Women and Children Nursing最新文献

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Factors influencing nursing mothers’ exclusive breastfeeding practices and their effects on infants aged zero to six months in Nigeria: A review of current evidence 尼日利亚影响哺乳母亲纯母乳喂养做法的因素及其对 0-6 个月婴儿的影响:当前证据综述
Women and Children Nursing Pub Date : 2024-09-01 DOI: 10.1016/j.wcn.2024.07.001
Elizabeth F. Apara , David B. Olawade , Gbolahan Deji Olatunji , Emmanuel Kokori , Nicholas Aderinto , Aanuoluwapo Clement David-Olawade
{"title":"Factors influencing nursing mothers’ exclusive breastfeeding practices and their effects on infants aged zero to six months in Nigeria: A review of current evidence","authors":"Elizabeth F. Apara ,&nbsp;David B. Olawade ,&nbsp;Gbolahan Deji Olatunji ,&nbsp;Emmanuel Kokori ,&nbsp;Nicholas Aderinto ,&nbsp;Aanuoluwapo Clement David-Olawade","doi":"10.1016/j.wcn.2024.07.001","DOIUrl":"10.1016/j.wcn.2024.07.001","url":null,"abstract":"<div><h3>Objectives</h3><div>This systematic review aimed to investigate the various factors contributing to the practice of Exclusive Breastfeeding (EBF) among nursing mothers in Nigeria and its potential effects on infants aged 0–6 months.</div></div><div><h3>Methods</h3><div>A literature review was conducted using reputable electronic databases, including PubMed, African Journals Online, Science Direct, Scopus, Research Gate, and Google Scholar. The search was limited to studies published between January 2013 and August 2023.</div></div><div><h3>Results</h3><div>Eleven studies were analyzed, and their outcomes are presented in this review. The results suggest significant diversity in the maternal understanding of EBF. While certain mothers exhibit a commendable comprehension of the significance and advantages of breastfeeding, others require greater awareness or hold misconceptions regarding this practice. The lack of comprehensive data on the effects of EBF on maternal practices poses a challenge to mothers when making informed choices about infant feeding. Behaviors related to breastfeeding are notably influenced by sociocultural factors, wherein specific communities adhere to cultural standards that support the early introduction of supplementary food.</div></div><div><h3>Conclusions</h3><div>The implications of adhering to EBF practices are significant for both maternal and infant well-being. The findings of this review have led to several recommendations to enhance the promotion of EBF practices in Nigeria. These include bolstering breastfeeding education and awareness, implementing workplace policies that support breastfeeding, addressing sociocultural barriers through community-based interventions, enhancing healthcare support, and conducting ongoing research and monitoring efforts.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 3","pages":"Pages 49-55"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141698109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Should we be concerned regarding physical activity levels in children and adolescents with congenital heart disease? A comprehensive narrative review 我们是否应该关注患有先天性心脏病的儿童和青少年的体育活动水平?全面的叙事回顾
Women and Children Nursing Pub Date : 2024-09-01 DOI: 10.1016/j.wcn.2024.07.002
Yuan Li , Hong Zheng , Jie Li , Ying-Xin Li
{"title":"Should we be concerned regarding physical activity levels in children and adolescents with congenital heart disease? A comprehensive narrative review","authors":"Yuan Li ,&nbsp;Hong Zheng ,&nbsp;Jie Li ,&nbsp;Ying-Xin Li","doi":"10.1016/j.wcn.2024.07.002","DOIUrl":"10.1016/j.wcn.2024.07.002","url":null,"abstract":"<div><h3>Aims</h3><div>The paradigm shift toward a holistic and proactive approach in the aftercare of individuals diagnosed with congenital heart disease (CHD) underscores the significance of regular physical activity (PA) in this at-risk group. The aim of this narrative review was to present and contrast objectively measured PA levels in children and adolescents with CHD with those of their healthy counterparts or broader normative groups, capitalizing on the recent surge in research in this field.