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越南新生儿产后健康检查中的社会经济不平等现象。

Socioeconomic inequalities in post-natal health checks for the newborn in Vietnam.

机构信息

Hanoi Medical University, No1. Ton That Tung Street, Hanoi, Vietnam.

Hanoi Obstetrics and Gynecology Hospital, No. 929 La Thanh Street, Ba Dinh District, Hanoi, Vietnam.

出版信息

Int J Equity Health. 2019 Aug 16;18(1):128. doi: 10.1186/s12939-019-1029-8.

Abstract

BACKGROUND

The newborn and child death associated with inadequate post-natal health checks continued to be a significant issue across the world. This study aimed to assess the socioeconomic inequalities in post-natal health checks for the newborn in Vietnam in 2014.

METHODS

We used the secondary data from the Multiple Indicator Cluster Survey in 2014. We included women aged 15-49 years who had a live birth within two years of the time of the interview. We estimated the concentration index to measure socioeconomic inequalities post-natal health checks for the newborn. We conducted multiple logistic regression analysis to identify factors associated with post-natal health checks for the newborn.

RESULTS

Overall, the proportion of post-natal health checks for the newborn in Vietnam was 89.1%. The concentration index of post-natal health checks for the newborn was positive at 0.06. It indicated that the newborns in the rich households were more likely to get post-natal health checks as compared to in the poor households. The common factors significantly associated with the higher percentage of post-natal health checks for the newborn were women belonging to the Kinh and Hoa ethnic, higher education, and wealthier groups.

CONCLUSION

Socioeconomic inequalities in post-natal health checks for the newborn in Vietnam were not strong, but it still existed. Thus, we recommended that policy efforts to increase access to post-natal health services for poor women. In addition, there is a need to improve access to post-natal health services for women belonging to minor ethnic group and low education.

摘要

背景

全球范围内,新生儿和儿童死亡率仍然与产后健康检查不足有关。本研究旨在评估 2014 年越南新生儿产后健康检查的社会经济不平等情况。

方法

我们使用了 2014 年多指标类集调查的二级数据。我们纳入了在访谈前两年内分娩的 15-49 岁女性。我们估计了集中指数,以衡量新生儿产后健康检查的社会经济不平等情况。我们进行了多因素逻辑回归分析,以确定与新生儿产后健康检查相关的因素。

结果

总体而言,越南新生儿产后健康检查的比例为 89.1%。新生儿产后健康检查的集中指数为正 0.06,这表明与贫困家庭相比,富裕家庭的新生儿更有可能接受产后健康检查。与新生儿产后健康检查比例较高显著相关的常见因素包括:属于京族和华族的女性、较高的教育程度和较富裕的群体。

结论

越南新生儿产后健康检查的社会经济不平等程度不高,但仍然存在。因此,我们建议政策努力增加贫困妇女获得产后健康服务的机会。此外,还需要改善少数民族和低教育程度妇女获得产后健康服务的机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0735/6697903/48fc015fcbe7/12939_2019_1029_Fig1_HTML.jpg

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