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Longitudinal community studies in Africa: challenges and contributions to health research. 非洲纵向社区研究:对卫生研究的挑战和贡献。
Pub Date : 2009-06-11 DOI: 10.18356/FE15DEE0-EN
C. Mbacké, J. Phillips
The purpose of this article is to discuss the contributions of longitudinal community studies to health research in Africa as well the challenges faced by the scientists and decision makers who rely o them to guide health policy and practice. The authors begin with an overview of the DSS concept and turn to a discussion of the history of its use in sub-Saharan Africa the contribution of this legacy to the science of demographic surveillance and the technical challenges that are motivating DSS methodological initiatives in Africa. Particular attention is devoted to the emergence and function of the INDEPTH Network an international network of DSS sites involved in demographic and health research; the network is based in Accra.
本文的目的是讨论纵向社区研究对非洲卫生研究的贡献,以及依赖这些研究指导卫生政策和实践的科学家和决策者所面临的挑战。作者首先概述了DSS的概念,然后转向讨论其在撒哈拉以南非洲使用的历史,这一遗产对人口监测科学的贡献,以及推动非洲DSS方法倡议的技术挑战。特别注意了INDEPTH网络的出现和功能,这是参与人口和健康研究的发展支助服务站点的国际网络;该网络总部设在阿克拉。
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引用次数: 4
Longitudinal research designs and utility in the Asian and Pacific region. 亚太地区纵向研究的设计与应用。
Pub Date : 2009-06-11 DOI: 10.18356/9e93658d-en
B. Yoddumnern-attig, P. Guest, Thongthai, S. Punpuing, C. Sethaput
Longitudinal research which includes panel research is the term used to differentiate the methodology and utility of prospective studies from that of cross-sectional research. It describes not a single method but a family of methods that measure change by linking individual data across time. In this article the authors provide an overview of longitudinal research design and utility in the Asian and Pacific region which is partly based on the articles presented at the International Conference on Understanding Health and Population over time which was organized in Bangkok on 24 and 25 May 2007 by the Institute for Population and Social Research.
纵向研究包括小组研究,是用来区分前瞻性研究的方法和效用与横断面研究的术语。它描述的不是一种方法,而是一系列方法,这些方法通过连接各个数据来衡量变化。在本文中,作者概述了亚洲和太平洋区域纵向研究的设计和用途,部分依据是人口和社会研究所2007年5月24日和25日在曼谷组织的“了解健康与人口随时间变化的国际会议”上发表的文章。
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引用次数: 1
Managing the Kanchanaburi demographic surveillance system: creation of a relational database management system. 管理北碧府人口监测系统:建立关系数据库管理系统。
Pub Date : 2009-06-11 DOI: 10.18356/A7C67B99-EN
Jongjit Rittirong
Database management plays an important role in KDSS: it provides data from the longitudinal data set that can be analyzed and improves data quality. The operation and access of the initial database system used in KDSS was costly and time-consuming. Therefore a new system based on relational database management system was developed to overcome these disadvantages. RDBMS operates by using structured English query language which is reliable and sufficiently flexible for operating a longitudinal database. In addition the KDSS relational database was developed based on the INDEPTH model; therefore it is compatible for sharing data among other sites in the Network. To formulate an RDBMS technical issues must be incorporated within the system: in particular an identification system should be specified clearly for every unit of analysis. Each unit must hold the same identification until the demographic surveillance system is terminated. Although RDBMS has no advanced statistical analysis functions it is powerful and able to manipulate the data into formats that are accessible to users. RDBMS is able to update data history and back up and recover data. These features minimize data damage in case the system crashes. The experience of IPSR in creating the RDBMS database for KDSS is useful for other research projects that are developing longitudinal database systems. Our experience indicates that it is essential when creating any longitudinal database to invest in the development of systems that maintain confidentiality while affording the basis for numerous data linkages that are required for longitudinal data analysis.