</div></div><div><h3>Methods</h3><div>Four databases were systematically searched for relevant studies published from their inception through September 2023. Observational studies concentrating on youths with CHD, wherein objectively quantified PA levels in the CHD group were assessed and compared with healthy controls or normative data, were included. Two independent authors performed the study selection and data abstraction.</div></div><div><h3>Results</h3><div>Sixteen studies representing 1164 targeted patients were included. Our findings revealed that, contrary to general belief, the PA levels of youths with CHD were generally comparable to those of healthy peers or normative samples. Diminished PA was exclusively discerned in certain subgroups of CHD cases in a limited number of studies.</div></div><div><h3>Conclusions</h3><div>Our findings suggest that PA levels of youths with CHD are generally comparable to those of their healthy peers or normative samples. However, considering the global pandemic of physical inactivity and lifetime health risks for patients with CHD, sustained efforts to monitor and improve PA remain vital. Collaborating on initiatives to help patients with CHD attain age-appropriate PA recommendations is essential and should not be underestimated.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 3","pages":"Pages 56-61"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143179216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evidence summary: How to implement early mother-infant skin-to-skin contact after delivery 证据摘要:如何在产后实施早期母婴皮肤接触
Women and Children Nursing Pub Date : 2024-06-01 DOI: 10.1016/j.wcn.2024.06.001
Junying Li , Ruiyang Sun , Hongxiao He , Hong Lu , Dong Pang , Xiu Zhu
{"title":"Evidence summary: How to implement early mother-infant skin-to-skin contact after delivery","authors":"Junying Li ,&nbsp;Ruiyang Sun ,&nbsp;Hongxiao He ,&nbsp;Hong Lu ,&nbsp;Dong Pang ,&nbsp;Xiu Zhu","doi":"10.1016/j.wcn.2024.06.001","DOIUrl":"10.1016/j.wcn.2024.06.001","url":null,"abstract":"<div><h3>Aim and objectives</h3><p>This study aimed to delineate the optimal practices for early mother-infant skin-to-skin contact (SSC) by synthesizing the best available evidence, thereby facilitating its implementation and promotion.</p></div><div><h3>Design and methods</h3><p>We referred to the Joanna Briggs Institute (JBI) streamlined rapid review approach to conduct this study. Guide websites, institutional websites, national and international databases, and clinical decision-support systems were comprehensively searched. The Appraisal of Guidelines for Research and Evaluation II (AGREE II), AMSTAR 2 (A Measurement Tool to Assess Systematic Reviews), and JBI appraisal tools were used to assess the quality of the included studies.</p></div><div><h3>Results</h3><p>Fourteen guidelines, nine expert consensus reports, five evidence summaries, and one systematic review were included. Six domains comprising 18 recommendations were extracted: (1) target population; (2) preparations beforehand; (3) timing of initiation; (4) practices during SSC; (5) precautions during exposure; and (6) promotion of breastfeeding.</p></div><div><h3>Conclusions and relevance to clinical practice</h3><p>Based on the synthesized evidence, immediate or early uninterrupted SSC is recommended, regardless of the delivery mode. Newborns should be placed prone on the mother’s abdomen or chest as soon as possible after birth for a minimum of 60 or 90 ​min, or until completion of the first breastfeeding. Notably, we compared and selected evidence to address inconsistencies in practice. Our recommendations offer clarity on the target SSC ​population, preparation, precautions during exposure, and breastfeeding promotion. However, the explicit duration and initiation times of the SSC remain uncertain. These findings may serve as a valuable reference for future clinical practice and research.</p></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 2","pages":"Pages 39-48"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949751524000135/pdfft?md5=0552054a57bd7e19b85450b79209121a&pid=1-s2.0-S2949751524000135-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141707310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lymphatic pain in breast cancer survivors: An overview of the current evidence and recommendations 乳腺癌幸存者的淋巴疼痛:现有证据和建议概述
