背景:围产期死亡率是一个全球性的健康问题,尤其是在埃塞俄比亚,围产期死亡率最高。在埃塞俄比亚进行了围产期死亡率的研究,但哪些因素会导致围产期死亡率随时间的变化尚不清楚.
目的:使用EDHS2005-2016评估埃塞俄比亚围产期死亡率的趋势和多变量分解。
方法:以社区为基础,采用横断面研究设计.使用EDHS2005-2016年数据,并且已经应用了权重来调整选择概率的差异。使用STATA版本14.1使用基于Logit的多变量分解分析。使用最低的AIC值选择最佳模型,选择的变量在95%CI时p值小于0.05。
结果:埃塞俄比亚的围产期死亡率趋势从2005年的37/1000婴儿下降到2016年的33/1000婴儿。调查中围产期死亡率下降的约83.3%归因于妇女的禀赋(构成)差异。在禀赋的差异中,ANC访问的组成差异,服用TT疫苗,城市住宅,职业,中等教育,在过去的10年中,接生员显着降低了围产期死亡率。在系数的差异中,熟练的助产士显着降低了围产期死亡率。
结论:埃塞俄比亚的围产期死亡率随着时间的推移有所下降。像ANC访问这样的变量,服用TT疫苗,城市住宅,职业,中等教育,熟练的接生员降低了围产期死亡率。为了更多地降低围产期死亡率,扩大孕产妇和新生儿保健服务具有关键作用。
BACKGROUND: Perinatal mortality is a global health problem, especially in Ethiopia, which has the highest perinatal mortality rate. Studies about perinatal mortality were conducted in Ethiopia, but which factors specifically contribute to the change in perinatal mortality across time is unknown.
OBJECTIVE: To assess the trend and multivariate decomposition of perinatal mortality in Ethiopia using EDHS 2005-2016.
METHODS: A community-based, cross-sectional study design was used. EDHS 2005-2016 data was used, and weighting has been applied to adjust the difference in the probability of selection. Logit-based multivariate decomposition analysis was used using STATA version 14.1. The best model was selected using the lowest AIC value, and variables were selected with a p-value less than 0.05 at 95% CI.
RESULTS: The trend of perinatal mortality in Ethiopia decreased from 37 per 1000 births in 2005 to 33 per 1000 births in 2016. About 83.3% of the decrease in perinatal mortality in the survey was attributed to the difference in the endowment (composition) of the women. Among the differences in the endowment, the difference in the composition of ANC visits, taking the TT vaccine, urban residence, occupation, secondary education, and birth attendant significantly decreased perinatal mortality in the last 10 years. Among the differences in coefficients, skilled birth attendants significantly decreased perinatal mortality.
CONCLUSIONS: The perinatal mortality rate in Ethiopia has declined over time. Variables like ANC visits, taking the TT vaccine, urban residence, occupation, secondary education, and skilled birth attendants reduce perinatal mortality. To reduce perinatal mortality more, scaling up maternal and newborn health services has a critical role.