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印度城市育龄妇女(15-49 岁)中高危生育行为与贫血之间的关联。

Association between high-risk fertility behaviour and anaemia among urban Indian women (15-49 years).

机构信息

Department of Fertility & Social Demography, International Institute for Population Sciences, Mumbai-400088, India.

出版信息

BMC Public Health. 2024 Mar 9;24(1):750. doi: 10.1186/s12889-024-18254-x.

Abstract

BACKGROUND

Women in their reproductive age have tremendous health implications that affect their health and well-being. Anaemia is an indicator of inadequate dietary intake and poor health. Maternal malnutrition significantly impacts maternal and child health outcomes, increasing the mother's risk of dying during delivery. High-risk fertility behaviour is a barrier to reducing mother and child mortality. This study aims to examine the level of high-risk fertility behaviour and anaemia among ever-married urban Indian women and also examine the linkages between the both.

METHODS

Based on the National Family Health Survey's fifth round of data, the study analyzed 44,225 samples of ever-married urban women. Univariate and bivariate analysis and binary logistic regression have been used for the analysis.

RESULTS

Findings suggested that more than half (55%) of the urban women were anaemic, and about one-fourth (24%) of women had any high-risk fertility behaviour. Furthermore, the results suggest that 20% of women were more vulnerable to anaemia due to high-risk fertility behaviour. For the specific category, 19% and 28% of women were more likely to be anaemic due to single and multiple high-risk fertility. However, after controlling for sociodemographic factors, the findings showed a statistically significant link between high-risk fertility behaviour and anaemia. As a result, 16% of the women were more likely to be anaemic due to high-risk fertility behaviour, and 16% and 24% were more likely to be anaemic due to single and multiple high-risk fertility behaviour, respectively.

CONCLUSIONS

The findings exposed that maternal high-risk fertility behaviour is a significant factor in raising the chance of anaemia in ever-married urban women of reproductive age in forms of the short birth interval, advanced maternal age, and advanced maternal age & higher order. Policy and choice-based family planning techniques should be employed to minimize the high-risk fertility behaviour among Indian urban women. This might aid in the reduction of the malnutrition status of their children.

摘要

背景

育龄妇女的健康状况对其健康和福祉有着重大影响。贫血是膳食摄入不足和健康状况不佳的一个指标。孕产妇营养不良会显著影响母婴健康结局,增加产妇分娩时死亡的风险。高风险生育行为是降低母婴死亡率的一个障碍。本研究旨在调查印度城市已婚妇女的高风险生育行为和贫血程度,并研究两者之间的联系。

方法

本研究基于国家家庭健康调查第五轮的数据,分析了 44225 名城市已婚妇女的样本。采用单变量和双变量分析以及二元逻辑回归进行分析。

结果

研究结果表明,超过一半(55%)的城市妇女贫血,约四分之一(24%)的妇女有任何高风险生育行为。此外,研究结果表明,20%的妇女由于高风险生育行为更容易贫血。就具体类别而言,由于单一和多种高风险生育行为,19%和 28%的妇女更有可能贫血。然而,在控制了社会人口因素后,研究结果显示高风险生育行为与贫血之间存在统计学上的显著联系。因此,16%的妇女由于高风险生育行为更有可能贫血,16%和 24%的妇女由于单一和多种高风险生育行为更有可能贫血。

结论

研究结果表明,孕产妇高风险生育行为是导致印度城市育龄已婚妇女贫血风险增加的一个重要因素,其形式包括生育间隔短、产妇年龄较大、产妇年龄较大且生育次数较多。应采用基于政策和选择的计划生育技术来减少印度城市妇女的高风险生育行为。这可能有助于减少其子女的营养不良状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2497/10924421/535b6066a5e3/12889_2024_18254_Fig1_HTML.jpg

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