巴基斯坦社会文化实践与孕产妇死亡率之间的联系:使用空间德宾模型和多尺度地理加权回归的地理空间分析
Muhammad Ramzan Sheikh1, Munir Ahmed2, Fangzheng Zhao3
1School of Economics, Bahauddin Zakariya University, Multan, Pakistan.
BMC public health
|January 12, 2026
概括
巴基斯坦的孕产妇死亡率取决于空间,受社会经济和文化因素的影响. 解决贫困问题,传统分娩方式,以及改善像巴鲁吉斯坦这样敏感地区的教育,可以减少孕产妇死亡率.
科学领域:
- 公共卫生 公共卫生
- 空间流行病学 空间流行病学
- 人口统计学 人口统计学
背景情况:
- 孕产妇死亡率仍然是巴基斯坦的一个重大公共卫生挑战.
- 减少孕产妇死亡率对于改善人类福祉至关重要.
- 了解空间模式是有针对性的干预的关键.
研究的目的:
- 确定巴基斯坦孕产妇死亡率 (MMR) 的空间依赖性和异质性.
- 评估社会文化因素对MMR的空间溢出效应.
- 测量社会文化变量对MMR影响的空间变化.
主要方法:
- 使用的多指标集群调查 (MICS) 数据 (2017-18年,2018-19年).
- 采用全球和本地莫兰的测试用于空间集群的识别.
- 应用空间德宾模型 (SDM) 和多尺度地理加权回归 (MGWR) 来分析空间效应.
主要成果:
- 地区的空间依赖程度高达26%.
- 在Baluchistan和KP发现高MMR集群;在Punjab发现低MMR集群.
- 多维贫困指数的脆弱性,传统分娩和朋友/亲戚的分娩直接和通过溢出效应对MMR产生了积极影响. 孕产妇教育和第一次产前检查显示出反向关系.
结论:
- 在MMR中存在显著的空间依赖,受社会经济和文化变量的影响.
- 优先考虑敏感的地区,特别是巴鲁吉斯坦地区,至关重要.
- 干预措施应侧重于先进的分娩方法,母亲赋权,教育和减少贫困.
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