绘制空间不平等:印度707个地区的不安全儿童便处置做法
Margubur Rahaman1,2, U Venkatesh3, Gurucharan Karmakar4
1Department of Migration & Urban Studies, International Institute for Population Sciences, Mumbai, 400088, India. margubur48@gmail.com.
BMC public health
|January 30, 2026
概括
不安全的儿童便处置在印度显示出显著的空间差异,主要集中在东部和东北地区. 家庭财富和卫生设施的使用是这些不安全行为的关键驱动力.
科学领域:
- 公共卫生 公共卫生
- 空间流行病学 空间流行病学
- 环境健康 环境健康
背景情况:
- 不安全的儿童便处置对公众健康构成重大风险,有助于儿童健康的不良结果.
- 以前的研究还没有充分探索印度各地不安全的儿童便处置的空间变化和潜在因素.
研究的目的:
- 调查印度各个地区不安全的儿童便处置实践的空间分布.
- 确定影响这些实践的关键决定因素,量化区域差异.
主要方法:
- 利用国家家庭健康调查-5 (2019-2021) 数据进行空间分析.
- 用于图案识别的空间协会 (LISA) 的单变位和双变位本地指标.
- 应用空间错误模型 (SEM) 和费利分解来分析决定因素和差异.
主要成果:
- 确定了170个不安全的儿童便处理热点地区,主要位于奥迪沙,哈德,比哈尔,阿萨姆和泰米尔纳德.
- 母亲的教育,家庭财富,卫生设施的使用和宗教信仰成为重要决定因素.
- 家庭财富在不安全的处置做法中的差异贡献了65.3%,其次是获得卫生设施 (17.1%).
结论:
- 印度各个地区在不安全的儿童便处置方面存在明显的空间不平等.
- 针对卫生,孕产妇教育和媒体宣传的有针对性的干预措施对于促进安全处置实践至关重要.
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