调查母亲教育程度与儿童疟疾感染之间的重要关联因素。
Investigating the important correlates of maternal education and childhood malaria infections.
作者信息
Njau Joseph D, Stephenson Rob, Menon Manoj P, Kachur S Patrick, McFarland Deborah A
机构信息
Department of Health Policy and Management, Rollins School of Public Health of the Emory University, Atlanta, Georgia; Malaria Branch, Division of Parasitic Disease and Malaria, Division of Global Immunization, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; Hubert Department of Global Health, Rollins School of Public Health of the Emory University, Atlanta, Georgia; Department of Medicine, Division of Medical Oncology/Fred Hutchinson Cancer Research Center, University of Washington, Seattle, Washington
Department of Health Policy and Management, Rollins School of Public Health of the Emory University, Atlanta, Georgia; Malaria Branch, Division of Parasitic Disease and Malaria, Division of Global Immunization, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; Hubert Department of Global Health, Rollins School of Public Health of the Emory University, Atlanta, Georgia; Department of Medicine, Division of Medical Oncology/Fred Hutchinson Cancer Research Center, University of Washington, Seattle, Washington.
出版信息
Am J Trop Med Hyg. 2014 Sep;91(3):509-19. doi: 10.4269/ajtmh.13-0713. Epub 2014 Jul 7.
The relationship between maternal education and child health has intrigued researchers for decades. This study explored the interaction between maternal education and childhood malaria infection. Cross-sectional survey data from three African countries were used. Descriptive analysis and multivariate logistic regression models were completed in line with identified correlates. Marginal effects and Oaxaca decomposition analysis on maternal education and childhood malaria infection were also estimated. Children with mothers whose education level was beyond primary school were 4.7% less likely to be malaria-positive (P < 0.001). The Oaxaca decomposition analysis exhibited an 8% gap in childhood malaria infection for educated and uneducated mothers. Over 60% of the gap was explained by differences in household wealth (26%), household place of domicile (21%), malaria transmission intensities (14%), and media exposure (12%). All other correlates accounted for only 27%. The full adjusted model showed a robust and significant relationship between maternal education and childhood malaria infection.
几十年来，母亲教育程度与儿童健康之间的关系一直吸引着研究人员。本研究探讨了母亲教育程度与儿童疟疾感染之间的相互作用。使用了来自三个非洲国家的横断面调查数据。根据已确定的相关因素完成了描述性分析和多变量逻辑回归模型。还估计了母亲教育程度和儿童疟疾感染的边际效应以及瓦哈卡分解分析。母亲教育水平超过小学的儿童疟疾检测呈阳性的可能性降低4.7%（P < 0.001）。瓦哈卡分解分析显示，受过教育和未受过教育的母亲在儿童疟疾感染方面存在8%的差距。超过60%的差距可归因于家庭财富（26%）、家庭居住地（21%）、疟疾传播强度（14%）和媒体接触（12%）的差异。所有其他相关因素仅占27%。完全调整后的模型显示，母亲教育程度与儿童疟疾感染之间存在稳健且显著的关系。
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