亚太地区短出生间隔的空间变化
Catherine Chojenta1, Desalegn Markos Shifti2, Tesfalidet Beyene1
1School of Medicine and Public Health, the University of Newcastle, NSW, Australia; Centre for Women's Health Research, Hunter Medical Research Institute, Newcastle, NSW, Australia.
Midwifery
|August 30, 2025
概括
短产期与母亲和儿童健康状况不佳有关. 这项研究绘制了整个亚太地区的SBI热点,揭示了需要有针对性的计划生育干预的重要地理差异.
科学领域:
- 公共卫生
- 空间流行病学
- 人口统计
背景情况:
- 亚太地区的母亲和儿童健康状况不良,包括死亡率高.
- 生育间隔短,即生育间隔不到33个月,是这些不良结果的重要因素.
- 了解SBI的地理分布对于制定有针对性的公共卫生干预至关重要.
研究的目的:
- 探索亚太地区短出生间隔 (SBI) 的空间变化.
- 确定SBI的地理集群 (热点),以指导计划生育服务的资源分配.
主要方法:
- 使用了来自亚太地区八个国家的人口和健康调查 (DHS) 的数据,并提供了可用位置数据.
- 使用全球摩兰的I统计数据来评估SBI的空间自相关性.
- 应用 Getis-Ord 通用 G 和 Gi* 统计数据来测量 SBI 集群和确定热点.
主要成果:
- 该地区的SBI患病率差异很大,从孟加拉国的21.3%到巴基斯坦的60.7%.
- 在孟加拉国,印度,缅甸,尼泊尔,巴基斯坦,菲律宾和东帝汶发现了SBI热点.
- 在研究的亚太国家中,SBI患病率存在显著的空间异质性.
结论:
- 在整个亚太地区,SBI存在显著的空间差异,在多个国家发现了热点.
- 调查结果强调在高风险地区需要加强有针对性的计划生育服务.
- 提高对最佳分娩间隔的认识对于改善该地区的母婴健康结果至关重要.
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