卫生系统和政策在促进中低收入国家安全分娩中的作用：多层次分析。
The role of health systems and policies in promoting safe delivery in low- and middle-income countries: a multilevel analysis.
机构信息
Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, NY 10032, USA.
出版信息
Am J Public Health. 2012 Apr;102(4):645-50. doi: 10.2105/AJPH.2011.300462. Epub 2012 Feb 16.
Abstract
We aimed to measure the contribution of national factors, particularly health system characteristics, to the individual likelihood of professionally attended delivery ("safe delivery") for women in low- and middle-income countries. Using Demographic and Health Survey data for 165,774 women in 31 countries, we estimated multilevel logistic regression models to measure the contribution of national economic and health system characteristics to likelihood of attended delivery. More health workers, higher national income, urbanization, and lower income inequality were associated with higher odds of attended delivery. Macrosocial factors increase utilization of attended delivery and may be more efficient in reducing maternal mortality than are interventions aimed at individual women.
摘要
我们旨在衡量国家因素（特别是卫生系统特征）对中低收入国家女性获得专业助产服务（“安全分娩”）的个体可能性的贡献。利用来自 31 个国家的 165774 名妇女的人口与健康调查数据，我们使用多水平逻辑回归模型来衡量国家经济和卫生系统特征对分娩服务利用的可能性的贡献。更多的卫生工作者、更高的国民收入、城市化和较低的收入不平等与更高的分娩服务利用几率相关。宏观社会因素增加了接受分娩服务的可能性，并且可能比针对个体妇女的干预措施更有效地降低产妇死亡率。
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