Women and Children Nursing Pub Date : 2024-06-01 DOI: 10.1016/j.wcn.2024.04.001
Jeanna Mary Qiu , Mei Rosemary Fu , Catherine S. Finlayson , Charles P. Tilley , Rubén Martín Payo , Stephanie Korth , Howard L. Kremer , Cynthia L. Russell Lippincott
{"title":"Lymphatic pain in breast cancer survivors: An overview of the current evidence and recommendations","authors":"Jeanna Mary Qiu ,&nbsp;Mei Rosemary Fu ,&nbsp;Catherine S. Finlayson ,&nbsp;Charles P. Tilley ,&nbsp;Rubén Martín Payo ,&nbsp;Stephanie Korth ,&nbsp;Howard L. Kremer ,&nbsp;Cynthia L. Russell Lippincott","doi":"10.1016/j.wcn.2024.04.001","DOIUrl":"10.1016/j.wcn.2024.04.001","url":null,"abstract":"<div><p>Among the 7.8 million women with breast cancer worldwide, at least 33%–44% of them are affected by lymphatic pain. Lymphatic pain refers to co-occurring pain (e.g., pain, aching or soreness) and swelling. Pharmacological approaches, such as the uses of NSAIDS, opioids, antiepileptics, ketamine and lidocaine, have very limited effects on lymphatic pain. Limited research in this field has made it difficult for patients and clinicians to differentiate lymphatic pain from other types of pain. Precision assessment to distinguish different types of pain is essential for finding efficacious cure for pain. Innovative behavioral interventions to promote lymph flow and reduce inflammation are promising to reduce lymphatic pain. The goal of this review is to provide a comprehensive understanding of lymphatic pain through research evidence-based knowledge and insights into precision assessment and therapeutic behavioral intervention for lymphatic pain.</p></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 2","pages":"Pages 33-38"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949751524000044/pdfft?md5=1e3b143aaac97167ed41e64b2edd862a&pid=1-s2.0-S2949751524000044-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141703885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preparing practice-ready family nurse practitioners using technology-based, high-fidelity pediatric telehealth simulations: A curricular quality improvement initiative 利用基于技术的高保真儿科远程保健模拟,培养具备执业能力的家庭护士:课程质量改进计划
Women and Children Nursing Pub Date : 2024-06-01 DOI: 10.1016/j.wcn.2024.03.001
{"title":"Preparing practice-ready family nurse practitioners using technology-based, high-fidelity pediatric telehealth simulations: A curricular quality improvement initiative","authors":"","doi":"10.1016/j.wcn.2024.03.001","DOIUrl":"10.1016/j.wcn.2024.03.001","url":null,"abstract":"<div><h3>Background</h3><p>The SARS-CoV-2 pandemic accelerated the change in delivery of pediatric primary care services from in-person to telehealth to curb the spread of the SARS-CoV-2 virus, creating an urgent need to prepare competent, practice-ready Family Nurse Practitioner (FNP) graduates able to deliver high-quality pediatric telehealth services. The aim of this curricular quality improvement initiative was to develop preclinical telehealth competence through implementation of an innovative, technology-based, high-fidelity pediatric telehealth simulation educational intervention. The initiative was set in a private, urban university with a state-of-the art simulation center. Participants included FNP students, FNP faculty, and simulation faculty.</p></div><div><h3>Methods</h3><p>The Evidence Based Practice Improvement (EBPI) Model is the framework that was used for this initiative. A curricular gap analysis was conducted by faculty, results guiding the development of a high-fidelity, pediatric telehealth simulation educational intervention. Baseline measurements included student demographics, knowledge of essential pediatric telehealth concepts, and perceptions of self-efficacy in conducting telehealth visits. Knowledge assessment and self-efficacy were again measured after completion of a pre-briefing, pediatric telehealth asynchronous learning module, and self-efficacy for a third time after completion of the entire simulation intervention. Written, semi-structured qualitative questionnaires were also completed at the end of the intervention.