埃塞俄比亚育龄妇女住院分娩的空间分布及相关因素:埃塞俄比亚人口与健康调查案例》。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2022-06-25 eCollection Date: 2022-01-01 DOI:10.1155/2022/4480568
Daniel Sisay, Helen Ali Ewune, Temesgen Muche, Wondwosen Molla
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引用次数: 0

摘要

背景孕产妇死亡率高得令人无法接受。2017 年,约有 29.5 万名妇女在怀孕和分娩期间及之后死亡。这些死亡中的绝大多数(94%)发生在资源匮乏的环境中,而大多数死亡是可以避免的:本研究基于一项使用 2016 年 EDHS 数据进行的横断面研究。分析对象包括调查前五年内分娩的 7590 名妇女。通过 SatScan 空间统计分析,发现了住院分娩的高热点和低热点集群。利用多层次多变量混合效应逻辑回归发现与住院分娩相关的特征:在这项研究中,33.25% 在调查前 5 年内分娩的妇女是在医疗机构分娩的。研究结果还表明,全国住院分娩的空间分布是非随机的。与住院分娩利用率有统计意义的变量如下:在个人层面,富裕程度(AOR = 2.18,95%CI:1.39-3.41)、受教育程度较高(AOR = 3.89,95%CI:1.51-10.01)、产前检查次数达到或超过四次(AOR = 6.57,95%CI:4.83-8.94)、奇偶性大于或等于 1。在社区层面,高等教育(AOR = 1.70,95%CI:1.22-2.36)和城市居住(AOR = 5.30,95%CI:3.10-9.06)是与住院分娩利用率有显著统计学关联的变量:这项研究发现了住院分娩的空间集群,索马里和阿法尔地区的住院分娩利用率较低,而亚的斯亚贝巴和提格雷地区的住院分娩利用率最高。与住院分娩相关的重要个人因素是妇女产前检查次数、家庭财富指数、产妇教育程度和奇偶数,而重要的社区因素是地区、居住地和教育状况。因此,为了最大限度地提高埃塞俄比亚医疗机构的分娩率,政府和非政府利益相关者应更多地关注本研究中确定的住院分娩预测因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Spatial Distribution and Associated Factors of Institutional Delivery among Reproductive-Age Women in Ethiopia: The Case of Ethiopia Demographic and Health Survey.

Spatial Distribution and Associated Factors of Institutional Delivery among Reproductive-Age Women in Ethiopia: The Case of Ethiopia Demographic and Health Survey.

Spatial Distribution and Associated Factors of Institutional Delivery among Reproductive-Age Women in Ethiopia: The Case of Ethiopia Demographic and Health Survey.

Spatial Distribution and Associated Factors of Institutional Delivery among Reproductive-Age Women in Ethiopia: The Case of Ethiopia Demographic and Health Survey.

Background: Maternal mortality is unacceptably high. About 295,000 women died during and following pregnancy and childbirth in 2017. The vast majority of these deaths (94%) occurred in low-resource settings, and most could have been prevented.

Methods: This research is based on a cross-sectional study using 2016 EDHS data. The analysis included 7,590 women who had given birth in the five years prior to the survey. Clusters with high and low hot spots with institutional delivery were found using SatScan spatial statistical analysis. A multilevel multivariable mixed-effect logistic regression was utilized to discover characteristics associated with institutional delivery.

Result: In this study, 33.25% of women who gave birth in the last 5 years preceding the survey delivered their babies at health institutions. The finding also indicated that the spatial distribution of institutional delivery was nonrandom in the country. Variables achieving statically significant association with utilization of institutional delivery were as follows: at the individual level, richness (AOR = 2.18, 95%CI: 1.39-3.41), higher education (AOR = 3.89, 95%CI: 1.51-10.01), a number of antenatal care visits of four and above (AOR = 6.57, 95%CI: 4.83-8.94), and parity of more than two children (AOR = 0.48, 95%CI: 0.34-0.68); at the community level, higher education (AOR = 1.70, 95%CI: 1.22-2.36) and urban residence (AOR = 5.30, 95%CI: 3.10-9.06) were variables that had achieved statically significant association for utilization of institutional delivery.

Conclusions: This study identified a spatial cluster of institutional delivery with the Somali and Afar region having low utilization rates and Addis Ababa and Tigray regions having the highest utilization rates. The significant individual factors associated with institution delivery were woman antenatal care visits, household wealth index, maternal education, and parity, and the significant community ones were region, place of residence, and educational status. Therefore, to maximize health facility delivery in Ethiopia, the predictors of institutional delivery identified in this study should be given more attention by governmental and nongovernmental stakeholders.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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