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探索印度各地剖腹产的空间集群 - - 来自国家家庭健康调查数据的见解
Durgesh Prasad Sahoo1, Biju Soman2, Neeraj Agarwal1
1Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences (AIIMS), Bibinagar, Hyderabad, India.
PLOS global public health
|March 5, 2026
概括
印度的剖腹产率显著增加,特别是在农村地区和私人设施. 这项研究揭示了这些程序的空间聚类,强调了有针对性的公共卫生干预措施的需要.
科学领域:
- 公共卫生 公共卫生
- 空间流行病学 空间流行病学
- 医疗保健服务研究 医疗保健服务研究
背景情况:
- 在印度,剖腹产的发生率超过了世卫组织的建议,这对公众健康构成了重大挑战.
- 了解剖腹产的空间分布和聚类对于开发有针对性的干预措施至关重要.
研究的目的:
- 通过使用国家家庭健康调查数据,分析印度各州和各地区剖腹产的模式和空间聚类.
- 调查2015-16年至2019-21年间剖腹产率的趋势,检查城市-农村和公共-私人设施差异.
主要方法:
- 利用空间自相关分析,包括全球莫兰的I和LISA集群地图,以评估空间模式.
- 采用Getis-Ord General G统计数据来识别C-section的本地聚类.
- 分析了2015-16年和2019-21年国家家庭健康调查 (NFHS-4和NFHS-5) 的数据.
主要成果:
- 剖腹产率从17.2% (NFHS-4) 增加到21.5% (NFHS-5),农村地区的增长更为明显.
- 在公共和私人医院之间观察到很大的差异,私人医院报告的剖腹产率更高.
- 确定了剖腹产的空间聚类,公共设施聚在印度南部和北部,私人设施在东海岸和东北部地区.
结论:
- 该研究证实了印度剖腹产的显著增加和空间聚类,受城市化以外的因素的影响.
- 公共和私营部门之间的剖腹产率差异,以及不同的地理模式,需要量身定制的公共卫生战略.
- 迫切的政策调整和有针对性的干预措施是需要的,以管理不断上升的剖腹产率.
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