尼日利亚母婴皮肤接触的覆盖范围及相关因素：一项多层次分析。
Coverage and factors associated with mother and newborn skin-to-skin contact in Nigeria: a multilevel analysis.
机构信息
Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Department of Public & Environmental Health, School of Medicine & Allied Health Sciences, University of The Gambia, Kanifing, The Gambia.
出版信息
BMC Pregnancy Childbirth. 2021 Sep 4;21(1):603. doi: 10.1186/s12884-021-04079-8.
BACKGROUND
Mother and newborn skin-to-skin contact (SSC) is an immediate postpartum intervention known to improve the health of newborn and mothers alike. Albeit, there is paucity of data that explored the coverage or factors associated with SSC in Nigeria. Therefore, we aimed to explore the coverage and hierarchical nature of the factors associated with SSC among women of reproductive age in Nigeria.
METHODS
The 2018 Nigeria Demographic and Health Survey (NDHS) data was used for this study. Data on 29,992 women who had ever given birth were extracted for analysis. SSC was the outcome variable as determined by women's report. A multivariable multilevel logistic regression model was used to estimate the fixed and random effects of the factors associated with SSC. Statistical significance was determined at p< 0.05.
RESULTS
The coverage of SSC was approximately 12.0%. Educated women had higher odds of SSC, when compared with women with no formal education. Those who delivered through caesarean section (CS) had 88% reduction in SSC, when compared with women who had vaginal delivery (OR= 0.12; 95%CI: 0.07, 0.22). Women who delivered at health facility were 15.58 times as likely to practice SSC, when compared with those who delivered at home (OR= 15.58; 95%CI: 10.64, 22.82). Adequate ANC visits and low birth weight significantly increased the odds of SSC. Women from richest household were 1.70 times as likely to practice SSC, when compared with women from poorest household (OR= 1.70; 95%CI: 1.04, 2.79). There was 65% reduction in SSC among women with high rate of community non-use of media, when compared with women from low rate of community non-use of media (OR= 0.35; 95%CI: 0.20, 0.61).
CONCLUSION
SSC coverage was low in Nigeria. Moreover, individual, household and community level factors were associated with SSC. More enlightenment should be created among women to bring to limelight the importance of SSC specifically to newborn's health.
背景
母婴皮肤接触（SSC）是一种即刻的产后干预措施，已被证实可以改善新生儿和母亲的健康。然而，在尼日利亚，有关 SSC 覆盖范围或相关因素的数据仍然匮乏。因此，我们旨在探讨尼日利亚育龄妇女中 SSC 的覆盖范围以及与 SSC 相关的因素的层次结构。
方法
本研究使用了 2018 年尼日利亚人口与健康调查（NDHS）的数据。对 29992 名曾经分娩过的妇女进行了数据分析。SSC 是通过妇女报告来确定的结果变量。采用多变量多水平逻辑回归模型来估计与 SSC 相关的因素的固定效应和随机效应。p<0.05 时为统计学意义显著。
结果
SSC 的覆盖范围约为 12.0%。与没有正规教育的妇女相比，受过教育的妇女更有可能进行 SSC。与阴道分娩的妇女相比，剖宫产（CS）分娩的妇女 SSC 的可能性降低了 88%（OR=0.12；95%CI：0.07，0.22）。在医疗机构分娩的妇女进行 SSC 的可能性是在家分娩的妇女的 15.58 倍（OR=15.58；95%CI：10.64，22.82）。充分的 ANC 就诊次数和低出生体重显著增加了 SSC 的可能性。与来自最贫穷家庭的妇女相比，来自最富裕家庭的妇女进行 SSC 的可能性高 1.70 倍（OR=1.70；95%CI：1.04，2.79）。在社区非媒体使用率较高的妇女中，SSC 的可能性降低了 65%，而在社区非媒体使用率较低的妇女中，SSC 的可能性降低了 65%（OR=0.35；95%CI：0.20，0.61）。
结论
在尼日利亚，SSC 的覆盖范围较低。此外，个人、家庭和社区层面的因素都与 SSC 相关。应该向妇女宣传 SSC 的重要性，特别是对新生儿健康的重要性。
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