Distribution of causes of maternal mortality among different socio-demographic groups in Ghana; a descriptive study.
Distribution of causes of maternal mortality among different socio-demographic groups in Ghana; a descriptive study.
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DOI：
10.1186/1471-2458-11-159
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发表时间：
2011-03-10
影响因子：
4.5
通讯作者：
Musinguzi G
中科院分区：
文献类型：
--
作者：
Asamoah BO;Moussa KM;Stafström M;Musinguzi G
尽管为实现千年发展目标5作出了努力，加纳的产妇死亡率仍然居高不下。加纳对产妇死亡率进行了一些研究，但对产妇死亡率在不同社会人口亚群中的分布情况知之甚少。因此，这项研究的目的是根据加纳的社会人口因素评估和分析孕产妇死亡的原因。从年龄、教育程度、城乡居住状况和婚姻状况等方面对产妇死亡原因进行了评估。数据来自一项为期五年的回溯性调查。这些数据来自加纳统计局数据库中的《2007年加纳产妇健康调查》。使用频数表、交叉表和Logistic回归分析了12-49岁年龄组共605例孕产妇死亡。出血是孕产妇死亡率最高的原因(22.8%)。已婚女性死于出血的风险显著高于单身女性(调整后OR=2.7，95%CI=1.2~5.7)。相反，与单身妇女相比，已婚妇女死于流产的风险显著降低(调整后的OR=0.2，95%CI=0.1-0.4)。与年龄较小的女性相比，35-39岁的女性死于出血的风险显著较高(AOR 2.6，95%CI=1.4-4.9)，而她们死于流产的风险较低(AOR 0.3，95%CI=0.1-0.7)。孕产妇死于传染病的风险随着产妇年龄的增加而降低，而死于各种原因的风险随着年龄的增长而增加。这项研究表明，加纳不同社会人口亚群的孕产妇死亡原因存在差异，这一点不容忽视。因此，建议旨在打击加纳产妇高死亡率的干预措施既应针对具体原因，也应针对具体目标。
Ghana's maternal mortality ratio remains high despite efforts made to meet Millennium Development Goal 5. A number of studies have been conducted on maternal mortality in Ghana; however, little is known about how the causes of maternal mortality are distributed in different socio-demographic subgroups. Therefore the aim of this study was to assess and analyse the causes of maternal mortality according to socio-demographic factors in Ghana. The causes of maternal deaths were assessed with respect to age, educational level, rural/urban residence status and marital status. Data from a five year retrospective survey was used. The data was obtained from Ghana Maternal Health Survey 2007 acquired from the database of Ghana Statistical Service. A total of 605 maternal deaths within the age group 12-49 years were analysed using frequency tables, cross-tabulations and logistic regression. Haemorrhage was the highest cause of maternal mortality (22.8%). Married women had a significantly higher risk of dying from haemorrhage, compared with single women (adjusted OR = 2.7, 95%CI = 1.2-5.7). On the contrary, married women showed a significantly reduced risk of dying from abortion compared to single women (adjusted OR = 0.2, 95%CI = 0.1-0.4). Women aged 35-39years had a significantly higher risk of dying from haemorrhage (aOR 2.6, 95%CI = 1.4-4.9), whereas they were at a lower risk of dying from abortion (aOR 0.3, 95% CI = 0.1-0.7) compared to their younger counterparts. The risk of maternal death from infectious diseases decreased with increasing maternal age, whereas the risk of dying from miscellaneous causes increased with increasing age. The study shows evidence of variations in the causes of maternal mortality among different socio-demographic subgroups in Ghana that should not be overlooked. It is therefore recommended that interventions aimed at combating the high maternal mortality in Ghana should be both cause-specific as well as target-specific.
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DOI：
10.1016/j.ejogrb.2003.12.004
发表时间：
2004-06-15
影响因子：
2.6
作者：
Thonneau, PF;Matsudai, T;Goyaux, N
通讯作者：
Goyaux, N
影响因子：
2.3
作者：
Mills, Samuel;Williams, John E.;Hodgson, Abraham
通讯作者：
Hodgson, Abraham
DOI：
10.2471/blt.05.029124
发表时间：
2006-03-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Garenne, Michel;Fauveau, Vincent
通讯作者：
Fauveau, Vincent
影响因子：
--
作者：
Witter, Sophie;Arhinful, Daniel Kojo;Zakariah-Akoto, Sawudatu
通讯作者：
Zakariah-Akoto, Sawudatu
影响因子：
3.5
作者：
Hill, Zelee Elizabeth;Tawiah-Agyemang, Charlotte;Kirkwood, Betty
通讯作者：
Kirkwood, Betty