中亚和南亚儿科外科护理中的性别平等:系统性审查和元分析
Dunya Moghul1, Nadia Babaa2, Sacha Williams1
1McGill University Faculty of Medicine and Health Sciences Quebec, Canada; Harvey E. Beardmore Division of Pediatric Surgery, The Montreal Children's Hospital, McGill University Health Centre, Montreal, Quebec, Canada.
Journal of pediatric surgery
|February 12, 2026
概括
男孩在中亚和南亚 (CSA) 的儿科手术护理中占据了显著的优势. 这一发现突显了儿科手术接入的潜在医疗保健不平等,需要进一步调查和采取行动.
科学领域:
- 儿科手术 儿科手术
- 全球卫生平等全球卫生平等
- 外科手术获取差异的差异
背景情况:
- 在中亚和南亚 (CSA) 获得儿科外科护理可能存在基于性别的差异.
- 了解这些差异对于改善该地区儿童的医疗保健成果至关重要.
研究的目的:
- 评估中亚和南亚 (CSA) 的儿童手术护理的基于性别的获取.
- 为了比较CSA儿童手术条件的性别分布与高收入国家的性别分布.
主要方法:
- 一个系统的审查和元分析,遵循PRISMA指南.
- 包括来自CSA (2004-2023) 的99项儿科外科研究,包括10,508名儿童和19种疾病.
- 为基于性别的发病率差异进行调整,并将性别分布与高收入国家数据进行比较.
主要成果:
- 与高收入国家相比,男孩在获得性疾病 (例如尾炎,肠) 和先天性疾病 (例如门形,食道) 中的比例明显过高.
- 虽然瘤也显示出更高的男性占优势,但整体差异在统计学上并不显著.
- 对出生时的区域性比进行调整对观察到的几率比率的影响最小.
结论:
- 确定了在CSA接受儿科外科护理的男孩的显著占主导地位.
- 这种观察到的模式表明,在儿科手术接入方面存在潜在的医疗保健不平等.
- 需要进一步的调查和有针对性的干预措施来解决这种差异.
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