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首页> 外文期刊>BMC Public Health >Trends of socioeconomic inequality in using maternal health care services in Lao People’s Democratic Republic from year 2000 to 2012
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Trends of socioeconomic inequality in using maternal health care services in Lao People’s Democratic Republic from year 2000 to 2012

机译：从2000年到2012年将老挝人民民主共和国在老挝人民民主共和国使用母体保健服务的社会经济不平等趋势

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Socioeconomic inequalities in access to maternal health care have received more attention as it challenges the sustainability of the ongoing achievement in reducing maternal mortality. By promoting access to maternal health care as one of the core targets of the Health Sector Reform, Lao People's Democratic Republic has reduced maternal mortality dramatically over the last decade. In spite of this improvement, little has been known about the secular trends in disparities of service utilization across different socioeconomic subgroups. Two waves of the Multiple Indicator Cluster Survey in the years 2000 and 2012 were pooled for the analysis. We used logistic regression to estimate the likelihood of using antenatal care (ANC) and delivery services with skilled birth attendants (SBA) across different socioeconomic subgroups. Difference-in-difference method was applied to examine the inequality trends across the years by analyzing the interaction terms of the survey years and socioeconomic factors (education, wealth, ethnicity, and residential areas). Urban-rural disparity was improved over time while there were no educational disparity changes. Rural residential areas showed significant changes than urban areas over time [OR?=?2.40; 95% CI: 1.52-3.77 for ANC and OR?=?2.16; 95% CI: 1.36-3.42 for SBA]. However, there were aggravations in the disparities between major and minor ethnic group as well as worsening disparities between the rich and poor: i.e. Ethnic minority showed significant aggravation over time [OR?=?0.62; 95% CI: 0.44-0.89 for ANC and OR?=?0.65; 95% CI: 0.44-0.97 for SBA]. Efforts to increase maternal health service utilization in poor and minority ethnic groups should be emphasized to reduce social inequalities, thus encompassing multiple-sector interventions rather than focusing only on health sector related interventions.
机译：获得孕产妇保健的社会经济不平等受到更加关注，因为它挑战了降低孕产妇死亡率的持续成就的可持续性。通过促进母亲保健作为卫生部门改革的核心目标之一，老挝人民的民主共和国在过去十年中急剧降低孕产妇死亡。尽管有这种改进，但对不同社会经济亚组的服务利用差距的世俗趋势很少。汇集了2000年和2012年的多个指标集群调查的两波用于分析。我们使用了Logistic回归来估计在不同社会经济亚组中使用熟练的出生服务员（SBA）使用产前护理（ANC）和送货服务的可能性。通过分析调查岁月和社会经济因素的互动条款（教育，财富，种族和住宅区），应用差异差分方法来审查多年来的不平等趋势。随着时间的推移，城乡差异随着时间的推移而得到改善。农村住宅区随着时间的推移而比城市地区显示出显着变化[或？=？2.40; 95％CI：1.52-3.77为ANC和OR？=？2.16; SBA的95％CI：1.36-3.42。然而，主要和少数民族群体之间的差距以及贫富与贫困之间的差异恶化：即少数群体随着时间的推移而显着恶化[或？=？0.62; 95％CI：0.44-0.89用于ANC和OR？=？0.65; SBA的95％CI：0.44-0.97]。应强调努力提高贫困和少数族裔族裔族裔群体的努力，以减少社会不平等，从而包括多个部门的干预措施，而不是关注卫生部门相关的干预措施。

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