印度尼西亚西苏拉威西地区5岁以下儿童死亡率的Cox回归生存分析

Mieke Nurmalasari, Linta Ifada, S. Pramana
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摘要

降低婴儿死亡率是可持续发展目标3(促进所有年龄段所有人的福祉和确保健康生活)的具体目标之一。虽然印度尼西亚五岁以下儿童死亡率有所下降,但一些省份的死亡率很高,如西苏拉威西省。因此,仍然需要通过确定五岁以下儿童死亡的主要决定因素来努力降低死亡率。本研究的主要目的是利用2015年人口普查确定影响西苏拉威西五岁以下儿童死亡率的主要因素。本研究采用Cox比例风险回归分析,探讨母亲受教育程度、初产年龄、生育间隔、出生类型、五岁以下儿童性别、分娩时医护人员帮助等因素对分娩的影响。所有变量对五岁以下儿童存活率的影响最大。与男性相比,五岁以下女性儿童的死亡危险(风险)较低。双胞胎的死亡风险是单胎的三倍。此外,母亲受教育程度越高,风险越低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Survival Analysis of Under-five Mortality in West Sulawesi Indonesia using Cox Regression
Reducing infant mortality is one of the targets of SDGs goal 3, promoting wellbeing for all at all ages and ensuring healthy lives. Although the under-five mortality in Indonesia has declined, some provinces show a high mortality rate such as West Sulawesi. Hence, efforts to decrease the rate is still needed by identifying the main determinant of under-five mortality. The main objective of this study is to determine the main factors that affect under-five mortality in West Sulawesi using Intercensal Population Survey 2015. In this study, the impact of mother’s education, age of first delivery, previous birth interval, birth type, the gender of the underfive child, and paramedics help during labor were investigated using the Cox Proportional Hazard Regression. All variables impacted mostly to the survival rate of under-five children. Female under-five children had a lower hazard (risk) of death compared to the males. Twin had a three times higher hazard of death as compared to single born children. In addition, higher mother’s education tends to have a lower hazard.
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