{"title":"埃塞俄比亚新生儿死亡的危险因素。","authors":"N. Wakgari, E. Wencheko","doi":"10.4314/EJHD.V27I3","DOIUrl":null,"url":null,"abstract":"Abstract Background: An understanding of risk factors related to neonatal mortality is important to guide the development of focused and evidence-based health interventions to reduce neonatal deaths. Objective: This study aimed to identify risk factors of neonatal mortality in Ethiopia. Methods: The data source for the study was the 2011 Ethiopian Demographic and Health Survey. The survival information of a total of 8,651 live-born neonates born five years before the survey was examined. Stratified Cox-proportional hazards model was employed to identify risk factors associated with neonatal deaths. Results: About 71% of the neonatal deaths occurred within the first week after birth and, the cumulative death rate reached 79% in the second week. The estimated hazard ratios of mortality were higher for twins or multiple births (HR=3.73, 95% CI: 2.81-4.94), first order birth (HR=1.68, 95% CI: 1.25-2.24), male sex (HR=1.26, 95% CI: 1.06-1.50), birth interval shorter than 24 months (HR=1.63, 95% CI:1.31-2.03), very small and vary large size neonates born to mothers younger than 20 years of age and above 34 years (HR=1.38, 95% CI:1.05-1.82) and (HR=1.32, 95% CI 0.06-2.80), respectively, and neonates whose mothers had a history of pregnancy complications (HR=1.73, 95% CI: 1.27-2.24) compared to their respective counterparts. The risk of dying was lower for neonates whose mothers attended antenatal visits (HR=0.72, 95% CI: 0.59-0.89) and neonates put to breast immediately upon birth (HR=0.83, 95% CI: 0.59-0.99). Conclusion: Public health interventions directed at reducing neonatal death should address the demographic factors mentioned above and maternal health services. [Ethiop. J. Health Dev. 2013;27(3):192-199]","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":null,"pages":null},"PeriodicalIF":0.5000,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"31","resultStr":"{\"title\":\"Risk factors of neonatal mortality in Ethiopia.\",\"authors\":\"N. Wakgari, E. Wencheko\",\"doi\":\"10.4314/EJHD.V27I3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Abstract Background: An understanding of risk factors related to neonatal mortality is important to guide the development of focused and evidence-based health interventions to reduce neonatal deaths. Objective: This study aimed to identify risk factors of neonatal mortality in Ethiopia. Methods: The data source for the study was the 2011 Ethiopian Demographic and Health Survey. The survival information of a total of 8,651 live-born neonates born five years before the survey was examined. Stratified Cox-proportional hazards model was employed to identify risk factors associated with neonatal deaths. Results: About 71% of the neonatal deaths occurred within the first week after birth and, the cumulative death rate reached 79% in the second week. The estimated hazard ratios of mortality were higher for twins or multiple births (HR=3.73, 95% CI: 2.81-4.94), first order birth (HR=1.68, 95% CI: 1.25-2.24), male sex (HR=1.26, 95% CI: 1.06-1.50), birth interval shorter than 24 months (HR=1.63, 95% CI:1.31-2.03), very small and vary large size neonates born to mothers younger than 20 years of age and above 34 years (HR=1.38, 95% CI:1.05-1.82) and (HR=1.32, 95% CI 0.06-2.80), respectively, and neonates whose mothers had a history of pregnancy complications (HR=1.73, 95% CI: 1.27-2.24) compared to their respective counterparts. The risk of dying was lower for neonates whose mothers attended antenatal visits (HR=0.72, 95% CI: 0.59-0.89) and neonates put to breast immediately upon birth (HR=0.83, 95% CI: 0.59-0.99). Conclusion: Public health interventions directed at reducing neonatal death should address the demographic factors mentioned above and maternal health services. [Ethiop. J. 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Abstract Background: An understanding of risk factors related to neonatal mortality is important to guide the development of focused and evidence-based health interventions to reduce neonatal deaths. Objective: This study aimed to identify risk factors of neonatal mortality in Ethiopia. Methods: The data source for the study was the 2011 Ethiopian Demographic and Health Survey. The survival information of a total of 8,651 live-born neonates born five years before the survey was examined. Stratified Cox-proportional hazards model was employed to identify risk factors associated with neonatal deaths. Results: About 71% of the neonatal deaths occurred within the first week after birth and, the cumulative death rate reached 79% in the second week. The estimated hazard ratios of mortality were higher for twins or multiple births (HR=3.73, 95% CI: 2.81-4.94), first order birth (HR=1.68, 95% CI: 1.25-2.24), male sex (HR=1.26, 95% CI: 1.06-1.50), birth interval shorter than 24 months (HR=1.63, 95% CI:1.31-2.03), very small and vary large size neonates born to mothers younger than 20 years of age and above 34 years (HR=1.38, 95% CI:1.05-1.82) and (HR=1.32, 95% CI 0.06-2.80), respectively, and neonates whose mothers had a history of pregnancy complications (HR=1.73, 95% CI: 1.27-2.24) compared to their respective counterparts. The risk of dying was lower for neonates whose mothers attended antenatal visits (HR=0.72, 95% CI: 0.59-0.89) and neonates put to breast immediately upon birth (HR=0.83, 95% CI: 0.59-0.99). Conclusion: Public health interventions directed at reducing neonatal death should address the demographic factors mentioned above and maternal health services. [Ethiop. J. Health Dev. 2013;27(3):192-199]
期刊介绍:
The Ethiopian Journal of Health Development is a multi and interdisciplinary platform that provides space for public health experts in academics, policy and programs to share empirical evidence to contribute to health development agenda.
We publish original research articles, reviews, brief communications and commentaries on public health issues, to inform current research, policy and practice in all areas of common interest to the scholars in the field of public health, social sciences and humanities, health practitioners and policy makers. The journal publishes material relevant to any aspect of public health from a wide range of fields: epidemiology, environmental health, health economics, reproductive health, behavioral sciences, nutrition, psychiatry, social pharmacy, medical anthropology, medical sociology, clinical psychology and wide arrays of social sciences and humanities.
The journal publishes the following types of contribution:
1) Peer-reviewed original research articles and critical or analytical reviews in any area of social public health. These papers may be up to 3,500 words excluding abstract, tables, and references. Papers below this limit are preferred.
2) Peer-reviewed short reports of research findings on topical issues or published articles of between 2000 and 4000 words.
3) Brief communications, and commentaries debating on particular areas of focus, and published alongside, selected articles.
4) Special Issues bringing together collections of papers on a particular theme, and usually guest edited.
5) Editorial that flags critical issues of public health debate for policy, program and scientific consumption or further debate