2008-2017年上海市金山区5岁以下儿童死亡监测分析
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摘要
目的了解上海市金山区5岁以下儿童死亡率及主要死因,为儿童健康保健提供科学依据。方法通过死因监测系统收集金山区2008-2017年5岁以下儿童死亡资料,采用SPSS22.0对5岁以下儿童死亡趋势、不同户籍属性死亡特征和主要死因进行统计分析。结果 2008-2017年金山区新生儿、婴儿和5岁以下儿童死亡率均呈下降趋势(■_(趋势)=11.610,16.254,16.051,均P<0.001),平均死亡率分别为2.76‰、4.16‰、5.51‰;男童死亡率高于女童;前5位死因依次为新生儿窒息、先天性心脏病、其他先天畸形、淹溺和早产,死亡率分别为1.28‰、0.63‰、0.47‰、0.44‰和0.35‰,分别占5岁以下儿童全死因的23.14%、11.43%、8.57%、8.00%和6.29%。结论针对不同年龄段儿童死亡特征采取相应防治措施,通过多部门联合、加强健康宣教等手段,对新生儿窒息和先天异常予以重点干预。
Objective To investigate the mortality and the main cause of death among children under 5 years old in Jinshan District of Shanghai,so as to provide evidences for developing intervention measures.Methods The death cause monitoring system was used to collect the death data of children under 5 years old in Jinshan District from 2008 to 2017.SPSS 22.0 was used to analyze the death trend of children under 5 years old,the death characteristics of different household registration attributes and the main causes of death.Results The mortality rate of newborns,infants and children under 5 years old in Jinshan District from 2008 to 2017 showed a fluctuating downward trend(■=11.610,16.254,16.051,all P<0.001),and the average mortality rate was 2.76‰,4.16‰ and 5.51‰,respectively.The mortality of boys was significantly higher than that of girls(6.21‰ VS 4.72‰,■=6.439,P=0.011).The proportion of death in younger children was higher.The top five causes of death were neonatal asphyxia,congenital heart disease,other congenital malformations,drowning and preterm labor,accounting for 23.14%,11.43%,8.57%,8.00% and 6.29%,respectively.Conclusion It is necessary to develop appropriate control measures for the characteristics of death in different ages.The primary intervention measures should be given to neonatal asphyxia and congenital abnormalities by means of multi-department cooperation and health education.
Objective To investigate the mortality and the main cause of death among children under 5 years old in Jinshan District of Shanghai,so as to provide evidences for developing intervention measures.Methods The death cause monitoring system was used to collect the death data of children under 5 years old in Jinshan District from 2008 to 2017.SPSS 22.0 was used to analyze the death trend of children under 5 years old,the death characteristics of different household registration attributes and the main causes of death.Results The mortality rate of newborns,infants and children under 5 years old in Jinshan District from 2008 to 2017 showed a fluctuating downward trend(■=11.610,16.254,16.051,all P<0.001),and the average mortality rate was 2.76‰,4.16‰ and 5.51‰,respectively.The mortality of boys was significantly higher than that of girls(6.21‰ VS 4.72‰,■=6.439,P=0.011).The proportion of death in younger children was higher.The top five causes of death were neonatal asphyxia,congenital heart disease,other congenital malformations,drowning and preterm labor,accounting for 23.14%,11.43%,8.57%,8.00% and 6.29%,respectively.Conclusion It is necessary to develop appropriate control measures for the characteristics of death in different ages.The primary intervention measures should be given to neonatal asphyxia and congenital abnormalities by means of multi-department cooperation and health education.
引文
[1] Wang HD,Abajobir AA,Abate KH,et al.Global,regional,and national under-5 mortality,adult mortality,age-specific mortality,and life expectancy,1970-2016:a systematic analysis for the Global Burden of Disease Study 2016[J].Lancet,2017,390(10100):1084-1150.
[2] 刘湘云,陈荣华,赵正言.儿童保健学[M].第4版.南京:江苏科学技术出版社,2011.
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[4] 陈雪莲,陆锋群.社区儿童保健门诊规范化服务现状调查[J].中国儿童保健杂志,2015,23(1):106-108.
[5] 姚亦,康淑蓉,顾伟娟.2010-2012年上海市闵行区5岁以下儿童死亡监测结果分析[J].中国初级卫生保健,2014,28(4):40-42.
[6] He CH,Liu L,Chu YE,et al.National and subnational all-cause and cause-specific child mortality in China,1996-2015:a systematic analysis with implications for the Sustainable Development Goals[J].Lancet Global Health,2017,5(2):E186-E197.
[7] Wang H,Liddell CA,Coates MM,et al.Global,regional,and National levels of neonatal,infant,and under-5 mortality during 1990-2013:a systematic analysis for the Global Burden of Disease Study 2013[J].Lancet,2014,384(9947):957-979.
[8] 夏冰洋,薛春梅,过燕.2012-2016年无锡市滨湖区5岁以下儿童死亡监测分析[J].现代预防医学,2017,44(22):4114-4117.
[9] 陈春蓉,罗超,颜朝阳,等.2012-2016年重庆市万州区5岁以下儿童死亡原因分析[J].现代预防医学,2017,44(10):1790-1792.
[10] 朱晓云.见上海市金山区1985-2005年婴儿死亡情况分析[J].疾病控制杂志,2006,10(3):315-316.
[11] 贺亚琴,郑玉华,王晓成,等.出生缺陷影响因素的meta分析[J].中国计划生育学杂志,2012,20(4):233-236.
[12] 张贺艳,郭薇.盘锦市2005-2015年5岁以下儿童死亡状况分析[J].中国公共卫生,2016,32(11):1563-1566.
[2] 刘湘云,陈荣华,赵正言.儿童保健学[M].第4版.南京:江苏科学技术出版社,2011.
[3] 北京协和医院世界卫生组织疾病分类合作中心.疾病和有关健康问题的国际统计分类(第十次修订本)第二卷[M].北京:人民卫生出版社,1997:100-104.
[4] 陈雪莲,陆锋群.社区儿童保健门诊规范化服务现状调查[J].中国儿童保健杂志,2015,23(1):106-108.
[5] 姚亦,康淑蓉,顾伟娟.2010-2012年上海市闵行区5岁以下儿童死亡监测结果分析[J].中国初级卫生保健,2014,28(4):40-42.
[6] He CH,Liu L,Chu YE,et al.National and subnational all-cause and cause-specific child mortality in China,1996-2015:a systematic analysis with implications for the Sustainable Development Goals[J].Lancet Global Health,2017,5(2):E186-E197.
[7] Wang H,Liddell CA,Coates MM,et al.Global,regional,and National levels of neonatal,infant,and under-5 mortality during 1990-2013:a systematic analysis for the Global Burden of Disease Study 2013[J].Lancet,2014,384(9947):957-979.
[8] 夏冰洋,薛春梅,过燕.2012-2016年无锡市滨湖区5岁以下儿童死亡监测分析[J].现代预防医学,2017,44(22):4114-4117.
[9] 陈春蓉,罗超,颜朝阳,等.2012-2016年重庆市万州区5岁以下儿童死亡原因分析[J].现代预防医学,2017,44(10):1790-1792.
[10] 朱晓云.见上海市金山区1985-2005年婴儿死亡情况分析[J].疾病控制杂志,2006,10(3):315-316.
[11] 贺亚琴,郑玉华,王晓成,等.出生缺陷影响因素的meta分析[J].中国计划生育学杂志,2012,20(4):233-236.
[12] 张贺艳,郭薇.盘锦市2005-2015年5岁以下儿童死亡状况分析[J].中国公共卫生,2016,32(11):1563-1566.
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