数据库管理在KDSS中扮演着重要的角色:它提供来自纵向数据集的数据,可以对其进行分析并提高数据质量。在KDSS中使用的初始数据库系统的操作和访问既昂贵又耗时。因此,开发了一种基于关系数据库的管理系统来克服这些缺点。RDBMS使用结构化的英语查询语言进行操作,这种语言对于纵向数据库的操作是可靠和足够灵活的。此外,基于INDEPTH模型开发了KDSS关系数据库;因此,它兼容于在网络中的其他站点之间共享数据。要制定RDBMS,技术问题必须纳入系统:特别是应该为每个分析单元明确指定识别系统。每个单位必须持有相同的身份证件,直到人口监测系统终止。虽然RDBMS没有高级的统计分析功能,但它功能强大,能够将数据操作成用户可以访问的格式。RDBMS能够更新数据历史,备份和恢复数据。这些功能在系统崩溃的情况下最大限度地减少数据损坏。IPSR在为KDSS创建RDBMS数据库方面的经验对正在开发纵向数据库系统的其他研究项目是有用的。我们的经验表明,在创建任何纵向数据库时,必须投资开发能够保持机密性的系统,同时为纵向数据分析所需的大量数据链接提供基础。
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引用次数: 1
Evaluation of the Thai tobacco control policy. 对泰国烟草控制政策的评价。
Pub Date : 2009-06-11 DOI: 10.18356/2734CC23-EN
B. Sirirassamee, P. Guest, W. Polprasert, T. Sirirassamee, O. Pitakmahaket
The longitudinal data collected by the ITC Project have enabled a close examination of the impact of the tobacco-control policies in Thailand. Although there are several promising signs of success in the attempts by the Government of hailand to reduce the use of tobacco the study also indicates some concerns. The study found that the proportion smoking hand-rolled cigarettes had increased probably as a result of the tax increases on cigarettes which made factory-produced cigarettes more expensive. Because hand-rolled cigarettes made with local tobacco do not have the associated warning labelling that factory-made cigarettes must display the shift in the type of tobacco consumption may be reducing the exposure of smokers to information about the health dangers of smoking. This suggests that there is a need to formulate policies and develop regulations that attempt to reduce smoking and raise awareness of the dangers of tobacco use among the smokers who smoke hand-rolled cigarettes. Further rounds of the project will monitor whether the changes observed in smoking behaviour continue. Most of the sample approved of the prohibition on smoking in hospitals offices restaurants and other public places. The proportions agreeing with these bans increased between wave I and wave 2. The increasing public acceptance of placing restrictions on smoking provides the Government with the opportunity to aggressively promote tougher anti-smoking regulations. The policy to place graphic warning labels on cigarette packets has met with success. Knowledge of the health impacts of smoking increased and most smokers reported that the graphic warning labels were most effective in making them think about the health dangers of smoking. The success of this policy suggests that the Government should increase the number of warning graphics that are used on cigarette packets. However there is also concern that as smokers and indeed non-smokers become more used to these warnings their impact will diminish. Therefore it is essential to collect longitudinal data to monitor the impacts of warning labels. (excerpt)
ITC项目收集的纵向数据使人们能够仔细审查泰国烟草控制政策的影响。虽然海地政府在减少烟草使用方面的努力有几个成功的可喜迹象,但研究也表明了一些令人关切的问题。研究发现,抽手卷烟的比例有所增加,这可能是卷烟税增加导致工厂生产的卷烟价格上涨的结果。由于用当地烟草制成的手卷香烟没有工厂制造的香烟必须显示的相关警告标签,因此烟草消费类型的转变可能会减少吸烟者接触到吸烟对健康有害信息的机会。这表明,有必要制定政策和制定法规,试图减少吸烟,并提高抽手卷烟的吸烟者对烟草使用危害的认识。该项目的下一阶段将监测吸烟行为的变化是否会持续。大多数样本赞成在医院、办公室、餐馆和其他公共场所禁止吸烟。同意这些禁令的比例在第一波和第二波之间有所增加。公众越来越接受限制吸烟,这为政府提供了积极推行更严格的禁烟条例的机会。在烟盒上贴上图形警告标签的政策取得了成功。吸烟对健康影响的认识增加了,大多数吸烟者报告说,图形警告标签最有效地使他们认识到吸烟对健康的危害。这项政策的成功表明,政府应该增加烟盒上使用的警告图形的数量。然而,也有人担心,随着吸烟者和不吸烟者越来越习惯这些警告,它们的影响将会减弱。因此,有必要收集纵向数据来监测警告标签的影响。(摘录)
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引用次数: 1
Vital horoscope: longitudinal data collection in the Iranian primary health care system. 生命星象:伊朗初级卫生保健系统的纵向数据收集。
Pub Date : 2009-06-11 DOI: 10.18356/EA6AEC90-EN
A. Mehryar, M. Naghavi, S. Ahmad-Nia, S. Kazemipour