</p></div><div><h3>Results</h3><p>Knowledge assessment scores significantly increased from baseline after completion of the asynchronous learning module (<em>P</em> &lt; 0.001). Pediatric telehealth self-efficacy scores also showed significant improvements from baseline after completion of the asynchronous learning module (<em>P</em> &lt; 0.001) and again after completion of the simulation intervention (<em>P</em> &lt; 0.001). Qualitative themes supported quantitative findings.</p></div><div><h3>Conclusion</h3><p>High-fidelity, pediatric telehealth simulation is an effective educational intervention to develop pre-clinical, telehealth competence in FNP students prior to pediatric clinical rotations and provide them with the skills to be practice-ready upon graduation.</p></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 2","pages":"Pages 27-32"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949751524000020/pdfft?md5=080fd4d08bce5ed54e1c3a3b54471e09&pid=1-s2.0-S2949751524000020-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140268779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Theory-based development of a tailored implementation strategy tool to promote Early Essential Newborn Care practice: A protocol 基于理论开发量身定制的实施策略工具,以促进早期新生儿基本护理实践:协议
Women and Children Nursing Pub Date : 2024-03-01 DOI: 10.1016/j.wcn.2024.01.001
He Hongxiao , Na Wang , Jie Lu , Jiahe Li , Junying Li , Hong Lu , Xiu Zhu
{"title":"Theory-based development of a tailored implementation strategy tool to promote Early Essential Newborn Care practice: A protocol","authors":"He Hongxiao ,&nbsp;Na Wang ,&nbsp;Jie Lu ,&nbsp;Jiahe Li ,&nbsp;Junying Li ,&nbsp;Hong Lu ,&nbsp;Xiu Zhu","doi":"10.1016/j.wcn.2024.01.001","DOIUrl":"10.1016/j.wcn.2024.01.001","url":null,"abstract":"<div><h3>Objectives</h3><p>We aimed to develop an implementation tool that could help healthcare professionals identify modifiable factors and develop tailored implementation strategies to promote the implementation of Early Essential Newborn Care (EENC) under the guidance of the Consolidated Framework for Implementation Research-Expert Recommendations for Implementing Change (CFIR-ERIC).</p></div><div><h3>Methods and analysis</h3><p>This theory-informed implementation study consists two phases. In Phase 1, an exploratory sequential design mixed-methods study will be used to explore the barriers and facilitators to implementing EENC. The qualitative results will be analyzed using NVivo 12.0, underpinned by the Consolidated Framework for Implementation Research (CFIR), whereas the quantitative results being achieved through questionnaires and analyzed using SPSS26.0. In Phase 2, based on the findings of Phase 1, a tailored EENC implementation strategies tool will be developed through iterative expert consultations utilizing the CFIR-ERIC tool and the Implementation Research Logic Model (IRLM).</p></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 1","pages":"Pages 21-26"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949751524000019/pdfft?md5=c2fa1faf2306cc7c93f410450b2358ea&pid=1-s2.0-S2949751524000019-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139634169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A study on the predictors of childbirth experience in women with vaginal birth in China 关于中国阴道分娩妇女分娩经历预测因素的研究
Women and Children Nursing Pub Date : 2024-03-01 DOI: 10.1016/j.wcn.2023.10.001
Ya-min Li , Fen Liu , Ce Tian , Qin Zhu , Li-li Song , Hong Zhao
