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在埃塞俄比亚北部的受战争的Tigray,产前护理中断的空间模式和预测因素:空间建模方法
Assefa Ayalew Gebrselassie1, Mussie Alemayehu1,2, Haftu Gebrehiwot2
1School of Public Health, Mekelle University, College of Health Sciences, Mekelle, Ethiopia.
在受冲突影响的埃塞俄比亚的提格雷,产前护理 (ANC) 的中断很普遍. 地理差异,更多的幼儿和有限的信息获取显著预测了基本的孕产妇医疗保健服务中断.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 空间分析 空间分析
背景情况:
- 产前护理 (ANC) 对于孕产妇健康至关重要,但在受冲突影响的埃塞俄比亚的提格雷地区受到严重干扰.
- 了解ANC中断的空间模式和预测因素对于人道主义环境中的有针对性的干预至关重要.
研究的目的:
- 分析空间模式,并确定产前护理中断的关键预测因素.
- 评估地理,社会人口和冲突相关因素对Tigray的ANC服务利用的影响.
主要方法:
- 这是一项横截面的研究设计,涉及了来自Tigray的6个区域和57个集群的2,444名女性.
- 采用了多阶段的集群抽样,通过结构化问卷和地理坐标收集数据.
- 空间后勤回归分析被用来解释空间依赖性,并确定重要因素.
主要成果:
- ANC中断的患病率为24.8%,增加的旅行时间与更高的中断几率显著相关.
- 地理区域,五岁以下儿童的数量和获得无线电信息的机会是ANC中断的重要预测因素.
- 尽管战争的影响很大,但大多数家庭成员残疾的妇女并没有推迟ANC访问.
结论:
- 由于地理不平等,家庭特征和信息获取等因素,在Tigray存在重大ANC中断.
- 通过大众媒体改善基础设施,安全和有针对性的健康信息传播至关重要.
- 建议对地理差异进行进一步的研究,以告知有效的公共卫生战略.
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