地理因素对莫桑比克农村地区性与生殖健康服务利用情况的影响。

Geographic influences on sexual and reproductive health service utilization in rural Mozambique.

作者信息

Yao Jing, Murray Alan T, Agadjanian Victor, Hayford Sarah R

机构信息

GeoDa Center for Geospatial Analysis and Computation, Arizona State University, Tempe, AZ 85287, USA.

出版信息

Appl Geogr. 2012 Mar;32(2):601-607. doi: 10.1016/j.apgeog.2011.07.009. Epub 2011 Aug 10.

Abstract

The HIV/AIDS epidemic remains a major public health issue across the globe, and it is of particular concern in sub-Saharan Africa. Utilization of sexual and reproductive health (SRH) services can significantly impact HIV prevention, transmission, and treatment. SRH service utilization may be determined by individual characteristics, such as education and economic status, but also by the location and accessibility of health care facilities. Using population-based survey data, this study applies exploratory spatial analysis techniques to examine spatial patterns of SRH service utilization among rural married women in southern Mozambique. Clustering among those using services is found as are spatial associations, indicating significant spatial variability in the utilization of health services. The findings provide valuable insights for current and future health care program planning and configuration.

摘要

艾滋病毒/艾滋病疫情仍然是全球主要的公共卫生问题,在撒哈拉以南非洲地区尤其令人担忧。性与生殖健康(SRH)服务的利用对艾滋病毒的预防、传播和治疗有着重大影响。SRH服务的利用可能由个人特征决定,如教育程度和经济状况,但也受医疗保健设施的位置和可及性影响。本研究利用基于人口的调查数据,应用探索性空间分析技术来研究莫桑比克南部农村已婚妇女中SRH服务利用的空间模式。研究发现使用服务者之间存在聚类现象以及空间关联,这表明卫生服务利用存在显著的空间变异性。这些研究结果为当前和未来的医疗保健项目规划与布局提供了宝贵的见解。

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