低出生体重的五岁以下儿童的生存预测因素:印尼的一项基于人口的研究
Eka Mishbahatul Marah Has1,2,3, Ferry Efendi1,2,3, Sylvia Dwi Wahyuni4
1Department of Advanced Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya 60115, Indonesia.
Nursing reports (Pavia, Italy)
|July 25, 2025
概括
印尼的低出生体重 (LBW) 儿童面临着高的五岁以下儿童死亡率. 纯母乳养和适当的产前护理显著提高了生存率,而出生地点影响了风险.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 人口统计学 人口统计学
背景情况:
- 在印度尼西亚,五岁以下儿童的死亡率仍然是一个严重的健康问题.
- 低出生体重 (LBW) 是导致5岁以下儿童死亡的重要危险因素.
- 确定LBW婴儿的生存预测因素对于有针对性的干预措施至关重要.
研究的目的:
- 确定5岁以下LBW儿童生存的预测因素.
- 分析孕产妇,卫生服务和家庭因素对LBW婴儿存活率的影响.
- 为改善印尼儿童存活率提供证据.
主要方法:
- 这是一项采用2017年印度尼西亚人口与健康调查 (IDHS) 数据的横截面研究.
- 纳入625名LBW儿童 (0-59个月),其中五岁以下儿童死亡率作为依赖变量.
- 使用单变量,卡普兰-梅尔估计和考克斯回归模型进行分析.
主要成果:
- 在625名LBW儿童中,有41名在5岁之前死亡.
- 母亲因素 (分娩并发症,母乳养),卫生服务 (ANC,分娩地点) 和家庭因素 (居住地) 显著影响了生存率.
- 哺乳和适当的产前护理降低了死亡风险;然而,设施分娩显示出更高的风险.
结论:
- 纯母乳养和适当的产前护理对于LBW婴儿的生存至关重要.
- 生产地点是影响生存结果的关键因素.
- 干预措施应侧重于促进母乳养,确保足够的ANC,并解决与分娩地点相关的风险.
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