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揭示巴基斯坦旁遮普省婴儿死亡率决定因素中的城乡差距。

Uncovering the rural-urban gap in determinants of infant mortality in Punjab-Pakistan.

机构信息

Institute of Agricultural and Resource Economics, University of Agriculture Faisalabad, Punjab, Pakistan.

出版信息

Sex Reprod Healthc. 2023 Dec;38:100918. doi: 10.1016/j.srhc.2023.100918. Epub 2023 Sep 24.

Abstract

OBJECTIVE

The main objective of this research is to observe the various socio-economic, demographic, health-seeking, and environmental factors influencing infant mortality and the rural-urban division in Punjab, Pakistan.

METHODS

The study used the data of 38,405 households from the Multiple Indicator Cluster Survey that was conducted by the Bureau of Statistics Punjab during 2017-18. This survey assessed 125 indicators i.e., health, education, etc. created by UNICEF to assess the well-being of mothers and children in Punjab, Pakistan.

RESULTS AND CONCLUSION

The mother, the child, and the family are the three main risk factors for infant death, according to our research in Pakistan. The socioeconomic position of the household, social practices, environment, and usage of medical services are the key factors that help in reducing infant death. Women's education, birth spacing, and household economic position all played a significant role in the decline in infant mortality. The health of infants born in rural Punjab is at risk due to a large rural-urban gap in the determinants of infant mortality. Uncovering and addressing this disparity has become a pressing health priority in Pakistan.

摘要

目的

本研究的主要目的是观察影响巴基斯坦旁遮普省婴儿死亡率和城乡差异的各种社会经济、人口、寻医和环境因素。

方法

本研究使用了旁遮普邦统计局在 2017-18 年进行的多指标类集调查的 38405 户家庭的数据。该调查评估了 125 个指标,如健康、教育等,由联合国儿童基金会创建,用于评估巴基斯坦旁遮普省母亲和儿童的福祉。

结果与结论

根据我们在巴基斯坦的研究,母亲、孩子和家庭是婴儿死亡的三个主要风险因素。家庭的社会经济地位、社会习俗、环境和医疗服务的使用是有助于降低婴儿死亡的关键因素。妇女教育、生育间隔和家庭经济地位都对婴儿死亡率的下降起到了重要作用。由于农村和城市之间在婴儿死亡率决定因素方面存在巨大差距,导致出生在旁遮普农村的婴儿的健康面临风险。揭示和解决这一差距已成为巴基斯坦的一项紧迫的健康优先事项。

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