Antai Diddy, Ghilagaber Gebrenegus, Wedrén Sara, Macassa Gloria, Moradi Tahereh
Division of Social Medicine (Unit of Epidemiology), Department of Public Health Sciences, Karolinska Institute, 171 76, Stockholm, Sweden.
J Relig Health. 2009 Sep;48(3):290-304. doi: 10.1007/s10943-008-9197-7. Epub 2008 Jul 31.
Observations in Nigeria have indicated polio vaccination refusal related to religion that ultimately affected child morbidity and mortality. This study assessed the role of religion in under-five (0-59 months) mortality using a cross-sectional, nationally representative sample of 7,620 women aged 15-49 years from the 2003 Nigeria Demographic and Health Survey and included 6,029 children. Results show that mother's affiliation to Traditional indigenous religion is significantly associated with increased under-five mortality. Multivariable modelling demonstrated that this association is explained by differential use of maternal and child health services, specifically attendance to prenatal care. To reduce child health inequity, these results need to be incorporated in the formulation of child health policies geared towards achieving a high degree of attendance to prenatal care, irrespective of religious affiliation.
在尼日利亚的观察表明，与宗教相关的脊髓灰质炎疫苗接种拒绝行为最终影响了儿童的发病率和死亡率。本研究使用了来自2003年尼日利亚人口与健康调查的7620名15 - 49岁女性的全国代表性横断面样本（其中包括6029名儿童），评估了宗教在五岁以下（0 - 59个月）儿童死亡率中的作用。结果显示，母亲隶属于传统本土宗教与五岁以下儿童死亡率的增加显著相关。多变量建模表明，这种关联可以通过孕产妇和儿童健康服务的差异使用来解释，特别是产前检查的就诊情况。为了减少儿童健康不平等现象，这些结果需要纳入旨在实现高产前检查就诊率的儿童健康政策制定中，而不论宗教信仰如何。
