Department of Family Medicine and Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Public Health Nurs. 2024 Nov-Dec;41(6):1281-1290. doi: 10.1111/phn.13400. Epub 2024 Aug 24.
This study aims to study the impact of sociodemographic (SD), health status and resources (HSR), macroeconomic (ME), and Environmental (EV) factors on the infant mortality rate (IMR) in Qatar, Kingdom of Saudi Arabia (KSA), and the United Arab Emirates (UAE) and from 1990 to 2022.
A retrospective time-series study employing yearly data was conducted. A generalized least squares model was utilized to construct an exploratory model of IMR determinants for each country.
In SD, the risk of IMR may be increased with a higher crude birth rate, adolescent fertility rate, and married women percentage. In HSR, immunization coverage shows a significant effect in preventing neonatal diseases and reducing IMR. In ME, the effect of parents' employment seems contradicted among the three countries. In EV, greenhouse emissions have also had contradictory effects among the three countries, suggesting a complex relationship with IMR. Some were consistent with global findings, whereas others contradicted the prevailing narrative.
This study highlights the need for tailored public health interventions addressing socio-demographic, healthcare, and environmental contexts to effectively reduce IMR and enhance infant health outcomes.
本研究旨在探讨社会人口统计学（SD）、健康状况和资源（HSR）、宏观经济（ME）和环境（EV）因素对卡塔尔、沙特阿拉伯王国（KSA）和阿拉伯联合酋长国（UAE）1990 年至 2022 年期间婴儿死亡率（IMR）的影响。
采用回顾性时间序列研究，使用年度数据。利用广义最小二乘法模型为每个国家构建了 IMR 决定因素的探索性模型。
在 SD 方面，较高的粗出生率、青少年生育率和已婚妇女比例可能会增加 IMR 的风险。在 HSR 方面，免疫覆盖率对预防新生儿疾病和降低 IMR 具有显著影响。在 ME 方面，父母就业的影响在这三个国家似乎相互矛盾。在 EV 方面，温室气体排放对这三个国家的影响也相互矛盾，表明与 IMR 之间存在复杂的关系。一些结果与全球研究结果一致，而另一些则与流行的说法相矛盾。
本研究强调需要针对社会人口统计学、医疗保健和环境背景制定有针对性的公共卫生干预措施，以有效降低 IMR 并改善婴儿健康结果。
