印尼5岁以下儿童腹患病率的混合效应多层波松回归分析
Issara Siramaneerat1, Farid Agushybana2, Pongsakorn Sunthrayuth3
1Department of Social Science, Faculty of Liberal Arts, Rajamangala University of Technology Thanyaburi (RMUTT), 12110, Pathumthani, Thailand. issara_s@rmutt.ac.th.
Journal of health, population, and nutrition
|January 29, 2026
概括
印度尼西亚儿童的腹疾病与社会经济地位和卫生条件有关. 改善生活条件和卫生条件,特别是在农村地区,可以显著减少这一主要的儿童杀手.
科学领域:
- 公共卫生和流行病学
- 儿童健康 儿童健康
- 环境健康 环境健康
背景情况:
- 腹疾病是全球和印度尼西亚五岁以下儿童死亡的主要原因.
- 了解儿童腹的患病率和决定因素对于有效的公共卫生干预至关重要.
- 以前的研究可能没有充分考虑人口和健康数据的层次结构.
研究的目的:
- 评估印度尼西亚五岁以下儿童腹的患病率,并确定腹的危险因素.
- 分析影响儿童腹的个人,环境和社区层面的因素.
- 应用多层次建模方法来考虑数据中的区域聚类.
主要方法:
- 利用了2017年印度尼西亚人口和健康调查的数据,其中包括17,263名5岁以下的儿童.
- 采用混合效应的多层Poisson回归来分析腹的决定因素,将区域视为随机效应.
- 根据调查前两周内母亲报告的发作,定义了腹.
主要成果:
- 女孩和来自富裕家庭的孩子表现出较低的腹患病率.
- 与婴儿相比,1至2岁的儿童患病率更高.
- 不足够的卫生设施和农村居住与腹患病率的增加有显著关联.
结论:
- 印度尼西亚的儿童腹受到个人,环境和社区因素的复杂相互作用的影响.
- 社会经济劣势和卫生条件差是导致儿童腹负担的关键因素.
- 建议有针对性的干预措施,重点改善生活条件和卫生条件,特别是在农村环境中,以减少疾病的流行率.
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