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贝宁孕妇驱虫药物使用的相关因素:来自人口与健康调查的证据

Factors Associated with Deworming Medication Utilization among Pregnant Women in Benin: Evidence from the Demographic and Health Survey.

作者信息

Amoak Daniel, Dhillon Satveer, Antabe Roger, Sano Yujiro, Luginaah Isaac

机构信息

Department of Geography and Environment, Western University, London, ON N6A 5C2, Canada.

Department of Health and Society, University of Toronto Scarborough, Scarborough, ON M1C 1A4, Canada.

出版信息

Trop Med Infect Dis. 2023 Mar 12;8(3):166. doi: 10.3390/tropicalmed8030166.

Abstract

Deworming medication utilization is a useful strategy to reduce the burden of anemia among pregnant women. Yet, we know very little about the prevalence and correlates of deworming medication utilization among pregnant women in sub-Saharan Africa, including Benin. To address this void in the literature, we used the 2017-2018 Benin Demographic and Health Survey and applied logistic regression analysis to explore the demographic, socioeconomic, and healthcare factors associated with deworming medication utilization in Benin. We found that deworming medication coverage was 65% at the national level. We observed that women aged 35-49 years were less likely to use deworming medication compared to those aged 15-24 years (OR = 0.79, < 0.01). Compared to Christian women, Muslim women (OR = 0.70, < 0.01) and women of other religions (OR = 0.51, < 0.01) were also less likely to use deworming medication. Moreover, women with lower levels of education and household wealth, as well as unemployed women, were less likely to use deworming medication in comparison to their educated, richer, and employed counterparts. Women who visited ANC fewer than eight times were also less likely to use deworming medication compared to their counterparts who did so eight times or more (OR = 0.65, < 0.001). Based on these findings, we discussed several implications for policymakers.

摘要

驱虫药物的使用是减轻孕妇贫血负担的一项有效策略。然而,我们对撒哈拉以南非洲地区(包括贝宁)孕妇驱虫药物的使用情况及其相关因素知之甚少。为了填补这一文献空白,我们利用了2017 - 2018年贝宁人口与健康调查,并应用逻辑回归分析来探究与贝宁驱虫药物使用相关的人口统计学、社会经济和医疗保健因素。我们发现,全国范围内驱虫药物的覆盖率为65%。我们观察到,与15 - 24岁的女性相比,35 - 49岁的女性使用驱虫药物的可能性较小(比值比 = 0.79,< 0.01)。与基督教女性相比,穆斯林女性(比值比 = 0.70,< 0.01)和其他宗教信仰的女性(比值比 = 0.51,< 0.01)使用驱虫药物的可能性也较小。此外,与受过教育、较为富裕且有工作的女性相比,受教育程度较低、家庭财富较少的女性以及失业女性使用驱虫药物的可能性较小。与进行过八次或更多次产前检查的女性相比,产前检查次数少于八次的女性使用驱虫药物的可能性也较小(比值比 = 0.65,< 0.001)。基于这些发现,我们讨论了对政策制定者的几点启示。

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