照顾母亲子宫内胎儿和膝上新生儿的性别差异:来自孟加拉国人口监测和调查数据的证据。

SSM - Population Health Pub Date : 2022-10-04 eCollection Date: 2022-09-01 DOI:10.1016/j.ssmph.2022.101261
Nurul Alam, Md Mahabubur Rahman, Mamun Ibn Bashar, Ali Ahmed, Taslim Ali, M Moinuddin Haider
{"title":"照顾母亲子宫内胎儿和膝上新生儿的性别差异:来自孟加拉国人口监测和调查数据的证据。","authors":"Nurul Alam,&nbsp;Md Mahabubur Rahman,&nbsp;Mamun Ibn Bashar,&nbsp;Ali Ahmed,&nbsp;Taslim Ali,&nbsp;M Moinuddin Haider","doi":"10.1016/j.ssmph.2022.101261","DOIUrl":null,"url":null,"abstract":"<p><p>Valuation of sons over daughters introduces sex-biased health, economic, and socio-demographic inequalities in many societies. This study aims to examine fetus-sex differences in maternity services and sex differences in medical care for terminally ill neonates in Bangladesh, using secondary data from the Matlab Health and Demographic Surveillance System (HDSS), maintained by icddr,b since 1966 along with data from the Bangladesh Maternal Mortality and Health Care Survey (BMMS) 2016. The HDSS follows a well-defined rural population (0.24 million in 2018) to register vital events and migrations and records the use of maternity services for the index birth and medical care-seeking during the terminal illness of each death in verbal autopsy. The BMMS 2016 recorded maternity care and maternal complications for the last live birth of mothers in the same population (weighted n = 27,133; unweighted n = 26,939). Bivariate analyses estimated the use (in %) of maternity services for the index live births and medical services for terminally ill neonates for each socio-demographic variable. Logistic regression models estimated odds ratios (AORs) adjusted for socio-demographic variables and clustering of births to the same mothers. The HDSS registered 49,827 live births and 1,049 neonatal deaths during 2009-2018. We found similar prenatal care-seeking for male and female fetuses but higher facility delivery (AOR = 1.17, 95% CI: 1.12-1.23) and C-sections (AOR = 1.20, 95% CI: 1.15-1.25) for male fetus pregnancies, differences that remain after adjusting for maternal complications. Sex differences persisted in seeking care for terminally ill neonates. Trained provider consultation (AOR = 1.46, CI: 1.00-2.12); hospital admissions (AOR = 1.43, CI: 1.01-2.03); and dying in hospital (AOR = 1.91, CI: 1.31-2.78) were all higher for male neonates. Other variables positively associated with delivery care and medical care-seeking were lower birth order of the child, higher maternal education, and higher household wealth status. Policy and decision-makers need to be aware of gender disparities in maternity care and care of sick neonates and plan remedial actions.</p>","PeriodicalId":506314,"journal":{"name":"SSM - Population Health","volume":" ","pages":"101261"},"PeriodicalIF":0.0000,"publicationDate":"2022-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/89/dc/main.PMC9550641.pdf","citationCount":"1","resultStr":"{\"title\":\"Sex differences in the care of the fetus in the mother's womb and the neonate on her lap: Evidence from demographic surveillance and survey data from Bangladesh.\",\"authors\":\"Nurul Alam,&nbsp;Md Mahabubur Rahman,&nbsp;Mamun Ibn Bashar,&nbsp;Ali Ahmed,&nbsp;Taslim Ali,&nbsp;M Moinuddin Haider\",\"doi\":\"10.1016/j.ssmph.2022.101261\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Valuation of sons over daughters introduces sex-biased health, economic, and socio-demographic inequalities in many societies. This study aims to examine fetus-sex differences in maternity services and sex differences in medical care for terminally ill neonates in Bangladesh, using secondary data from the Matlab Health and Demographic Surveillance System (HDSS), maintained by icddr,b since 1966 along with data from the Bangladesh Maternal Mortality and Health Care Survey (BMMS) 2016. The HDSS follows a well-defined rural population (0.24 million in 2018) to register vital events and migrations and records the use of maternity services for the index birth and medical care-seeking during the terminal illness of each death in verbal autopsy. The BMMS 2016 recorded maternity care and maternal complications for the last live birth of mothers in the same population (weighted n = 27,133; unweighted n = 26,939). Bivariate analyses estimated the use (in %) of maternity services for the index live births and medical services for terminally ill neonates for each socio-demographic variable. Logistic regression models estimated odds ratios (AORs) adjusted for socio-demographic variables and clustering of births to the same mothers. The HDSS registered 49,827 live births and 1,049 neonatal deaths during 2009-2018. We found similar prenatal care-seeking for male and female fetuses but higher facility delivery (AOR = 1.17, 95% CI: 1.12-1.23) and C-sections (AOR = 1.20, 95% CI: 1.15-1.25) for male fetus pregnancies, differences that remain after adjusting for maternal complications. Sex differences persisted in seeking care for terminally ill neonates. Trained provider consultation (AOR = 1.46, CI: 1.00-2.12); hospital admissions (AOR = 1.43, CI: 1.01-2.03); and dying in hospital (AOR = 1.91, CI: 1.31-2.78) were all higher for male neonates. Other variables positively associated with delivery care and medical care-seeking were lower birth order of the child, higher maternal education, and higher household wealth status. Policy and decision-makers need to be aware of gender disparities in maternity care and care of sick neonates and plan remedial actions.</p>\",\"PeriodicalId\":506314,\"journal\":{\"name\":\"SSM - Population Health\",\"volume\":\" \",\"pages\":\"101261\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-10-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/89/dc/main.PMC9550641.pdf\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"SSM - Population Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.ssmph.2022.101261\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/9/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"SSM - Population Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.ssmph.2022.101261","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/9/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1