{"title":"A study on the predictors of childbirth experience in women with vaginal birth in China","authors":"Ya-min Li ,&nbsp;Fen Liu ,&nbsp;Ce Tian ,&nbsp;Qin Zhu ,&nbsp;Li-li Song ,&nbsp;Hong Zhao","doi":"10.1016/j.wcn.2023.10.001","DOIUrl":"10.1016/j.wcn.2023.10.001","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the current situation and influencing factors of the childbirth experience of women with vaginal birth in China.</p></div><div><h3>Methods</h3><p>A total of 481 women were surveyed using a general information questionnaire and a childbirth experience questionnaire.</p></div><div><h3>Results</h3><p>Significant differences in the scores for childbirth experience were found for 13 factors, including expected mode of delivery, number of births, time since last childbirth, methods used to access information, childbirth-related fear/anxiety, confidence in completing the delivery vaginally, total labor time, mode of delivery, the use of epidural anesthetic, gender preference for the newborn, primary caregiver during hospitalization, and general scores of fathers' childbirth experience. Stepwise multiple linear regression indicated that total labor time, fathers’ general childbirth experience scores, knowledge regarding delivery, delivery-related fear/anxiety, confidence in completing the delivery vaginally, mode of delivery, primary caregiver during hospitalization, and ethnicity explained 25.1% of the variation in responses to the childbirth experience questionnaire.</p></div><div><h3>Conclusion</h3><p>To improve the childbirth experience, medical and healthcare staff should increase maternal knowledge regarding vaginal delivery, reduce maternal fear and anxiety as well as the use of forceps and lateral incisions, and encourage spouses to be the primary caregivers during hospitalization.</p></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 1","pages":"Pages 9-15"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S294975152300013X/pdfft?md5=cab7eb9a14a1c24e8bf86257928e6a42&pid=1-s2.0-S294975152300013X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140268973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Socio-demographic determinants of diet quality among working women of reproductive age in Malaysia 马来西亚育龄职业妇女饮食质量的社会人口决定因素
Women and Children Nursing Pub Date : 2024-03-01 DOI: 10.1016/j.wcn.2023.11.001
Seok Tyug Tan , Wiksa Virijo Vicheet
{"title":"Socio-demographic determinants of diet quality among working women of reproductive age in Malaysia","authors":"Seok Tyug Tan ,&nbsp;Wiksa Virijo Vicheet","doi":"10.1016/j.wcn.2023.11.001","DOIUrl":"https://doi.org/10.1016/j.wcn.2023.11.001","url":null,"abstract":"<div><h3>Background</h3><p>Having a good diet quality not only increases the chance of getting all essential nutrients but also reduces the risk of non-communicable diseases.</p></div><div><h3>Objective</h3><p>This study aimed to investigate the socio-demographic determinants of diet quality among working women of reproductive age in the Klang Valley of Malaysia.</p></div><div><h3>Methods</h3><p>Socio-demographics (age, marital status, ethnicity, educational attainment, and monthly earned income) were self-reported by the respondents. The Diet Quality Questionnaire for Malaysia was used to assess all foods and drinks consumed by working women in the previous 24 ​h of a weekday and weekend day.</p></div><div><h3>Results</h3><p>More than half of the 244 working women did not consume nuts and seeds (weekday ​= ​71.7% versus weekend ​= ​72.1%) or pulses (weekday ​= ​63.1% versus weekend ​= ​67.2%). Moreover, slightly less than half of working women (weekday ​= ​43.9% versus weekend ​= ​42.6%) reported not consuming milk or milk products. In contrast, grains, white roots and tubers, and plantains (weekday ​= ​98.0% versus weekend ​= ​98.0%) and meat, poultry, and fish (weekday ​= ​97.1% versus weekend ​= ​94.7%) emerged as the most consumed healthy food groups in the previous 24 ​h. This study also demonstrated that 13.1% (<em>n</em> ​= ​32) of working women did not consume at least five healthy food groups daily. Age, marital status, ethnicity, educational attainment, and monthly earned income were the key socio-demographic determinants of diet quality in working women.</p></div><div><h3>Conclusion</h3><p>Healthcare professionals, especially nutritionists and dietitians, should work closely with the federal government of Malaysia to reiterate the importance of having a balanced and diversified diet in the nation.</p></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 1","pages":"Pages 16-20"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949751523000141/pdfft?md5=bc6977141ef898c728d619c87bb91606&pid=1-s2.0-S2949751523000141-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141096117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Determinants of under-five mortality in Zimbabwe: Evidence from the 2015–2016 Zimbabwe demographic Health Survey data 津巴布韦五岁以下儿童死亡率的决定因素:2015-2016 年津巴布韦人口健康调查数据提供的证据
