埃塞俄比亚改善家庭卫生使用的决定因素:多层次物流回归分析
Dagne Tesfaye Mengistie1, Teshome Bekele Elama2, Buzuneh Tasfa Marine3
1Department of Statistics, College of Natural and Computational Science Jigjiga University Jigjiga Ethiopia.
Health science reports
|December 1, 2025
概括
埃塞俄比亚改善的卫生设施供应有限,存在很大的差异. 已婚,受过教育,拥有房屋的所有权的城市家庭和私人所的使用率较高,突出显示需要针对弱势群体进行有针对性的干预.
科学领域:
- 公共卫生 公共卫生
- 环境健康 环境健康
- 社会学 社会学 社会学
背景情况:
- 卫生设施是对公共卫生至关重要的基本人权.
- 在埃塞俄比亚,特别是农村地区,获得改善的卫生设施的限制有助于疾病和死亡率.
- 缺乏足够的供水和卫生条件加剧了发展中国家与卫生相关的健康问题.
研究的目的:
- 确定与改善埃塞俄比亚家庭卫生设施使用相关的个人和社区层面的因素.
- 分析2019年埃塞俄比亚小型人口和健康调查 (EMDHS) 的数据,以了解卫生差异.
- 应用一个多层次的物流回归模型来准确分析环境对卫生设施的影响.
主要方法:
- 利用了来自2019年埃塞俄比亚小型人口和健康调查 (EMDHS) 的数据,包括6141个家庭.
- 采用横截面设计来评估在国家,区域和城市/农村环境中改善的卫生服务利用率.
- 应用多层次物流回归来解释社区内家庭的等级结构,分割差异.
主要成果:
- 在改善卫生使用方面观察到显著的区域差异.
- 已婚家庭 (AOR=1.81) 的使用率较高,而未婚家庭 (AOR=0.35) 和离婚家庭 (AOR=0.24) 的使用率较低.
- 农村 (AOR=0.37),文盲 (AOR=0.13) 和受过小学教育 (AOR=0.25) 的家庭主管,以及较贫穷 (AOR=0.86) 和中等收入 (AOR=0.84) 的家庭,改善卫生使用的几率较低. 房屋所有权 (AOR=2.28) 和私人所使用 (AOR=1.43) 与更高的使用率有关.
结论:
- 埃塞俄比亚在改善卫生使用方面存在重大区域和社会人口差异.
- 已婚,受过教育,拥有房屋所有权和私人所的富裕城市家庭更有可能使用改善的卫生设施.
- 针对农村,较贫穷,受教育程度较低和由女性领导的家庭的有针对性的干预措施对于实现国家和可持续发展目标至关重要.
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