Despite their importance longitudinal methods of data collection are complex time-consuming and expensive. With longer periods of observation the problems of population movement and loss to follow-up become important. This is particularly the case in developing countries with high rates of rural-to-urban migration and residential mobility within major urban centres. A more practical alternative involves repeated data collection on well-defined communities on a regular monthly or annual basis. Combining such data-gathering exercises with a practical programme of intervention or service delivery can justify the expense involved and ensure the viability of the project.Since its establishment in 1985 the Primary Health Care (PHC) Network of the Islamic Republic of Iran has provided a unique opportunity for longitudinal data collection concerning the total population of a large number of rural communities (villages) on an annual basis (Naghavi and others 2005). This article strives to describe this PHC-based management information system and show the type of longitudinal information collected by it. To achieve this aim the article begins with a description of the sophisticated but simple management information system developed to support the PHC Network the most innovative component of which is the "vital horoscope" which is described at some length in the article. Finally the trends of changes in basic demographic and health indicators of the rural population of the Islamic Republic of Iran as revealed by an analysis of vital horoscope data collected between 1993 and 2003 are presented. The combination of cross-sectional and longitudinal data afforded by the vital horoscope is important for obtaining a nuanced and comprehensive picture of the demographic and health status of the population nationally and in different provinces and districts and for providing valuable information on the reach and effectiveness of the public health services. (excerpt)
尽管纵向数据收集方法很重要,但它复杂、耗时且昂贵。随着观察期的延长,人口流动和丧失后续行动的问题变得重要起来。这种情况在发展中国家尤其如此,因为发展中国家农村向城市的移徙率和主要城市中心内的住宅流动性很高。一个更实际的选择是每月或每年定期在明确定义的社区重复收集数据。将这种数据收集工作与实际的干预或提供服务方案结合起来,可以证明所涉费用是合理的,并确保项目的可行性。伊朗伊斯兰共和国初级保健网络自1985年成立以来,为每年收集大量农村社区(村)总人口的纵向数据提供了独特的机会(Naghavi等,2005年)。本文试图描述这个基于phc的管理信息系统,并展示它所收集的纵向信息的类型。为了实现这一目标,文章首先描述了为支持PHC网络而开发的复杂而简单的管理信息系统,其中最具创新性的组成部分是“重要占星术”,这在文章中有一定篇幅的描述。最后,介绍了对1993年至2003年期间收集的重要占星数据的分析所揭示的伊朗伊斯兰共和国农村人口基本人口和健康指标的变化趋势。生命占星所提供的横断面和纵向数据的结合,对于获得全国和不同省份和地区人口的人口和健康状况的细致和全面的情况,以及提供关于公共卫生服务的覆盖面和有效性的宝贵信息非常重要。(摘录)
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引用次数: 6
Are the goals set by the Millennium Declaration and the Programme of Action of the International Conference on Population and Development within reach by 2015 到2015年,《千年宣言》和国际人口与发展会议《行动纲领》确定的目标是否能够实现
Pub Date : 2009-04-29 DOI: 10.18356/528BDC33-EN
M. Concepción
This article discusses the likelihood of countries in Asia and the Pacific in reaching their 2015 Millennium Development Goals (MGDs). It touches on malnourishment the reduction of child mortality and the improvement of maternal health and stresses that the benefits of development must serve everyone and not just favor the wealthy.
本文讨论了亚太地区国家实现2015年千年发展目标的可能性。它涉及营养不良、降低儿童死亡率和改善产妇保健,并强调发展的好处必须服务于所有人,而不仅仅是富人。
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引用次数: 0
Spousal abuse and infant and child mortality in India. 印度的配偶虐待和婴幼儿死亡率。
Pub Date : 2009-04-29 DOI: 10.18356/99F41309-EN
Abhishek Singh, B. Mahapatra, S. Dutta
Most of the studies on the relationship between child health and physical violence against mothers have been conducted in developed countries. Few studies on this topic have been conducted in developing countries such as India. Most of these studies are small-scale and have established an association between wife beating and child mortality at the state level or at an even lower level. None of these studies have tried to establish an association between the two for the country as a whole. Wife beating coupled with high levels of poverty womens having less access to money and other resources and womens powerlessness in decision-making in the household can have more severe consequences in developing countries compared with those in developed countries. Therefore the present study tries to examine the relationship between wife beating and infant and child mortality in India. India is a developing country and the problem of wife beating has been prevalent in this society for a long time. The study further explores the association between wife beating and the nutritional status of women and children wife beating and the reporting of pregnancy intendedness and wife beating and the utilization of mate mal and child health services in India.
