Sociodemographic characteristics and perinatal mortality among singletons in North East Tanzania: a registry-based study
Sociodemographic characteristics and perinatal mortality among singletons in North East Tanzania: a registry-based study
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DOI：
10.1136/jech.2007.062828
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发表时间：
2008-11-01
影响因子：
6.3
通讯作者：
Daltveit, A. K.
中科院分区：
文献类型：
--
作者：
Abu Habib, N.;Lie, R. T.;Daltveit, A. K.
目的：撒哈拉以南非洲地区的围产期死亡率是世界上已知的最高的，但很少有研究评估父母的社会人口特征对围产期死亡率的重要性。本研究的目的是估计社会人口学模式如何影响围产期死亡率在北方Tanzana.Design和设置：一个注册为基础的研究，使用出生从1999年至2006年在一家医院在东北Tanzana.Participants和方法：14 394单胎出生的出生体重500克或更高，一个已知的围产期生存状态。出生的妇女居住在当地以外的地区谁是指到医院分娩的医疗reasons.Results：围产儿死亡率为41.1每1000出生。与围产儿死亡率高独立相关的因素有：父亲年龄大（。45)与26-35岁相比（调整的相对风险（ARR）2.0; 95% CI 1.4 - 2.8），父亲教育程度低（仅小学）与中学或更高年级相比（ARR 1.3; 95% CI 1.1 - 1.7），父亲种族为查加族或帕雷族以外（ARR 1.4; 95% CI 1.1 - 1.7），父亲务农（ARR 1.5; 95% CI 1.1 - 2.2），孕产妇服务职业（ARR 1.7; 95% CI 1.2 - 2.6），母亲身高≤ 150 cm（ARR 1.4; 95% CI 1.0 - 1.8）和居住在农村或半城市地区（ARR 1.4; 95%CI 1.1至1.7）。结论：在非洲，围产期死亡率存在很强的社会人口梯度。父亲的社会特征似乎有更强的影响围产儿死亡率比母亲的特点。这可能反映了发展中国家决策者需要考虑的社会和文化条件。
Objectives: Sub-Saharan Africa has the highest known perinatal mortality rates in the World, but few studies have assessed the importance of parental sociodemographic characteristics on perinatal mortality in this region. The aim of this study was to estimate how sociodemographic patterns affect perinatal mortality in Northern Tanzania.Design and settings: A registry-based study using births from 1999 to 2006 at a hospital in North Eastern Tanzania.Participants and methods: 14 394 singleton births with birthweight 500 g or higher and a known perinatal survival status. Births of women with residence outside the local district who were referred to the hospital for delivery for medical reasons were excluded.Results: Perinatal mortality was 41.1 per 1000 births. Factors independently associated with higher perinatal mortality were: higher paternal age (. 45) compared to age 26-35 (adjusted relative risk (ARR) 2.0; 95% CI 1.4 to 2.8), low paternal education ( only primary) compared to secondary or higher ( ARR 1.3; 95% CI 1.1 to 1.7), paternal ethnicity other than Chagga or Pare ( ARR 1.4; 95% CI 1.1 to 1.7), paternal farming occupation ( ARR 1.5; 95% CI 1.1 to 2.2), maternal service occupation ( ARR 1.7; 95% CI 1.2 to 2.6), maternal height 150 cm or lower ( ARR 1.4; 95% CI 1.0 to 1.8) and residence in the rural or semi- urban area ( ARR 1.4; 95% CI 1.1 to 1.7).Conclusions: There are strong sociodemographic gradients in perinatal mortality in Africa. Paternal social characteristics appear to have stronger influence on perinatal mortality than maternal characteristics. This may reflect social and cultural conditions that need to be considered by policymakers in developing countries.