摘要

重男轻女的观念在许多社会造成了性别偏见的健康、经济和社会人口不平等。本研究旨在利用自1966年以来由icddr维护的Matlab健康和人口监测系统(HDSS)的辅助数据以及2016年孟加拉国孕产妇死亡率和医疗保健调查(BMMS)的数据,研究孟加拉国产妇服务中的胎儿性别差异和绝症新生儿医疗保健中的性别差异。HDSS跟踪明确界定的农村人口(2018年为24万人),登记人口动态事件和迁移,并在口头尸检中记录每次死亡的晚期疾病期间使用孕产妇服务的情况。2016年BMMS记录了同一人群中母亲最后一次活产的产妇护理和产妇并发症(加权n = 27133;未加权n = 26,939)。双变量分析估计了每个社会人口变量对活产指数的产妇服务使用情况(以%计)和对绝症新生儿的医疗服务使用情况。逻辑回归模型估计的优势比(AORs)调整了社会人口统计学变量和同一母亲的生育聚类。2009-2018年期间,人口和社会保障局登记了49,827例活产和1,049例新生儿死亡。我们发现男性和女性胎儿的产前护理寻求相似,但男性胎儿妊娠的设施分娩(AOR = 1.17, 95% CI: 1.12-1.23)和剖腹产(AOR = 1.20, 95% CI: 1.15-1.25)更高,在调整母体并发症后差异仍然存在。在寻求绝症新生儿护理方面,性别差异依然存在。培训提供者咨询(AOR = 1.46, CI: 1.00-2.12);住院率(AOR = 1.43, CI: 1.01-2.03);住院死亡率(AOR = 1.91, CI: 1.31-2.78)均高于男婴。其他与分娩护理和寻求医疗保健呈正相关的变量是孩子的出生顺序较低、母亲的教育程度较高和家庭财富状况较高。政策和决策者需要认识到产妇护理和患病新生儿护理方面的性别差异,并计划补救行动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Sex differences in the care of the fetus in the mother's womb and the neonate on her lap: Evidence from demographic surveillance and survey data from Bangladesh.

Sex differences in the care of the fetus in the mother's womb and the neonate on her lap: Evidence from demographic surveillance and survey data from Bangladesh.

Sex differences in the care of the fetus in the mother's womb and the neonate on her lap: Evidence from demographic surveillance and survey data from Bangladesh.

Sex differences in the care of the fetus in the mother's womb and the neonate on her lap: Evidence from demographic surveillance and survey data from Bangladesh.

Valuation of sons over daughters introduces sex-biased health, economic, and socio-demographic inequalities in many societies. This study aims to examine fetus-sex differences in maternity services and sex differences in medical care for terminally ill neonates in Bangladesh, using secondary data from the Matlab Health and Demographic Surveillance System (HDSS), maintained by icddr,b since 1966 along with data from the Bangladesh Maternal Mortality and Health Care Survey (BMMS) 2016. The HDSS follows a well-defined rural population (0.24 million in 2018) to register vital events and migrations and records the use of maternity services for the index birth and medical care-seeking during the terminal illness of each death in verbal autopsy. The BMMS 2016 recorded maternity care and maternal complications for the last live birth of mothers in the same population (weighted n = 27,133; unweighted n = 26,939). Bivariate analyses estimated the use (in %) of maternity services for the index live births and medical services for terminally ill neonates for each socio-demographic variable. Logistic regression models estimated odds ratios (AORs) adjusted for socio-demographic variables and clustering of births to the same mothers. The HDSS registered 49,827 live births and 1,049 neonatal deaths during 2009-2018. We found similar prenatal care-seeking for male and female fetuses but higher facility delivery (AOR = 1.17, 95% CI: 1.12-1.23) and C-sections (AOR = 1.20, 95% CI: 1.15-1.25) for male fetus pregnancies, differences that remain after adjusting for maternal complications. Sex differences persisted in seeking care for terminally ill neonates. Trained provider consultation (AOR = 1.46, CI: 1.00-2.12); hospital admissions (AOR = 1.43, CI: 1.01-2.03); and dying in hospital (AOR = 1.91, CI: 1.31-2.78) were all higher for male neonates. Other variables positively associated with delivery care and medical care-seeking were lower birth order of the child, higher maternal education, and higher household wealth status. Policy and decision-makers need to be aware of gender disparities in maternity care and care of sick neonates and plan remedial actions.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信