大多数关于儿童健康与对母亲的身体暴力之间关系的研究都是在发达国家进行的。在印度等发展中国家很少进行这方面的研究。这些研究大多是小规模的,已经在州一级或更低的水平上建立了殴打妻子和儿童死亡率之间的联系。这些研究都没有试图在整个国家建立两者之间的联系。与发达国家相比,在发展中国家,殴打妻子加上高度贫困、妇女获得金钱和其他资源的机会较少以及妇女在家庭决策中无能为力,可能造成更严重的后果。因此,本研究试图检验殴打妻子与印度婴儿和儿童死亡率之间的关系。印度是一个发展中国家,殴打妻子的问题在这个社会很长一段时间都很普遍。该研究进一步探讨了殴打妻子与印度妇女和儿童的营养状况之间的关系。殴打妻子与报告有意怀孕和殴打妻子以及利用配偶和儿童保健服务之间的关系。
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引用次数: 20
Dramatic fertility transition in Mongolia and its determinants: the demise of the pronatalist state. 蒙古戏剧性的生育转变及其决定因素:生育主义国家的消亡。
Pub Date : 2009-04-29 DOI: 10.18356/9F80BB93-EN
A. Gereltuya
The move from a centrally controlled economy to a market-driven economy has had strong political implications for family planning and fertility in Mongolia. Under socialist rule Mongolia had a strong pronatalist population policy under which those families having children were provided with generous benefits. The changes made to these policies have had a considerable impact on fertility and family formation in Mongolia. In the mid-1970s the country started to experience a dramatic decrease in the level of fertility which intensified when the country moved towards a market economy. The country experienced a drop in its total fertility rate (TFR) from 7.2 children per woman (of reproductive age) in 1975 to about 3 children in 1995 and it has remained constant at about 2.3 children since that time. Relatively few studies have been carried out on fertility changes in Mongolia with explanations about their causes primarily owing to a lack of data sources. The aim of this paper is to examine fertility changes in Mongolia with respect to the changes in population policies and changes in the proximate determinants of fertility that have occurred since the mid-1970s.
从中央控制经济到市场驱动经济的转变对蒙古的计划生育和生育率产生了强烈的政治影响。在社会主义统治下,蒙古实行强有力的生育人口政策,为有孩子的家庭提供慷慨的福利。这些政策的变化对蒙古的生育率和家庭形成产生了相当大的影响。在1970年代中期,该国开始经历生育率的急剧下降,当该国走向市场经济时,这种下降加剧了。该国的总生育率从1975年的每名育龄妇女生育7.2个孩子下降到1995年的约3个孩子,此后一直保持在2.3个孩子左右。由于缺乏数据来源,对蒙古生育率变化进行了相对较少的研究,并解释了其原因。本文的目的是根据1970年代中期以来人口政策的变化和生育率的直接决定因素的变化来审查蒙古的生育率变化。
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引用次数: 9
Fertility transition and population ageing in the Asian and Pacific region. 亚洲及太平洋区域的生育率转变和人口老龄化。
Pub Date : 2009-04-29 DOI: 10.18356/CB75822F-EN
B. Gubhaju
This paper provides a general overview of population ageing in the context of fertility transition in Asia and the Pacific. Focusing on low-fertility countries it highlights the implications of low fertility for the ageing process. Indicators of population ageing such as changes in age structure potential support ratio and the feminization of the elderly population are presented to provide a better understanding of the overall situation. As the region is home to over 60 per cent of the global population and has been experiencing a rapid decline in fertility the absolute size of the older population is a cause for major concern. While the overall population growth rate has been declining over time the number of older persons is increasing at a faster rate. In addition to the increase in the number of older persons gender disparity in improvements in life expectancy at birth is likely to result in a much higher percent age of females in the older age groups particularly in the age group 80 years and older. It is therefore important for countries in the region to recognize the significance of ageing problems and to start formulating policies for the elderly given that it takes several decades for Government old-age pension schemes to mature and to operate at full scale.
本文概述了亚洲和太平洋地区生育率转型背景下的人口老龄化问题。报告以低生育率国家为重点,强调了低生育率对老龄化进程的影响。人口老龄化的指标,如年龄结构的变化,潜在赡养比和老年人口的女性化,以更好地了解整体情况。由于该区域拥有全球60%以上的人口,而且生育率一直在迅速下降,因此老年人口的绝对规模引起了重大关切。虽然总体人口增长率一直在下降,但老年人的人数却在以更快的速度增长。除了老年人人数的增加之外,出生时预期寿命改善方面的性别差异可能会导致老年群体中女性年龄的百分比高得多,特别是在80岁及以上年龄组中。因此,该区域各国必须认识到老龄化问题的重要性,并开始制订老年人政策,因为政府的老年养恤金计划需要几十年的时间才能成熟和全面运作。
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引用次数: 16
Women's empowerment, sociocultural contexts, and reproductive behaviour in Nepal 尼泊尔的妇女赋权、社会文化背景和生殖行为
Pub Date : 2009-04-25 DOI: 10.18356/3BAD31F7-EN
B. Gubhaju, S. Matthews
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引用次数: 5
期刊
Asia-Pacific population journal
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