埃塞俄比亚农村地区五岁以下儿童的生存时间差异。

IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Lema Abate Adulo, Samuel Getachew Zewudie
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引用次数: 1

摘要

背景:埃塞俄比亚在五岁以下儿童死亡负担沉重的国家中排名第五,其农村地区的死亡负担最重。这项研究旨在确定埃塞俄比亚农村地区五岁以下儿童死亡的决定因素。研究设计:以人群为基础的横断面研究。方法:本研究的数据提取自2016年埃塞俄比亚人口与健康调查。采用描述性分析、非参数估计和Cox比例风险回归模型检验5岁以下儿童死亡率的决定因素。结果:共有7301名符合条件的5岁以下农村儿童参与调查,其中6.5%的儿童在5岁前去世。男性儿童死亡率占参与者死亡率的59.7%。估计中位生存时间为31个月[95% CI: 30-32]。约83%的儿童死亡发生在家中分娩。Cox比例风险回归模型显示,性别、分娩地点、家庭规模、母亲受教育程度、子女数量、避孕药具使用情况和饮用水来源对5岁以下儿童生存时间有显著影响。五岁以下女童死亡率显著降低(HR = 0.728;95% CI: 0.606-0.875, P = 0.001),在卫生机构分娩的儿童(HR = 0.738;95% CI: 0.572-0.951, P = 0.019),中等及以上学历母亲的子女(HR = 0.464;95% CI: 0.301-0.714, P = 0.001)。结论:农村地区5岁以下儿童死亡率与显著危险因素相关。在保健设施分娩、使用避孕药具、母亲教育和改善基础设施应成为减少五岁以下儿童死亡的关注领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Survival time discrepancy among under-five-year children of rural parts of Ethiopia.

Survival time discrepancy among under-five-year children of rural parts of Ethiopia.

Survival time discrepancy among under-five-year children of rural parts of Ethiopia.

Background: Ethiopia is ranked as the fifth of heavy under-five death burdened countries with the highest burden in its rural areas. This study aimed to identify the determinants of under-five deaths in rural parts of Ethiopia.

Study design: A population-based cross-sectional study.

Methods: The data for this study was extracted from the 2016 Ethiopian Demographic and Health Survey. Descriptive analysis, non-parametric estimation, and Cox proportional hazards regression model were used to examine the determinants of under-five mortality.

Results: A total of 7301 under-five eligible children from rural areas were involved in this survey, and 6.5% of the cases were passed away before reaching their fifth birthday. Male children's death accounted for 59.7% of the death rate in the participants. An estimated median survival time was 31 months [95% CI: 30-32]. About 83% of children's death occurred among children delivered at home. Cox proportional hazard regression model revealed that gender, delivery-place, family-size, mother's education, number of children, contraceptive use, and source of drinking water had significant effects on survival time of under-five children. Under-five mortality was significantly fewer in female children (HR  =  0.728; 95% CI: 0.606-0.875, P =  0.001), children delivered at health facilities (HR  =  0.738; 95% CI: 0.572-0.951, P =  0.019), and those from secondary and above educated mothers (HR  =  0.464; 95% CI: 0.301-0.714, P =  0.001), compared to the reference category.

Conclusion: Significant risk factors were associated with under-five mortality in rural areas. Delivering in health facilities, uses of contraceptives, mother's education, and improvement of infrastructures should be areas of concern to decrease under-five children's deaths.

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来源期刊
Journal of research in health sciences
Journal of research in health sciences PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.30
自引率
13.30%
发文量
7
期刊介绍: The Journal of Research in Health Sciences (JRHS) is the official journal of the School of Public Health; Hamadan University of Medical Sciences, which is published quarterly. Since 2017, JRHS is published electronically. JRHS is a peer-reviewed, scientific publication which is produced quarterly and is a multidisciplinary journal in the field of public health, publishing contributions from Epidemiology, Biostatistics, Public Health, Occupational Health, Environmental Health, Health Education, and Preventive and Social Medicine. We do not publish clinical trials, nursing studies, animal studies, qualitative studies, nutritional studies, health insurance, and hospital management. In addition, we do not publish the results of laboratory and chemical studies in the field of ergonomics, occupational health, and environmental health
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