Liranso Endrias, Yang Fang
Department of Sociology, School of Sociology and Political Science, Baoshan Campus, Shanghai University, Shanghai, China.
Department of Sociology & Social Anthropology, Humanities & Social Sciences Faculty, Arba Minch University, Ethiopia.
Am J Hum Biol. 2023 Oct;35(10):e23965. doi: 10.1002/ajhb.23965. Epub 2023 Jul 22.
Few studies in Ethiopia have explored the impact of the mothers' education on infant survival. Therefore, this study aimed to identify and analyze the proximate factors in the relationship between maternal education and infant survival in Ethiopia.
This study used the nationally representative 2016 Ethiopian Demographic and Health Survey dataset. It analyzed a sample of 3831 newborn children using Cox regression models.
The findings revealed that infants born to educated mothers had lower odds of infant mortality than those born to mothers without formal education. Specifically, infants whose mothers had completed secondary school and had a better antenatal care attendance rate had 49.9% lower odds of infant mortality than those born to mothers with no formal education and a poor antenatal care attendance rate. Furthermore, infants whose mothers had at least some postsecondary education and who used delivery by health-care professionals, clean drinking water, and improved toilet facilities had 65.3%, 56.3%, and 68.6% lower odds of infant mortality, respectively, than those born to mothers with no formal education and who did not use those facilities.
This study concluded that the mothers' educational disparity is intimately tied to infant mortality, and that access to formal education, mainly for women, increases infant survival in Ethiopia. Future research should focus on mothers without formal education who do not have access to antenatal care visits for safe pregnancy, delivery by health-care professionals, clean drinking water, and improved toilet facilities in Ethiopia and elsewhere in Sub-Saharan Africa.
埃塞俄比亚很少有研究探讨母亲教育程度对婴儿存活率的影响。因此，本研究旨在确定和分析埃塞俄比亚母亲教育程度与婴儿存活率之间关系的直接因素。
本研究使用了具有全国代表性的2016年埃塞俄比亚人口与健康调查数据集。它使用Cox回归模型分析了3831名新生儿的样本。
研究结果显示，受过教育的母亲所生婴儿的死亡率低于未受过正规教育的母亲所生婴儿。具体而言，母亲完成中学教育且产前检查出勤率较高的婴儿，其死亡率比母亲未受过正规教育且产前检查出勤率较低的婴儿低49.9%。此外，母亲至少接受过一些高等教育、由医护人员接生、使用清洁饮用水和改善卫生设施的婴儿，其死亡率分别比母亲未受过正规教育且未使用这些设施的婴儿低65.3%、56.3%和68.6%。
本研究得出结论，母亲的教育差距与婴儿死亡率密切相关，在埃塞俄比亚，接受正规教育，主要是女性接受正规教育，可提高婴儿存活率。未来的研究应关注埃塞俄比亚以及撒哈拉以南非洲其他地区未受过正规教育、无法获得安全怀孕产前检查、由医护人员接生、清洁饮用水和改善卫生设施的母亲。
