{"title":"印度农村短出生间隔及其相关因素:一项横断面研究。","authors":"Sourav Chowdhury, Aditya Singh, Nuruzzaman Kasemi, Mahashweta Chakrabarty, Shivani Singh","doi":"10.1017/S0021932022000256","DOIUrl":null,"url":null,"abstract":"<p><p>Short Birth Interval (SBI) is one of the main causes of adverse maternal and child health outcomes. A 33-month birth-to-birth interval between two successive live births should be followed to minimize the risk of adverse maternal and child health. This study aimed to examine the prevalence of SBI and the associated factors in rural India. Information on 98,522 rural mothers from the fourth round of National Family Health Survey data was analyzed. Bivariate statistics, logistic regression, Moran's <i>I</i>, and Cluster and Outlier Analysis have been used to assess the prevalence and spatial pattern of SBI in rural India. Results revealed that about half of the mothers in rural India had experienced SBI. Rural Indian mothers whose child was not alive (OR = 1.76, 95% CI = 1.63-1.90), were not using any contraceptive methods (OR = 1.42, 95 % CI = 1.37-1.48) and not breastfeeding (OR = 2.73, 95% CI = 2.50-2.97) were more likely to experience SBI. On the other hand, rural mothers from the middle, richer and richest wealth quintiles (OR = 0.91, 95% CI = 0.86-0.97; OR = 0.84, 95% CI = 0.80-0.92; OR = 0.60, 95% CI = 0.55-0.66) and of age over 30 years (OR = 0.38., 95% CI = 0.36-0.39) were less likely to experience SBI. Analysis of spatial patterns revealed clear east-west differences in the prevalence of SBI. There was strong clustering of high values of SBI in most districts across the central, northern, western, and southern regions. The study suggests the need to introduce appropriate interventions and programs focused on reducing the prevalence of SBI in rural India.</p>","PeriodicalId":47742,"journal":{"name":"Journal of Biosocial Science","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"4","resultStr":"{\"title\":\"Short birth interval and associated factors in rural India: A cross-sectional study.\",\"authors\":\"Sourav Chowdhury, Aditya Singh, Nuruzzaman Kasemi, Mahashweta Chakrabarty, Shivani Singh\",\"doi\":\"10.1017/S0021932022000256\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Short Birth Interval (SBI) is one of the main causes of adverse maternal and child health outcomes. A 33-month birth-to-birth interval between two successive live births should be followed to minimize the risk of adverse maternal and child health. This study aimed to examine the prevalence of SBI and the associated factors in rural India. Information on 98,522 rural mothers from the fourth round of National Family Health Survey data was analyzed. Bivariate statistics, logistic regression, Moran's <i>I</i>, and Cluster and Outlier Analysis have been used to assess the prevalence and spatial pattern of SBI in rural India. Results revealed that about half of the mothers in rural India had experienced SBI. Rural Indian mothers whose child was not alive (OR = 1.76, 95% CI = 1.63-1.90), were not using any contraceptive methods (OR = 1.42, 95 % CI = 1.37-1.48) and not breastfeeding (OR = 2.73, 95% CI = 2.50-2.97) were more likely to experience SBI. On the other hand, rural mothers from the middle, richer and richest wealth quintiles (OR = 0.91, 95% CI = 0.86-0.97; OR = 0.84, 95% CI = 0.80-0.92; OR = 0.60, 95% CI = 0.55-0.66) and of age over 30 years (OR = 0.38., 95% CI = 0.36-0.39) were less likely to experience SBI. Analysis of spatial patterns revealed clear east-west differences in the prevalence of SBI. There was strong clustering of high values of SBI in most districts across the central, northern, western, and southern regions. 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引用次数: 4
摘要
短生育间隔(SBI)是孕产妇和儿童健康不良后果的主要原因之一。应遵循两次连续活产之间33个月的分娩间隔,以尽量减少对孕产妇和儿童健康不利的风险。本研究旨在调查印度农村地区SBI的患病率及其相关因素。对第四轮全国家庭健康调查数据中98,522名农村母亲的信息进行了分析。双变量统计、逻辑回归、Moran’s I和聚类分析和离群分析被用于评估印度农村SBI的患病率和空间格局。结果显示,印度农村约有一半的母亲经历过SBI。没有使用任何避孕方法(OR = 1.42, 95% CI = 1.37-1.48)和没有母乳喂养(OR = 2.73, 95% CI = 2.50-2.97)的印度农村母亲更容易发生SBI。另一方面,来自中等、较富裕和最富有五分位数的农村母亲(OR = 0.91, 95% CI = 0.86-0.97;Or = 0.84, 95% ci = 0.80-0.92;OR = 0.60, 95% CI = 0.55-0.66),年龄大于30岁(OR = 0.38)。(95% CI = 0.36-0.39)发生SBI的可能性较低。空间格局分析显示,SBI患病率存在明显的东西差异。在中部、北部、西部和南部的大部分地区,SBI高值具有很强的聚集性。该研究表明,需要引入适当的干预措施和计划,重点是减少印度农村地区SBI的流行。
Short birth interval and associated factors in rural India: A cross-sectional study.
Short Birth Interval (SBI) is one of the main causes of adverse maternal and child health outcomes. A 33-month birth-to-birth interval between two successive live births should be followed to minimize the risk of adverse maternal and child health. This study aimed to examine the prevalence of SBI and the associated factors in rural India. Information on 98,522 rural mothers from the fourth round of National Family Health Survey data was analyzed. Bivariate statistics, logistic regression, Moran's I, and Cluster and Outlier Analysis have been used to assess the prevalence and spatial pattern of SBI in rural India. Results revealed that about half of the mothers in rural India had experienced SBI. Rural Indian mothers whose child was not alive (OR = 1.76, 95% CI = 1.63-1.90), were not using any contraceptive methods (OR = 1.42, 95 % CI = 1.37-1.48) and not breastfeeding (OR = 2.73, 95% CI = 2.50-2.97) were more likely to experience SBI. On the other hand, rural mothers from the middle, richer and richest wealth quintiles (OR = 0.91, 95% CI = 0.86-0.97; OR = 0.84, 95% CI = 0.80-0.92; OR = 0.60, 95% CI = 0.55-0.66) and of age over 30 years (OR = 0.38., 95% CI = 0.36-0.39) were less likely to experience SBI. Analysis of spatial patterns revealed clear east-west differences in the prevalence of SBI. There was strong clustering of high values of SBI in most districts across the central, northern, western, and southern regions. The study suggests the need to introduce appropriate interventions and programs focused on reducing the prevalence of SBI in rural India.
期刊介绍:
Journal of Biosocial Science is a leading interdisciplinary and international journal in the field of biosocial science, the common ground between biology and sociology. It acts as an essential reference guide for all biological and social scientists working in these interdisciplinary areas, including social and biological aspects of reproduction and its control, gerontology, ecology, genetics, applied psychology, sociology, education, criminology, demography, health and epidemiology. Publishing original research papers, short reports, reviews, lectures and book reviews, the journal also includes a Debate section that encourages readers" comments on specific articles, with subsequent response from the original author.