2008—2017年深圳市光明新区5岁以下儿童死亡情况分析
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摘要
目的了解深圳市光明新区5岁以下儿童死亡率的情况和变化趋势,分析主要死亡原因,为制定干预措施提供依据。方法收集2008—2017年光明新区5岁以下儿童死亡监测资料,采用描述性统计方法和卡方检验分析5岁以下儿童主要死因和死亡率。结果 2008—2017年光明新区5岁以下儿童平均死亡率为3. 02‰,总体呈下降趋势(χ~2=5. 968,P <0. 05);婴儿死亡占5岁以下儿童死亡的63. 60%;流动人口5岁以下儿童死亡率明显高于常住人口(χ~2=86. 441,P <0. 001); 5岁以下儿童死因顺位前3位分别为意外伤害,先天异常、早产或低出生体重。结论光明新区5岁以下儿童死亡率呈下降趋势,但流动儿童死亡占比较重,意外伤害、先天异常、早产或低出生体重是5岁以下儿童死亡的重要原因,应进一步强化三级预防措施,以提高5岁以下儿童生命健康水平。
Objective To explore the mortality rate and analyze the leading causes of death based on death surveillance data of children under-five years old in Guangming district of Shenzhen,so as to provide scientific evidences for mortality controlling programs.Methods The death surveillance data of children under-five years old in Guangming district from 2008 to 2017 was collected. The under-five mortality rate and the leading causes of death were analyzed by descriptive statistic methods and Chi-square test. Results The average under-five mortality rate was 3. 02‰ from 2008 to 2017 in Guangming district,simultaneously with a significantly decreased trend( χ~2= 5. 968,P < 0. 05). Infant death accounted for 63. 60% of death among children under-five years old. The underfive mortality rate in migrants was significantly higher than the resident population( χ~2= 86. 441,P < 0. 05). Accidental injury was the top death cause in children under-five years old; Congenital malformation and preterm delivery/low birth weight were the top three death cause in neonate,infant and children under-five years old respectively. Conclusion The under-five mortality rate had a decline trend in Guangming district,especially in migrants with a high level. According to the three main death cause including accidental injury,congenital malformation,and preterm delivery/low birth among children under-five years old,three-grade prevention strategy should be intensified for providing their health status.
Objective To explore the mortality rate and analyze the leading causes of death based on death surveillance data of children under-five years old in Guangming district of Shenzhen,so as to provide scientific evidences for mortality controlling programs.Methods The death surveillance data of children under-five years old in Guangming district from 2008 to 2017 was collected. The under-five mortality rate and the leading causes of death were analyzed by descriptive statistic methods and Chi-square test. Results The average under-five mortality rate was 3. 02‰ from 2008 to 2017 in Guangming district,simultaneously with a significantly decreased trend( χ~2= 5. 968,P < 0. 05). Infant death accounted for 63. 60% of death among children under-five years old. The underfive mortality rate in migrants was significantly higher than the resident population( χ~2= 86. 441,P < 0. 05). Accidental injury was the top death cause in children under-five years old; Congenital malformation and preterm delivery/low birth weight were the top three death cause in neonate,infant and children under-five years old respectively. Conclusion The under-five mortality rate had a decline trend in Guangming district,especially in migrants with a high level. According to the three main death cause including accidental injury,congenital malformation,and preterm delivery/low birth among children under-five years old,three-grade prevention strategy should be intensified for providing their health status.
引文
[1]李楠,秦家碧,杨芳.湖南省2013年5岁以下儿童死亡情况分析[J].中南大学学报(医学版),2016,41(3):287-294.
[2]中华人民共和国国家统计局.中国统计年鉴-2018[D].北京:中国统计出版社,2018,10.
[3]刘一心,蒋雪明.深圳市2003—2013年5岁以下儿童死亡监测结果分析[J].中国当代儿科杂志,2015,17(4):390-394.
[4]徐艳华,黄新文,杨茹莱.浙江省2000—2009年5岁以下儿童死亡率及死因研究[J].中国当代儿科杂志,2011,13(7):561-564.
[5]周敏,张庆根,吴林,等.成都市双流区2007—2016年5岁以下儿童死亡监测分析[J].中国儿童保健杂志,2018,26(5):562-565.
[6]伍颖华,伟湛,侨任,等.台山市2007—2012年5岁以下儿童死亡情况分析[J].公共卫生与预防医学,2014,25(1):91-93.
[7] HUANG Y,WU Y,SCHWEBEL D C,et al. Disparities in underfive child injury mortality between developing and developed countries:1990-2013[J]. International Journal of Environmental Research and Public Health,2016,13(7):653.
[8] MACDORMAN M F,DECLERCQ E,ZHANG J. Obstetrical intervention and the Singleton preterm birth rate in the United States from 1991-2006[J]. American Journal of Public Health,2011,100(11):2241-2247.
[9]汪晓霞,肖绪武.早产低体重儿相关影响因素的研究进展[J].中国儿童保健杂志,2014,22(7):716-718.
[10]李菊萍,高洁.出生缺陷相关因素的研究进展[J].中国卫生标准管理,2013,4(22):67-69.
[2]中华人民共和国国家统计局.中国统计年鉴-2018[D].北京:中国统计出版社,2018,10.
[3]刘一心,蒋雪明.深圳市2003—2013年5岁以下儿童死亡监测结果分析[J].中国当代儿科杂志,2015,17(4):390-394.
[4]徐艳华,黄新文,杨茹莱.浙江省2000—2009年5岁以下儿童死亡率及死因研究[J].中国当代儿科杂志,2011,13(7):561-564.
[5]周敏,张庆根,吴林,等.成都市双流区2007—2016年5岁以下儿童死亡监测分析[J].中国儿童保健杂志,2018,26(5):562-565.
[6]伍颖华,伟湛,侨任,等.台山市2007—2012年5岁以下儿童死亡情况分析[J].公共卫生与预防医学,2014,25(1):91-93.
[7] HUANG Y,WU Y,SCHWEBEL D C,et al. Disparities in underfive child injury mortality between developing and developed countries:1990-2013[J]. International Journal of Environmental Research and Public Health,2016,13(7):653.
[8] MACDORMAN M F,DECLERCQ E,ZHANG J. Obstetrical intervention and the Singleton preterm birth rate in the United States from 1991-2006[J]. American Journal of Public Health,2011,100(11):2241-2247.
[9]汪晓霞,肖绪武.早产低体重儿相关影响因素的研究进展[J].中国儿童保健杂志,2014,22(7):716-718.
[10]李菊萍,高洁.出生缺陷相关因素的研究进展[J].中国卫生标准管理,2013,4(22):67-69.