The association of religion with maternal and child health outcomes in South Asian countries.
The association of religion with maternal and child health outcomes in South Asian countries.
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DOI：
10.1371/journal.pone.0271165
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
神学信仰在文化规范中发挥着重要作用，并可能影响南亚妇女的产前和产后决定，南亚的儿童和孕妇疾病负担很高。这项研究的目的是确定宗教在影响妇女决策能力方面可能存在的任何关联，以及这反过来如何影响南亚多个国家群体一级的孕产妇和儿童健康。采用二级数据分析的横断面研究。我们在2014年至2018年期间在阿富汗，孟加拉国，印度，马尔代夫，缅甸，尼泊尔和巴基斯坦进行了人口与健康调查。并不是每个国家的调查都询问宗教信仰，所以我们根据人口普查数据估算了这些结果。我们通过综合覆盖指数（CCI）评估了孕产妇和儿童的健康，该指数包括计划生育、熟练助产士的接生、产前护理、卡介苗接种、3剂白喉-破伤风-百日咳疫苗、麻疹疫苗、口服补液治疗以及儿童患肺炎时的护理。宗教，妇女赋权和CCI之间的关系进行了评估，通过线性回归模型。样本包括57，972名有12-23个月孩子的母亲。据观察，CCI受家庭收入的影响，除了宗教和国家。印度教徒（2.8%，95% CI：2.4%，3.1%）和佛教徒（2.0%，95% CI：1.2%，2.9%）的CCI高于穆斯林。母亲的年龄、文化程度、经济收入、决策自主性、对殴打的态度与CCI有关。在一个按宗教分层的模型中，年龄、教育和收入是穆斯林和非穆斯林CCI的重要预测因素，但在穆斯林中更有影响力。虽然必须使用多重插补来填补宗教数据的空白，但这项研究表明，南亚的孕产妇和儿童健康结果仍然是一个令人关切的问题，特别是对穆斯林妇女而言。考虑到宗教信仰的重要性，利用一个简单的指标，如社区参与指数，可能有助于监测这些成果，并为社区解决因孕产妇赋权方面的差距而造成的护理差距迈出了切实的第一步。
Theological beliefs play an important role in cultural norms and could impact women’s prenatal and postpartum decisions in South Asia, which has a high burden of disease in children and pregnant women. The aim of this study is to identify any associations religion may have in affecting a woman’s decision-making ability, and how that in turn affects maternal and child health, at a group level in multiple South Asian countries. Cross-sectional study utilizing secondary data analysis. We used Demographic and Health Surveys (DHS) between 2014 and 2018 in Afghanistan, Bangladesh, India, Maldives, Myanmar, Nepal, and Pakistan. Not every country’s survey asked about religion, so we imputed these results based on Census data. We assessed maternal and child health through a composite coverage index (CCI), which accounts for family planning, attendance of a skilled attendant at birth, antenatal care, BCG vaccinations, 3 doses of diphtheria-tetanus-pertussis vaccine, measles vaccine, oral rehydration therapy, and seeking care if the child has pneumonia. The relationship between religion, women’s empowerment, and CCI was assessed through linear regression models. The sample included 57,972 mothers who had children aged 12–23 months. CCI is observed to be affected by family income, in addition to religion and country. CCI was higher in Hindus (2.8%, 95% CI: 2.4%, 3.1%) and Buddhists (2.0%, 95% CI: 1.2%, 2.9%) than Muslims. Mother’s age, education, income, decision-making autonomy, and attitude towards beatings were all related to CCI. In a model stratified by religion, age, education, and income were significant predictors of CCI for both Muslims and non-Muslims, but were more impactful among Muslims. Though multiple imputation had to be used to fill in gaps in religion data, this study demonstrates that maternal and child health outcomes continue to be a concern in South Asia, especially for Muslim women. Given the importance of religious beliefs, utilizing a simple indicator, such as the CCI could be helpful for monitoring these outcomes and provides a tangible first step for communities to address gaps in care resulting from disparities in maternal empowerment.
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影响因子：
2.9
作者：
Hasan MM;Richardson A
通讯作者：
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