Women and Children Nursing Pub Date : 2024-03-01 DOI: 10.1016/j.wcn.2024.02.001
Elliot Mbunge , Garikayi Chemhaka , Tafadzwa Dzinamarira , Enos Moyo , Stephen Fashoto , Benhildah Muchemwa , Jolly Buwerimwe , Ester Petrus
{"title":"Determinants of under-five mortality in Zimbabwe: Evidence from the 2015–2016 Zimbabwe demographic Health Survey data","authors":"Elliot Mbunge ,&nbsp;Garikayi Chemhaka ,&nbsp;Tafadzwa Dzinamarira ,&nbsp;Enos Moyo ,&nbsp;Stephen Fashoto ,&nbsp;Benhildah Muchemwa ,&nbsp;Jolly Buwerimwe ,&nbsp;Ester Petrus","doi":"10.1016/j.wcn.2024.02.001","DOIUrl":"10.1016/j.wcn.2024.02.001","url":null,"abstract":"<div><h3>Background</h3><p>Child mortality is an important measure of a population’s health status. It is included in the third sustainable development goal that aims to improve global health by reducing under-five mortality to at least as low as 25 per 1000 live births by 2030. The study determines the factors associated with under-five child mortality in Zimbabwe.</p></div><div><h3>Methods</h3><p>Cross-sectional secondary data from the 2015 Zimbabwe Demographic Health Survey (ZDHS) were analyzed. The sample included 5,806 women aged 15–49 years of reproductive age. The Chi-square test was used to analyze the association between child death and independent variables. We identified the individual and contextual factors associated with child deaths in Zimbabwe using the Cox proportional hazard model.</p></div><div><h3>Results</h3><p>The risks of under-five mortality were highest among children of first birth order (adjusted hazard ratio (aHR) ​= ​2.37, <em>P</em> ​= ​0.04), multiple births (aHR ​= ​2.37, <em>P</em> <em>=</em> 0.04), mothers with primary or less maternal education (aHR ​= ​1, Ref), mothers below 18 years old (aHR ​= ​1, Ref), apostolic mothers (aHR ​= ​2.90, <em>P</em> <em>=</em> 0.002), mothers who do not use contraceptives (aHR ​= ​2.20, <em>P</em> ​&lt; ​0.001), formerly married women (aHR ​= ​6.42, <em>P</em> <em>=</em> 0.005), women with 5 or more children (aHR ​= ​15.84, <em>P</em> ​&lt; ​0.001), women who read newspapers less than once a week (aHR ​= ​1.75, <em>P</em> <em>=</em> 0.13), and households that use high-polluting fuels (aHR ​= ​1.92, <em>P</em> <em>=</em> 0.023).</p></div><div><h3>Conclusion</h3><p>This study establishes that child health, maternal, socioeconomic, household, and ecological factors are important determinants of under-five mortality in Zimbabwe. Understanding these determinants is crucial for designing effective interventions and policies to reduce child mortality rates. This requires comprehensive approaches such as improving access to healthcare, education, and basic sanitation facilities; prioritizing nutrition; providing clean water; enhancing poverty reduction and immunization; and promoting breastfeeding and social empowerment, with a particular focus on vulnerable populations and marginalized communities.</p></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 1","pages":"Pages 1-8"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949751524000032/pdfft?md5=82b44caebbb9d5bea42f8d7356b20684&pid=1-s2.0-S2949751524000032-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140270632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Women and children health in the 21st century 21世纪的妇女和儿童健康
Women and Children Nursing Pub Date : 2023-07-01 DOI: 10.1016/j.wcn.2023.04.001
Mei Rosemary Fu, Hanmin Liu, Biru Luo
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