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Abstract：
UNASSIGNED: Given the significance of addressing neonatal mortality in pursuing the 2030 Sustainable Development Goal on child health, research focus on this area is crucial. Despite the persistent high rates of neonatal mortality rate (NMR) in Bangladesh, there remains a notable lack of robust evidence addressing inequalities in NMR in the country. Therefore, this study aims to fill the knowledge gap by comprehensively investigating inequalities in NMR in Bangladesh.
UNASSIGNED: The Bangladesh Demographic and Health Survey (BDHS) data from 2000 to 2017 were analyzed. The equity stratifiers used to measure the inequalities were wealth status, mother\'s education, place of residence, and subnational region. Difference (D) and population attributable fraction (PAF) were absolute measures, whereas population attributable risk (PAR) and ratio (R) were relative measures of inequality. Statistical significance was considered by estimating 95% confidence intervals (CIs) for each estimate.
UNASSIGNED: A declining trend in NMR was found in Bangladesh, from 50.2 in 2000 to 31.9 deaths per 1000 live births in 2017. This study detected significant wealth-driven (PAF: -20.6, 95% CI: -24.9, -16.3; PAR: -6.6, 95% CI: -7.9, -5.2), education-related (PAF: -11.6, 95% CI: -13.4, -9.7; PAR: -3.7, 95% CI: -4.3, -3.1), and regional (PAF: -20.6, 95% CI: -27.0, -14.3; PAR: -6.6, 95% CI: -8.6, -4.6) disparities in NMR in all survey points. We also found a significant urban-rural inequality from 2000 to 2014, except in 2017. Both absolute and relative inequalities in NMR were observed; however, these inequalities decreased over time.
UNASSIGNED: Significant variations in NMR across subgroups in Bangladesh highlight the need for comprehensive, and targeted interventions. Empowering women through improved access to economic resources and education may help address disparities in NMR in Bangladesh. Future research and policies should focus on developing strategies to address these disparities and promote equitable health outcomes for all newborns.
UNASSIGNED: The Bangladesh Demographic and Health Survey (BDHS) data from 2000 to 2017 were analyzed. The equity stratifiers used to measure the inequalities were wealth status, mother\'s education, place of residence, and subnational region. Difference (D) and population attributable fraction (PAF) were absolute measures, whereas population attributable risk (PAR) and ratio (R) were relative measures of inequality. Statistical significance was considered by estimating 95% confidence intervals (CIs) for each estimate.
UNASSIGNED: A declining trend in NMR was found in Bangladesh, from 50.2 in 2000 to 31.9 deaths per 1000 live births in 2017. This study detected significant wealth-driven (PAF: -20.6, 95% CI: -24.9, -16.3; PAR: -6.6, 95% CI: -7.9, -5.2), education-related (PAF: -11.6, 95% CI: -13.4, -9.7; PAR: -3.7, 95% CI: -4.3, -3.1), and regional (PAF: -20.6, 95% CI: -27.0, -14.3; PAR: -6.6, 95% CI: -8.6, -4.6) disparities in NMR in all survey points. We also found a significant urban-rural inequality from 2000 to 2014, except in 2017. Both absolute and relative inequalities in NMR were observed; however, these inequalities decreased over time.
UNASSIGNED: Significant variations in NMR across subgroups in Bangladesh highlight the need for comprehensive, and targeted interventions. Empowering women through improved access to economic resources and education may help address disparities in NMR in Bangladesh. Future research and policies should focus on developing strategies to address these disparities and promote equitable health outcomes for all newborns.
摘要：
■考虑到解决新生儿死亡率问题对实现2030年可持续发展目标儿童健康的重要性，这方面的研究重点至关重要。尽管孟加拉国的新生儿死亡率（NMR）持续很高，仍然明显缺乏有力的证据来解决该国NMR的不平等。因此,这项研究旨在通过全面调查孟加拉国核磁共振中的不平等现象来填补知识空白。
■对2000年至2017年的孟加拉国人口与健康调查（BDHS）数据进行了分析。用来衡量不平等的公平分层是财富状况，母亲的教育，居住地,和国家以下地区。差异(D)和人口归因分数(PAF)是绝对度量，而人口归因风险（PAR）和比率（R）是不平等的相对衡量标准。通过估计每个估计值的95%置信区间(CI)来考虑统计学显著性。
■在孟加拉国发现NMR呈下降趋势，从2000年的50.2例死亡到2017年的31.9例死亡。这项研究检测到显著的财富驱动（PAF：-20.6，95%CI：-24.9，-16.3；PAR：-6.6，95%CI：-7.9，-5.2），教育相关(PAF：-11.6，95%CI：-13.4，-9.7；PAR：-3.7，95%CI：-4.3，-3.1)，和区域（PAF：-20.6，95％CI：-27.0，-14.3；PAR：-6.6，95％CI：-8.6，-4.6）在所有测量点的NMR差异。我们还发现，2000年至2014年，除2017年外，城乡不平等现象明显。在NMR中观察到绝对和相对不等式；然而，这些不平等随着时间的推移而减少。
■孟加拉国各分组的NMR差异显着突出了全面，有针对性的干预措施。通过改善获得经济资源和教育的机会来增强妇女的权能可能有助于解决孟加拉国核磁共振的差距。未来的研究和政策应侧重于制定战略，以解决这些差距，并促进所有新生儿的公平健康结果。
■对2000年至2017年的孟加拉国人口与健康调查（BDHS）数据进行了分析。用来衡量不平等的公平分层是财富状况，母亲的教育，居住地,和国家以下地区。差异(D)和人口归因分数(PAF)是绝对度量，而人口归因风险（PAR）和比率（R）是不平等的相对衡量标准。通过估计每个估计值的95%置信区间(CI)来考虑统计学显著性。
■在孟加拉国发现NMR呈下降趋势，从2000年的50.2例死亡到2017年的31.9例死亡。这项研究检测到显著的财富驱动（PAF：-20.6，95%CI：-24.9，-16.3；PAR：-6.6，95%CI：-7.9，-5.2），教育相关(PAF：-11.6，95%CI：-13.4，-9.7；PAR：-3.7，95%CI：-4.3，-3.1)，和区域（PAF：-20.6，95％CI：-27.0，-14.3；PAR：-6.6，95％CI：-8.6，-4.6）在所有测量点的NMR差异。我们还发现，2000年至2014年，除2017年外，城乡不平等现象明显。在NMR中观察到绝对和相对不等式；然而，这些不平等随着时间的推移而减少。
■孟加拉国各分组的NMR差异显着突出了全面，有针对性的干预措施。通过改善获得经济资源和教育的机会来增强妇女的权能可能有助于解决孟加拉国核磁共振的差距。未来的研究和政策应侧重于制定战略，以解决这些差距，并促进所有新生儿的公平健康结果。
