山西省孕产妇死亡影响因素流行病学研究

发布时间：2018-05-11 20:41

本文选题：孕产妇死亡 + 影响因素　；参考：《山西医科大学》2005年硕士论文

【摘要】：目的:了解山西省孕产妇死亡的现况,分析影响山西省孕产妇死亡的主要因素,为制定干预措施提供科学的依据。方法:本研究共分为两部分,第一部分为回顾性队列研究,收集1996-2003 年山西省40 个孕产妇死亡监测点的数据,了解孕产妇死亡率及死因的变化规律。对1996-2003 年不同经济类别地区孕产妇死亡率进行比较,探索经济发展程度与孕产妇死亡率的关系。每一类地区不同年度率的比较及同一年度不同地区率的比较用线性趋势卡方。第二部分为影响因素分析,用病例对照研究方法,以孕产妇死亡为“病例”组,严格按照配比条件,采用1:4的对照,进行问卷调查。对34 项因素逐一进行条件logistic 单因素分析,将单因素分析有统计学意义的因素引入多因素条件logistic 回归模型分析。结果:经过线性趋势卡方分析,可以认为从1996-2003 年全省及农村的孕产妇死亡率有明显的下降趋势(全省趋势x2=7.44 ,P0.05 ,农村趋势x2=6.78,P0.05);城市的孕产妇死亡率经过统计学检验,无明显的下降趋势。条件logistic 单因素分析, P0.01 的因素包括:本人文化程度、丈夫文化程度、家庭收入、生育史、计划外妊娠、妊娠合并贫血、住院分娩、新法接生、建立孕产妇保健卡、健康教育、产检次数、初检孕周、产后访视等共13 项。上述因素进行条件logistic 多因素分析,采用逐步回归筛选变量(α入=0.05,α出=0.1)进入回归方程的因素有:家庭收入、计划外妊娠、妊娠合并贫血、新法接生、健康教育、产后访视。其中危险因素有:家庭收入低、计划外妊娠、妊娠合并贫血,OR 值分别为:4.399(95%可信区间为1.807-10.416)、12.183(95%可信区间为3.242-45.283)、3.935(95%可信区间为1.080-14.335)。保护因素有:新法接生、接受健康教育、接受产
[Abstract]:Objective: to understand the current situation of maternal mortality in Shanxi Province, analyze the main factors affecting maternal mortality and provide scientific basis for making intervention measures. Methods: this study was divided into two parts. The first part was a retrospective cohort study. The data of 40 maternal mortality monitoring sites from 1996 to 2003 in Shanxi Province were collected to understand the changes of maternal mortality and causes of death. This paper compares the maternal mortality in different economic regions from 1996 to 2003, and explores the relationship between economic development and maternal mortality. Linear trend chi-square is used for comparison of different annual rates for each region and for different regions in the same year. The second part is the analysis of the influencing factors, using the case-control study method, taking maternal mortality as the "case" group, strictly according to the matching conditions, using the 1:4 control, to carry out a questionnaire survey. One by one, 34 factors were analyzed by conditional logistic single factor analysis, and the factors with statistical significance were introduced into the multivariate conditional logistic regression model. Results: according to the linear trend chi-square analysis, it can be concluded that from 1996 to 2003, the maternal mortality rate in the whole province and in the rural areas showed a significant downward trend (P 0.05, P 0.05, P 0.05, P 0.05, P 0.05), and the maternal mortality rate in urban areas was tested statistically. There is no obvious downward trend. Conditional logistic univariate analysis showed that the factors of P0.01 included: personal education, husband's education, family income, birth history, unplanned pregnancy, pregnancy complicated with anemia, hospital delivery, new method of delivery, establishment of maternal health card, health education. The number of birth examinations, the first check-up weeks, postpartum visits and so on a total of 13 items. The factors mentioned above were analyzed by conditional logistic multivariate analysis. The factors that entered the regression equation by stepwise regression screening variables (伪 -in 0.05, 伪 -0.1) were as follows: family income, unplanned pregnancy, pregnancy complicated with anemia, new method delivery, health education, postpartum visit. The risk factors were as follows: low family income, unplanned pregnancy, pregnancy with anemia, OR = 1.807-10.416 / 12.183 / 95% confidence interval = 1.807-10.416 / 12.183 / 95% confidence interval = 3.242-45.283n / 3.93535 / 95% / 95% = 1.080-14.335A, respectively. Protective factors include: delivery through the new law, health education and delivery
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2005
【分类号】：R181.3

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