通过通用线性混合模型,儿童发病率的邻里层次异质性
Endeshaw A Derso1,2,3, Kassahun A Gelaye3, Maria G Campolo1
1Department of Economics, University of Messina, Messina, Italy.
埃塞俄比亚的儿童发病率因地区和个体儿童特征而异. 了解这些因素是制定有效的儿童公共卫生干预措施的关键.
科学领域:
- 儿童健康 儿童健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 儿童发病率显著影响长期的公共健康.
- 了解患病率的区域和儿童特异性变化对于有针对性的干预措施至关重要.
研究的目的:
- 检查儿童发病率的特定儿童和区域差异.
- 调查儿童发病率与埃塞俄比亚社会经济/人口因素之间的关系.
主要方法:
- 利用了埃塞俄比亚行动绩效监测 (PMA-ET) 社区调查的数据.
- 在埃塞俄比亚六个地区注册了2581名患有各种疾病的儿童.
- 使用通用线性混合模型 (GLMMs) 进行并发症分析,使用DHARMa包进行模型诊断.
主要成果:
- GLMMs证实了儿童发病率的显著变化.
- 咳,发烧和腹是最常见的儿童疾病.
- 燃料,财富,母亲的婚姻状况,年龄,性别平等,居住地,教育和电力供应与患病率有显著联系.
结论:
- 儿童伴随性疾病受到地区和儿童特异性因素的影响.
- 政策和干预设计必须解决这些已识别的变异,以减少儿童患病率.
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