母子保健サービスの利用と幼児死亡率の関連性をデータサイエンスで解明(Data science uncovers patterns in health service use linked to child mortality)

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2025-08-27 ワシントン大学セントルイス校

ワシントン大学セントルイス校の研究者は、サブサハラ・アフリカ31か国のデータをAIで分析し、母親の保健サービス利用と5歳未満児死亡率の関係を明らかにした。多層的潜在クラス分析により、妊産婦ケア、出産場所、産後ケア、母乳育児、衛生設備や水質など16指標を基に母親を「低・中・高利用」の3群に分類。回帰分析の結果、教育、都市居住、所得など社会経済的要因が利用状況と強く関連することが判明した。教育水準が高く都市在住の母親はサービス利用が多い一方、低所得層では母乳育児は高率だが妊産婦ケアや施設出産の利用は低い傾向が見られた。研究は格差是正を重視した政策介入の必要性を示している。

母子保健サービスの利用と幼児死亡率の関連性をデータサイエンスで解明(Data science uncovers patterns in health service use linked to child mortality)
Using statistical learning to analyze a decade of data from 31 sub-Saharan African countries, the team identified key socioeconomic factors — such as maternal education and place of residence — that are strongly associated with whether mothers use available health services to avoid under-5 mortality. (Photo: Unsplash)

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サハラ以南アフリカにおける母子保健サービス利用パターンと関連する社会経済的格差 Patterns of maternal and child health services utilization and associated socioeconomic disparities in sub-Saharan Africa

Claire Najjuuko,Ziqi Xu,Samuel Kizito,Chenyang Lu & Fred M. Ssewamala
Nature Communications  Published:22 August 2025
DOI:https://doi.org/10.1038/s41467-025-61350-8

Abstract

Under-five mortality remains a global health issue, especially in sub-Saharan Africa, where preventable conditions largely drive the high mortality rates. Understanding the heterogeneity in utilization of reproductive, maternal, newborn, and child health services is crucial for reducing under-five mortality. Here we show that among 9307 under-five mortality cases across 31 sub-Saharan African countries (2014–2024), maternal and child health service utilization falls into three distinct patterns—lowest, medium, and highest. Socioeconomic status strongly predicts subgroup membership: higher maternal education, employment, urban residence, and wealth are associated with lower odds of being in the lowest utilization group. Inequality indices further reveal disparities by education, wealth, residence, and employment. Our findings show a strong link between socioeconomic status and maternal and child health services utilization. To address under-five mortality in sub-Saharan Africa, targeted strategies are needed to improve access and uptake of essential health services among socioeconomically disadvantaged groups.

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