家庭结构对幼儿健康的异质性影响

Q3 Nursing
M. C. Mulenga
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引用次数: 0

摘要

到2030年消除新生儿和5岁以下儿童可预防的死亡是可持续发展目标的具体目标之一。2013- 2014年赞比亚人口与健康调查的数据显示,多年来儿童健康的一些指标有所改善,这与家庭组成方面的广泛人口变化相吻合。据推测,一夫一妻制家庭的孩子比单身或一夫多妻制家庭的孩子健康状况要好得多。因此,本研究旨在探讨异质家庭结构对儿童早期健康的影响。方法采用2013- 2014年儿童健康调查(ZDHS)数据,采用儿童记录(Kids Recode, KR)数据文件,该文件包含受访妇女5岁以下儿童的信息。分析在三个层面进行:描述性、双变量和多变量。结果研究表明,家庭结构对儿童早期健康有显著的影响,不同婚姻形式的儿童的健康结果存在异质性,已婚和一夫多妻婚姻类型的儿童体重不足的几率更高。该研究还确定,母亲的营养状况、地区、儿童性别、母亲的出生年龄和儿童接种疫苗也是与赞比亚儿童早期健康有关的其他因素。政府有必要实施限制儿童接触不良健康的政策,这将需要在以后的生活中采取更昂贵的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Heterogeneous Effects of Family Structure on Early Child Health
Background Ending preventable deaths of newborns and children under 5 years of age by 2030 is one of the targets of the Sustainable Development Goals. Data from the 2013-14 Zambia Demographic and Health Survey shows that there has been improvements in some indicators of child health over the years and this has coincided with the widespread demographic changes in family formation. It’s hypothesized that children from monogamous households tend to have much better health outcomes compared to single or polygynous households. This study therefore set out to examine the effect of heterogeneous family structures on early child health. Methods Using data from the 2013-14 ZDHS, the study employed the Kids Recode (KR) data file which contains information about children under the age of five (5) of interviewed women. The analysis was conducted at three levels: descriptive, bivariate and multivariate.  Results The study established that family structure had a statistically significant effect on early child health and that there was heterogeneity in the health outcomes of the children from different forms of marriage, with the ever married and polygamous marriage categories showing higher odds of having underweight children. The study also established that mother’s nutrition status, region, sex of child, mother’s age at birth of the child and child vaccination were also among other factors associated with the early child health in Zambia.  Conclusion There is need for the government to implement policies that will limit the exposure of children to adverse health which would require more costly interventions later in life.
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来源期刊
Epidemiology Biostatistics and Public Health
Epidemiology Biostatistics and Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
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期刊介绍: Epidemiology, Biostatistics, and Public Health (EBPH) is a multidisciplinary journal that has two broad aims: -To support the international public health community with publications on health service research, health care management, health policy, and health economics. -To strengthen the evidences on effective preventive interventions. -To advance public health methods, including biostatistics and epidemiology. EBPH welcomes submissions on all public health issues (including topics like eHealth, big data, personalized prevention, epidemiology and risk factors of chronic and infectious diseases); on basic and applied research in epidemiology; and in biostatistics methodology. Primary studies, systematic reviews, and meta-analyses are all welcome, as are research protocols for observational and experimental studies. EBPH aims to be a cross-discipline, international forum for scientific integration and evidence-based policymaking, combining the methodological aspects of epidemiology, biostatistics, and public health research with their practical applications.
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