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尼日利亚家庭财富指数与孕产妇贫血状况关系中的城乡差异

Rural-urban differentials in the relationship between household wealth index and maternal anaemia status in Nigeria.

作者信息

Awoleye Abayomi Folorunso, Alawode Oluwatobi Abel, Chima Victor, Okunlola David Aduragbemi, Obiesie Sopuruchukwu

机构信息

Department of Demography and Social Statistics, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.

Department of Sociology and Criminology & Law, University of Florida, Gainesville, USA.

出版信息

Health Care Women Int. 2025;46(7):810-825. doi: 10.1080/07399332.2022.2078327. Epub 2022 Jun 16.

DOI:10.1080/07399332.2022.2078327
PMID:35708496
Abstract

Anaemia - a condition of low haemoglobin level in the blood is prevalent among women in Nigeria despite years of interventions. Wealth status have implications for this prevalence but there is a dearth of research examining this relationship and residential dimensions in it. The social determinant of health framework was employed to understand the rural-urban dimension of this relationship. Chi-square test and multivariate logit regression models were used to analyse data from the 2018 Nigeria Demographic and Health Survey (n=13,575). We found that anaemia status is higher among rural women (66%). The odds of being anaemic is higher with decreasing wealth status irrespective of place of residence but the odds are higher for poor women in urban areas compared to poor women in rural areas after adjusting for covariates. Maternal health interventions should be more innovative in their design of programs by being sensitive of residential dimension.

摘要

贫血——一种血液中血红蛋白水平较低的状况,尽管经过多年干预,在尼日利亚女性中仍然普遍存在。财富状况对这种患病率有影响,但缺乏研究来检验这种关系及其居住层面的情况。我们采用健康的社会决定因素框架来理解这种关系的城乡层面。使用卡方检验和多元逻辑回归模型分析了2018年尼日利亚人口与健康调查的数据(n = 13575)。我们发现农村女性的贫血状况更为严重(66%)。无论居住地点如何,贫血几率都随着财富状况的下降而增加,但在调整协变量后,城市贫困女性的贫血几率高于农村贫困女性。孕产妇健康干预措施在设计方案时应更具创新性,要考虑到居住层面的因素。

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