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加纳不干净的燃料使用和死产:来自2022年DHS的证据

Kirstin P West^1,2,3, Kristin K Sznajder^1,2, Grace Hwang^1,2

¹Department of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, PA, United States.

Frontiers in global women's health

|November 10, 2025

概括

不洁净的家庭燃料与加纳妇女死产几率增加44%有关. 促进清洁能源获取和产前咨询可以帮助降低这种风险.

科学领域:

公共卫生公共卫生
环境健康环境健康
生殖健康生殖健康

背景情况:

死产是低收入和中等收入国家 (LMICs) 的重大公共卫生问题,加纳的死亡率超过了联合国可持续发展目标的目标.
在通风不良的环境中暴露于不洁净的家庭燃料是导致不良妊娠结果的潜在危险因素,包括死产.

研究的目的:

评估家庭燃料类型与加纳妇女死产之间的关联.
确定导致加纳死产的风险因素.

主要方法:

来自2022年加纳人口与健康调查的10,654名15-49岁妇女的横截面分析.
家庭燃料 (清洁与不清洁) 是主要暴露;死产 (妊娠7个月或以上的胎儿损失) 是主要结果.
使用调查加权后勤回归模型来确定调整的赔率比率 (AOR) 和95%置信区间 (CI).

主要成果:

总体死亡出生率为每1000例出生15.85例.
不洁净的燃料使用与44%更高的死产概率有关 (AOR: 1.44;95% CI: 1.05-1.99).
与死亡出生率增加相关的其他因素包括母亲年龄≥30岁,健康状况中等至差,以及酒精消费.

结论:

不干净的家庭燃料使用与加纳死产的几率增加有关.
扩大获得清洁燃料的机会,并将清洁能源咨询整合到产前护理中,可能会降低死产风险.
需要进一步的前性研究来确定因果关系.

关键词:

这里是加拿大加拿大加拿大加拿大.人口和健康调查调查.环境风险因素环境风险因素家庭空气污染家庭空气污染孕产妇健康孕产妇健康一个死产的死产.不洁净的燃料是不洁净的燃料.

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