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与阿富汗产后护理利用相关的因素。

Factors associated with postnatal care utilization in Afghanistan.

机构信息

Department of Behavioral Sciences and Health Education in, Kabul University of Medical Sciences "Abu Ali Ibn Sina", Jamal Mina 3rd District, Kabul City, Afghanistan.

出版信息

BMC Womens Health. 2024 Aug 23;24(1):463. doi: 10.1186/s12905-024-03318-2.

Abstract

Afghanistan has one of the highest maternal mortality rates in the world. Inadequate postnatal care (PNC) increases the risk of maternal mortality. This study aimed to analyze the socioeconomic and demographic factors that affect postnatal care utilization. A secondary analysis was conducted in 2019 based on the data from the 2015 Afghanistan Demographic and Health Survey. The sample included 29,461 married women aged 15-49 interviewed during the survey. This was a cross-sectional study in which a frequency distribution of independent variables for the study sample was carried out, Pearson's chi-square test was conducted for association, and the strength of association was measured using binary logistic regression. The study found that 39.9% of married women used postnatal care services. The findings of this study suggest that place of delivery and women who gave birth at health facilities were more likely to use PNC than women who delivered at home. Women age 30-39 and 20-29 positively associated with PNC use compared with mothers aged < 20 years. Each level of women's educational attainment increased their use of PNC, and women with higher education were more likely to use PNC than those without education. Furthermore, women who visited 1-3 and more than four ANC visits were more likely to use PNC than women who did not visited ANC. Moreover, women exposed to mass media were more likely to use PNC than those who were not exposed to mass media. Finally, women who lived in the northern and western regions were more likely to use PNC than those who lived in the central region, while women who lived in the southern and southeastern regions were less likely to use PNC than those who lived in the central region. Therefore, strengthening the provision of information, education, and communication could be a communication channel to further improve PNC utilization. Meanwhile further studies are needed to focus on the quality of maternal health care and PNC services in Afghanistan in order to obtain more precise information.

摘要

阿富汗是世界上孕产妇死亡率最高的国家之一。产后护理不足会增加孕产妇死亡的风险。本研究旨在分析影响产后护理利用的社会经济和人口统计学因素。本研究是在 2015 年阿富汗人口与健康调查数据的基础上,于 2019 年进行的二次分析。样本包括调查期间接受访谈的 29461 名 15-49 岁已婚妇女。这是一项横断面研究,对研究样本的独立变量进行了频率分布,对关联性进行了 Pearson 卡方检验,并使用二项逻辑回归测量了关联性的强度。研究发现,39.9%的已婚妇女使用了产后护理服务。本研究结果表明,与在家分娩的妇女相比,在医疗保健机构分娩的妇女和在分娩地点分娩的妇女更有可能使用产后护理。与年龄小于 20 岁的母亲相比,年龄在 30-39 岁和 20-29 岁的妇女与产后护理的使用呈正相关。妇女教育程度每提高一级,使用产后护理的可能性就会增加,受过高等教育的妇女比没有受过教育的妇女更有可能使用产后护理。此外,与没有接受过 ANC 检查的妇女相比,接受过 1-3 次和 4 次以上 ANC 检查的妇女更有可能使用产后护理。此外,接触大众媒体的妇女比没有接触大众媒体的妇女更有可能使用产后护理。最后,与居住在中部地区的妇女相比,居住在北部和西部地区的妇女更有可能使用产后护理,而居住在南部和东南部地区的妇女比居住在中部地区的妇女更不可能使用产后护理。因此,加强信息、教育和交流的提供可能是进一步提高产后护理利用率的一个沟通渠道。同时,需要进一步研究以关注阿富汗的孕产妇保健和产后护理服务质量,以获得更准确的信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e25/11342645/2c17e9309c78/12905_2024_3318_Fig1_HTML.jpg

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