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基于母亲对伴侣暴力态度的儿童死亡率的社会人口学决定因素:来自孟加拉国的证据。

Sociodemographic determinants of child mortality based on mothers' attitudes toward partner violence: Evidence from Bangladesh.

作者信息

Ara Ferdous, Sultana Mir Misnad, Naoshin Sabrina, Sultana Israth, Hoq Mohammad Nazmul, Hossain Mohammad Emdad

机构信息

Department of Computer Science and Engineering, BGC Trust University Bangladesh, Chandanaish, Chattogram, Bangladesh.

Department of Business Administration, BGC Trust University Bangladesh, Chandanaish, Chattogram, Bangladesh.

出版信息

Heliyon. 2023 Feb 25;9(3):e13848. doi: 10.1016/j.heliyon.2023.e13848. eCollection 2023 Mar.

Abstract

Bangladesh, a lower-middle-income country in South Asia, has achieved a significant reduction in child mortality over the last three decades from 151 to 40 per 1000 live births. However, child mortality is still considered high, which may be attributed to a lack of awareness among mothers regarding the risk factors, particularly their perceptions of intimate partner violence (IPV). To investigate the effect of demographic and socioeconomic factors of women on child mortality, this study extracted data from the cross-sectional survey of Bangladesh Multiple Indicator Cluster Survey (MICS) 2019. The data were analyzed using a Poisson regression model to assess women's perceptions and exposure to physical violence in the last three years preceding the survey and their impact on the risk of child mortality. The results indicated that approximately 26% of the participants justified domestic violence under certain circumstances. Moreover, the prevalence of child mortality was higher among those who thought that IPV is acceptable than among those who considered such violence to be unjustified. Among women who are strongly averse to partner violence, the risk of child mortality was significantly lower in those who had higher levels of education, higher household income, internet usage experience, first child at 20 years or later, frequent access to mass media, and one or two children ever born. Moreover, child mortality rates also varied across geographical areas, with children from Sylhet and Mymenshing being the most vulnerable. The data indicates women's intolerable attitudes toward partner violence not only improve their status but also increase the survival chances of their young children.

摘要

孟加拉国是南亚的一个中低收入国家,在过去三十年里,该国的儿童死亡率已大幅下降,从每1000例活产151例降至40例。然而,儿童死亡率仍被认为较高,这可能归因于母亲们对风险因素缺乏认识,尤其是她们对亲密伴侣暴力(IPV)的认知。为了调查女性的人口统计学和社会经济因素对儿童死亡率的影响,本研究从2019年孟加拉国多指标类集调查(MICS)的横断面调查中提取了数据。使用泊松回归模型对数据进行分析,以评估女性在调查前三年对身体暴力的认知和经历及其对儿童死亡风险的影响。结果表明,约26%的参与者在某些情况下为家庭暴力辩解。此外,认为亲密伴侣暴力可接受的人群中的儿童死亡率高于那些认为此类暴力不合理的人群。在强烈反对伴侣暴力的女性中,受教育程度较高、家庭收入较高、有互联网使用经历、20岁或更晚生育头胎、经常接触大众媒体以及育有一两个孩子的女性,其儿童死亡风险显著较低。此外,儿童死亡率在不同地理区域也有所不同,来自锡尔赫特和迈门辛的儿童最为脆弱。数据表明,女性对伴侣暴力的不容忍态度不仅提高了她们的地位,也增加了其幼儿的生存机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e96e/10009682/e88fecf95e05/gr1.jpg

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