加纳出生缺陷婴儿和肺炎死亡儿童的生存分析

IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Abdul-Karim Iddrisu, A. Alhassan, N. Amidu
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引用次数: 2

摘要

尽管全球婴儿和儿童死亡率下降,但加纳没有取得任何实质性的改善。在这项研究中,我们调查了一些选定的风险因素对加纳婴儿和儿童生存的影响。本研究采用Komfo Anokye教学医院的资料,对295名婴儿和儿童进行随访,并记录每个婴儿和儿童首次死亡的时间。采用生命表法、Kaplan-Meier法和Cox比例模型进行统计分析。采用log-rank检验统计量检验生存曲线的差异。结果显示,出生缺陷或肺炎患儿的死亡风险相对较高,有出生缺陷与无出生缺陷患儿的死亡风险差异有统计学意义。此外,肺炎患儿与非肺炎患儿的死亡风险也有统计学上的显著差异。我们的分析表明,出生缺陷、早产、意外事故和妊娠并发症是婴儿生存的重要危险因素。此外,肺炎、早产、意外事故和腹泻是影响儿童生存的重要危险因素。应提供孕产妇保健服务并使其易于获得,并应教育母亲了解利用孕产妇保健服务的重要性,以减少或减轻婴儿和儿童死亡的风险。此外,应鼓励或开展PCV-13和轮状病毒疫苗免疫活动,这将减少肺炎和腹泻,并将提高婴儿和五岁以下儿童的存活率。
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 Birth Defect Infants and Children with Pneumonia Mortality in Ghana
Despite the global decline in infant and child mortality rate, Ghana has failed to record any substantial improvement. In this study, we investigated the effects of some selected risk factors on infant and child survival in Ghana. This study used data from Komfo Anokye Teaching Hospital. 295 infants and children were followed up and time to first occurrence of death was recorded for each infant and child. The life table and Kaplan-Meier methods and the Cox proportional model were used for statistical analyses. The log-rank test statistic was used to test for difference in the survival curves. The results showed that the risk of death among those with birth defects or pneumonia was relatively higher and there is statistically significant difference in the risk of dying between infants with birth defects and those with no birth defects. Also, there is statistically significant difference in the risk of death between children with pneumonia and those with no pneumonia. Our analyses showed that birth defects, preterm birth, accidents, and pregnancy complications are significant risk factors of infant survival. Also, pneumonia, preterm birth, accidents, and diarrhoea are significant risk factors of child survival. Maternal care services should be made available and accessible and mothers should be educated on the importance of maternal care services utilization in order to reduce or mitigate the risk of infant and child mortality. Also, initiating the immunization activities with PCV-13 and Rota-Virus Vaccines, which will reduce Pneumonia and diarrhoea and will improve survival of infants and children under five, should be encouraged or implemented.
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来源期刊
Advances in Public Health
Advances in Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.60
自引率
0.00%
发文量
27
审稿时长
18 weeks
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