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埃塞俄比亚母亲针对常见儿童疾病的就医行为及相关因素:一项系统评价与荟萃分析

Mothers' health care-seeking behavior and associated factors for common childhood illnesses in Ethiopia: A systematic review and meta-analysis.

作者信息

Merkeb Alamneh Yoseph, Getachew Melese, Atnaf Aytenew, Abebaw Abtie

机构信息

School of Medicine, Department of Biomedical Sciences, Debre Markos University, Debre Markos, Ethiopia.

Department of Pharmacy, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.

出版信息

SAGE Open Med. 2022 May 21;10:20503121221099019. doi: 10.1177/20503121221099019. eCollection 2022.

DOI:10.1177/20503121221099019
PMID:35615524
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9125608/
Abstract

OBJECTIVE

This review is aimed to estimate the pooled prevalence of mothers' health care-seeking behavior and associated factors in Ethiopia.

METHODS

International databases were systematically searched for studies that were published between 2008 and 2019. Data were extracted in Microsoft Excel 2019 and then exported to STATA version 14 for further analysis. Publication bias was determined by funnel plot, Begg's test, and Egger's test. Heterogeneity between the studies was checked by I statistic. The pooled proportion was estimated using random-effects meta-analysis model.

RESULTS

This review and meta-analysis included 14 studies from a total of 581 papers that were screened. The pooled proportion of mothers' health care-seeking behavior in Ethiopia was 50.24% (95% CI: 37.13%, 63.35%). Health facility distance (OR = 2.07), awareness about common childhood illnesses (OR = 2.06), educational levels (OR = 1.82), and income (OR = 2.07) were significantly associated variables.

CONCLUSION

The overall health care-seeking behavior of mothers for common childhood illnesses in Ethiopia is low. Accordingly, educating mothers/caregivers about the importance of health care-seeking behavior and increasing the proximity of health facilities were recommended to improve health care-seeking behavior.

摘要

目的

本综述旨在评估埃塞俄比亚母亲寻求医疗保健行为的合并患病率及其相关因素。

方法

系统检索国际数据库中2008年至2019年间发表的研究。数据在Microsoft Excel 2019中提取,然后导出到STATA 14版本进行进一步分析。通过漏斗图、Begg检验和Egger检验确定发表偏倚。通过I统计量检查研究之间的异质性。使用随机效应荟萃分析模型估计合并比例。

结果

本综述和荟萃分析纳入了从总共581篇筛选论文中选取的14项研究。埃塞俄比亚母亲寻求医疗保健行为的合并比例为50.24%(95%置信区间:37.13%,63.35%)。医疗设施距离(OR = 2.07)、对常见儿童疾病的认知(OR = 2.06)、教育水平(OR = 1.82)和收入(OR = 2.07)是显著相关的变量。

结论

埃塞俄比亚母亲针对常见儿童疾病的总体寻求医疗保健行为较低。因此,建议对母亲/照顾者进行关于寻求医疗保健行为重要性的教育,并增加医疗设施的可及性,以改善寻求医疗保健行为。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3c3/9125608/e4407b39f63a/10.1177_20503121221099019-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3c3/9125608/3def3ddd8b07/10.1177_20503121221099019-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3c3/9125608/6223cf253c30/10.1177_20503121221099019-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3c3/9125608/9976798b1fee/10.1177_20503121221099019-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3c3/9125608/320b2587630e/10.1177_20503121221099019-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3c3/9125608/e4407b39f63a/10.1177_20503121221099019-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3c3/9125608/3def3ddd8b07/10.1177_20503121221099019-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3c3/9125608/6223cf253c30/10.1177_20503121221099019-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3c3/9125608/9976798b1fee/10.1177_20503121221099019-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3c3/9125608/320b2587630e/10.1177_20503121221099019-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3c3/9125608/e4407b39f63a/10.1177_20503121221099019-fig5.jpg

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