2011年至2019年埃塞俄比亚高风险生育的趋势和决定因素,使用空间和分解分析
Fekadeselassie Belege Getaneh1, Gebeyaw Biset2, Moges Workneh2
1Department of Pediatrics and Child Health Nursing, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia. fekadebelege@gmail.com.
Scientific reports
|October 23, 2025
概括
埃塞俄比亚在2011-2019年期间,高风险生育行为,包括早期,晚期或间隔较短的怀孕,在埃塞俄比亚下降. 妇女特征的变化推动了这一减少,但针对高风险地区仍然需要有针对性的干预措施.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 人口统计学 人口统计学
背景情况:
- 高风险生育行为,定义为早期,晚期或紧密间隔的怀孕,对全球的母亲和新生儿健康构成重大风险.
- 了解高风险生育的模式和地理差异对于制定有效的公共卫生干预和政策至关重要.
- 埃塞俄比亚面临着生殖健康方面的挑战,因为普遍存在高风险的生育行为.
研究的目的:
- 分析埃塞俄比亚高风险生育行为的趋势和决定因素.
- 确定高风险生育的地理差异和热点区域.
- 为改善生殖健康结果提供有针对性的公共卫生干预信息.
主要方法:
- 利用了三次连续的埃塞俄比亚人口与健康调查 (EDHS) 数据集 (2011-2019) 与28,421名妇女的加权样本.
- 使用趋势分析,基于logit的多变量分解和空间分析 (ArcGIS,SaTScan) 来检查趋势和决定因素.
- 使用STATA版本17/MP进行统计分析.
主要成果:
- 高风险生育行为的患病率从2011年的62.4%下降到2019年的60.0%,每年减少约0.48%.
- 妇女特征的组成变化占了下降的大部分 (116%),行为变化部分抵消了这一点.
- 重要因素包括母亲的教育程度,婚姻状况,居住地,地区和家庭规模. 在索马里,东南奥罗米亚和南部国家,民族和人民地区确定了热点地区.
结论:
- 埃塞俄比亚的高风险生育行为呈现逐渐下降,但在特定地区和人口群体仍然存在持续的挑战.
- 空间分析显示,索马里,东南奥罗米亚和南方国家,民族和人民地区的高风险生育热点一直存在.
- 为改善生殖健康,建议针对已识别的热点地区,专注于教育,住院和计划生育服务的有针对性的干预措施.
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