和健康调查 (DHS) 的数据.
- 采用多变量逻辑回归分析来检查新生儿称重的预测因素.
- 分析了社会经济地位,医疗保健利用率和出生体重测量之间的关联.
主要成果:
- 只有59%的新生儿在出生时被称重,在国家层面有显著的差异 (得23%,加94%).
- 更高的社会经济地位,母亲的教育,财富和城市居住与出生体重测量有积极的关联.
- 设施分娩,产前护理的使用,以及母亲年龄较大增加了权衡的可能性;较高的平价降低了它.
结论:
- 针对社会经济地位较低的妇女,对于旨在减少与低出生体重相关的发病率和死亡率的干预措施至关重要.
- 改善医疗保健设施和产前护理的准入,可以提高出生体重测量率.
- 解决社会经济差异是实现公平新生儿健康监测的关键.
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