Bicego G T, Boerma J T
Demographic and Health Surveys, Macro International Inc., Columbia, MD 21045.
Soc Sci Med. 1993 May;36(9):1207-27. doi: 10.1016/0277-9536(93)90241-u.
A uniform analytical methodology was applied to survey data from 17 developing countries with the aim of addressing a series of questions regarding the positive statistical association between maternal education and the health and survival of children under age two. As has been observed previously, the education advantage in survival was less pronounced during than after the neonatal period. Strong but varying education effects on postneonatal risk, undernutrition during the 3-23 month period, and non-use of health services were shown--although a large part of these associations are the result of education's strong link to household economics. Differential use of basic health services, though closely tied to a mother's educational level, does little to explain the education advantage in child health and survival. However, the issue of the actual quality of services measured in the DHS is raised. Other issues concerning the roles of the pattern of family formation and differential physical access to health services are explored and discussed.
应用统一的分析方法对来自17个发展中国家的调查数据进行分析,旨在解决一系列有关母亲教育与两岁以下儿童健康及生存之间积极统计关联的问题。正如之前所观察到的,在新生儿期,教育在生存方面的优势不如新生儿期之后明显。研究表明,教育对新生儿后期风险、3至23个月期间的营养不良以及不使用卫生服务有强烈但各异的影响——尽管这些关联很大程度上是教育与家庭经济紧密联系的结果。基本卫生服务的差异化使用虽然与母亲的教育水平密切相关,但对解释教育在儿童健康和生存方面的优势作用不大。然而,文中提出了在人口与健康调查中所衡量的服务实际质量问题。还探讨并讨论了有关家庭形成模式的作用以及获得卫生服务的实际差异等其他问题。