Maternal Mortality and Female Literacy Rates in Developing Countries during 1970–2000: A Latent Growth Curve Analysis

Maternal Mortality and Female Literacy Rates in Developing Countries during 1970–2000: A Latent Growth Curve Analysis
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1970-2000 年发展中国家孕产妇死亡率和女性识字率:潜在增长曲线分析

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发表时间:
2013
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影响因子:
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通讯作者:
FangHsun Wei
FangHsun Wei
中科院分区:
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作者:
V. Pillai;Arati Maleku;FangHsun Wei

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背景。女性识字率与孕产妇死亡率之间的总体纵向关系尚未得到充分调查,尽管了解这种关系对于通过女性识字率运动和改善来设计降低孕产妇死亡率的方案至关重要。这项研究的目的是检验女性识字率与死亡率之间的动态关系。研究采用了一项跨越1970年至2000年三十年的纵向研究设计。从世界银行和联合国等全球机构主办的网站获得了1970-2000年期间属于六个地理区域的143个国家的国家一级数据。1970-2000年,六个地区的产妇死亡率为147 - 271。女性识字率与孕产妇死亡率之间的纵向关系采用潜在增长曲线方法进行了检验。研究发现,女性识字率的变化率与孕产妇死亡率呈负相关。女性识字率的稳步增长也与孕产妇死亡率的下降有关。我们发现,女性扫盲项目在降低孕产妇死亡率方面具有巨大价值,因为它们能够持续降低发展中国家的死亡率水平。
Background. The gross longitudinal relationship between female literacy and maternal mortality ratios has not been adequately investigated even though the knowledge of the relationship is crucial for designing maternal mortality reduction programs through female literacy campaigns and improvements. The objective of the study was to examine the dynamic relationship between female literacy and mortality ratios. A longitudinal study design spanning three decades, 1970–2000, was used. Country level data on 143 nations belonging to six geographical regions for the duration 1970–2000 were secured from websites hosted by global agencies such as World Bank and the United Nations were utilized. Maternal mortality ratios (1970–2000) ranged from 147 to 271 across the six regions. The longitudinal relationship between female literacy rates and maternal mortality ratios was examined using a latent growth curve approach. The study found that rates of change in female literacy and maternal mortality ratios are negatively related. Steady rates of increase in female literacy were associated with declining maternal mortality ratios as well. We find that female literacy programs are of immense value in reducing maternal mortality ratios given their ability to yield sustained reductions in mortality levels in developing countries.