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Role of proximate and non-proximate determinants in children ever born among Indian women: Change detection analysis from NFHS-3 & 5 在印度妇女中出生的孩子中,直接和非直接决定因素的作用:来自NFHS-3和5的变化检测分析
Pub Date : 2023-07-01 DOI: 10.1016/j.wcn.2023.03.002
Partha Das, Tanu Das, Tamal Basu Roy

India is a developing nation and has achieved a significant reduction in fertility. This study attempted to identify the trend of change in children ever born (CEB) against proximate and non-proximate factors over the 2005–2019 period. This study used secondary data from the National Family Health Survey. The count outcome “children ever born” was separately analyzed against several factors for two periods to mark the changes through a Poisson regression model. The results revealed that the mean number of CEB had declined irrespective of the factors. However, the incidence rate ratio (IRR) of CEB increased particularly against certain factors. In the subsequent period, the IRR of CEB increased among women who had more than three daughters at home and were engaged in early sexual intercourse. More aggressive policies should be adopted to delay the early debut of sexual intercourse and disseminate awareness among couples that the sex of the children does not matter.

印度是一个发展中国家,生育率显著下降。这项研究试图确定2005-2009年期间出生儿童(CEB)相对于接近和非接近因素的变化趋势。这项研究使用了来自全国家庭健康调查的次要数据。通过泊松回归模型,对两个时期的计数结果“出生的孩子”分别与几个因素进行分析,以标记变化。结果显示,无论何种因素,行政首长协调会的平均人数都有所下降。然而,CEB的发病率比率(IRR)增加,尤其是在某些因素的影响下。在随后的一段时间里,在家中有三个以上女儿并提前性交的妇女中,行政首长协调会的内部收益率有所上升。应采取更积极的政策,推迟提前开始性交,并在夫妇中宣传孩子的性别无关紧要。
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引用次数: 0
Trajectory of perceived social support on maternal and its related factors-a longitudinal research in Southwest China 西南地区产妇感知社会支持轨迹及其影响因素的纵向研究
Pub Date : 2023-07-01 DOI: 10.1016/j.wcn.2023.06.002
Sixu Liu , Dehua Li , Lian Luo , Fangmei Tang , Xiaoying Zhong , Zhengting Zhu , Shenglin Hu , Xiujing Guo

Objective

At present, a large number of research results showed that social support is highly correlated with mental health problems such as anxiety, depression, and self-harm during pregnancy and some adverse pregnancy outcomes. However, most studies have been cross-sectional studies on maternal social support. This longitudinal study investigated the developmental trajectory of perinatal social support and associated factors.

Methods

A total of 1485 pregnant women were investigated using the Perceived Social Support Scale (PSSS) during the first trimester of pregnancy and followed up during the third trimester and postpartum period. Informed consent was obtained before the research began.

Results

PSSS scores in the first, third and postpartum periods were 68.72, 67.21, and 66.93, respectively, which exhibited a gradual downward trend with the progression of pregnancy and were related to factors such as occupation, per capita monthly income, professional postpartum care, and expectation of newborn sex (P ​< ​0.05).

Conclusion

Social support from policymakers and maternal care workers as well as adequate life and psychological support from family members should be provided to avoid adverse outcomes and emotions, such as anxiety and depression, during pregnancy.

目的目前,大量研究结果表明,社会支持与孕期焦虑、抑郁、自残等心理健康问题以及一些不良妊娠结局高度相关。然而,大多数研究都是关于产妇社会支持的横断面研究。这项纵向研究调查了围产期社会支持的发展轨迹和相关因素。方法采用感知社会支持量表(PSSS)对1485例妊娠早期的孕妇进行调查,并在妊娠晚期和产后进行随访。研究开始前已获得知情同意书。结果第一、第三和产后PSSS评分分别为68.72、67.21和66.93,随着妊娠的进展呈逐渐下降的趋势,与职业、人均月收入、专业产后护理和新生儿性别期望等因素有关(P​<;​结论政策制定者和孕产妇保健工作者应提供社会支持,家庭成员应提供充足的生活和心理支持,以避免妊娠期间出现焦虑和抑郁等不良后果和情绪。
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引用次数: 0
期刊
Women and Children Nursing
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