在孟加拉国儿童死亡率研究中的一个分层竞争风险生存模型
Nazmul Haque1, Mohammad Anamul Haque1, Sheikh Sifat Sadikeen1
1Department of Statistics, Shahjalal University of Science and Technology, Sylhet, 3114, Bangladesh.
Scientific reports
|December 29, 2025
概括
孟加拉国五岁以下儿童死亡率受到母亲的年龄,孩子的性别和出生顺序的影响. 分层竞争风险模型有助于确定针对性公共卫生干预的关键因素.
科学领域:
- 公共卫生 公共卫生
- 生物统计学 生物统计学
- 人口统计学 人口统计学
背景情况:
- 五岁以下儿童死亡率是一个关键的全球卫生挑战,特别是在孟加拉国等发展中国家.
- 了解层次风险因素对于有效的卫生系统战略至关重要.
研究的目的:
- 通过使用分层竞争风险框架来评估儿童死亡率决定因素.
- 单独分析与疾病相关的和与疾病无关的儿童死亡,并确定重大风险因素.
主要方法:
- 在孟加拉国人口和健康调查 (BDHS) 数据上使用了细灰色脆弱性 (FGF) 模型.
- 采用分层竞争风险分析,将非疾病死亡视为竞争风险,反之亦然,在单独的分析中.
主要成果:
- 母亲年龄 (30岁以上),男婴性别和区域差异 (Khulna) 是非疾病死亡率的重要风险因素.
- 出生顺序较高与非疾病死亡率风险降低有关.
- 与女性相比,男孩面临着更高的疾病和非疾病原因的死亡风险.
结论:
- 分层竞争风险模型是剖析复杂的儿童死亡率数据的有价值工具.
- 这些发现可以为有针对性的公共卫生干预提供信息,以减少孟加拉国五岁以下儿童死亡率.
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