School of International Service & Center on Health, Risk, and Society, American University, Washington, DC 20016, USA.
Data Science, Purdue University, West Lafayette, IN 47907, USA.
Int J Environ Res Public Health. 2023 Jul 20;20(14):6413. doi: 10.3390/ijerph20146413.
The main study objective was to determine the extent to which the quality of institutionalized healthcare, sociodemographic factors of obstetric patients, and institutional factors affect maternal mortality in the Dominican Republic. COM-Poisson distribution and the Pearson correlation coefficient were used to determine the relationship of predictor factors (i.e., hospital bed rate, vaginal birth rate, teenage mother birth rate, single mother birth rate, unemployment rate, infant mortality rate, and sex of child rate) in influencing maternal mortality rate. The factors hospital bed rate, teenage mother birth rate, and unemployment rate were not correlated with maternal mortality. Maternal mortality increased as vaginal birth rates and infant death rates increased whereas it decreased as single mother birth rates increased. Further research to explore alternate response variables, such as maternal near-misses or severe maternal morbidity is warranted. Additionally, the link found between infant death and maternal mortality presents an opportunity for collaboration among medical specialists to develop multi-faceted solutions to combat adverse maternal and infant health outcomes in the DR.
本研究的主要目的是确定医疗机构的服务质量、产科患者的社会人口学因素和机构因素在多大程度上影响多米尼加共和国的孕产妇死亡率。采用 COM-Poisson 分布和 Pearson 相关系数来确定预测因素（即医院床位率、阴道分娩率、未成年母亲分娩率、单身母亲分娩率、失业率、婴儿死亡率和儿童性别比例）与孕产妇死亡率之间的关系。医院床位率、未成年母亲分娩率和失业率与孕产妇死亡率无相关性。随着阴道分娩率和婴儿死亡率的增加，孕产妇死亡率增加，而随着单身母亲分娩率的增加，孕产妇死亡率降低。有必要进一步研究以探索替代反应变量，如孕产妇接近死亡或严重产妇发病率。此外，发现婴儿死亡与孕产妇死亡之间存在联系，为医疗专家之间的合作提供了机会，以制定多方面的解决方案，以应对多米尼加共和国母婴健康不良结局。
