孕产妇发病和死亡中的社会文化因素：对尼日利亚南部一个半城市社区的研究。
Socio-cultural factors in maternal morbidity and mortality: a study of a semi-urban community in southern Nigeria.
作者信息
Okolocha C, Chiwuzie J, Braimoh S, Unuigbe J, Olumeko P
机构信息
Department of Sociology and Anthropology, University of Benin, Nigeria.
出版信息
J Epidemiol Community Health. 1998 May;52(5):293-7. doi: 10.1136/jech.52.5.293.
STUDY OBJECTIVE
To understand community based or socio-cultural factors that determine maternal morbidity and mortality in a semi-urban setting.
DESIGN
The study is an exploratory multidisciplinary operations research and the instruments were focus groups and interviews.
SETTING
Ekpoma, a semi-urban community with a population of 70,000 in central part of Edo state in southern Nigeria.
PARTICIPANTS
Thirteen groups of women, two groups of men, and two groups of traditional birth attendants.
RESULTS
There is a fairly good knowledge of haemorrhage but this is circumscibed by attitudes, practices, and situations that keep women away from or delay the decision to seek modern obstetric care.
CONCLUSIONS
For a fuller understanding of maternal morbidity and mortality, it is important to consider factors outside the hospital and formal medical practice. Furthermore, a change of existing knowledge, attitudes, practices, and situations can be enhanced through modelling on them.
研究目的
了解在半城市环境中决定孕产妇发病率和死亡率的基于社区或社会文化因素。
设计
本研究为探索性多学科行动研究，采用焦点小组和访谈作为研究工具。
研究地点
埃克波马，位于尼日利亚南部江户州中部的一个半城市社区，人口7万。
研究对象
13组女性、2组男性和2组传统助产士。
结果
对出血有相当不错的认知，但这种认知受到态度、行为和状况的限制，这些因素使女性远离或延迟寻求现代产科护理的决定。
结论
为了更全面地理解孕产妇发病率和死亡率，考虑医院和正规医疗实践之外的因素很重要。此外，通过对现有知识、态度、行为和状况进行建模，可以促进其改变。
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