中国全科医学2013，Vol.16Issue(3)：286-288,3.DOI:10.3969/j.issn.1007-9572.2013.01.091
孝感市2007-2011年5岁以下儿童死亡原因调查分析
Analysis of the Causes of Death among Children under 5 Years Old in Xiaogan City from 2007 to 2011
摘要
Abstract
Objective To analyze the causes of death among children under 5 years old in Xiaogan city from 2007 to 2011. Methods The death causes of 1 369 children under five years old in seven counties of Xiaogan city from 2007 to 201 1 were investigated. Results 1 369 children under five years old died from 2007 to 2011 with a mortality rate of 6. 37‰ ( 1 369/ 214 857 ), and the annual declining rate of these years was 0. 53‰. The mortality rate of males and females was 5. 46?o ( 653/ 83 794 ) and 7. 79‰ ( 716/131 063 ) respectively, and the difference was statistically significant ( X2 =465. 35 , P < 0. 01 ). Among the 1 369 children, 679 were ≤7 d ( 49. 60% ), 121 were 8 - 28 d ( 8.84% ), 273 were 29 -364 d ( 19.94% ) and 296 were 1 -4 years old ( 21.62% ), and the difference was statistically significant ( X2 =647.38, P < 0. 01 ) .The mortality rate of children in urban areas and rural areas was 5. 14‰ ( 524/105 427 ) and 7. 56‰ ( 827/109 430 ) respectively, and the difference was statistically significant ( X2 =527. 15, P < 0. 01 ) . Among the children in urban areas, 469 children ( 86.53% ) died of diseases and 73 children ( 13. 47% ) died of accidents ( including drowning, accidental asphyxia and traffic accidents ); while among the children in rural areas, 633 children ( 76. 54% ) died of diseases and 194 children ( 23. 46% ) died of accidents. The difference was statistically significant ( X2 = 20. 38, P < 0. 01 ) . The top three causes for the death of children in urban areas were:premature and low weight infant,neonatal asphyxia and congenital heart disease,while those of children in rural ar- eas were: neonatal asphyxia, premature and low weight infant and pneumonia. Conclusion The death of children under five years old were decreased in these five years, and the top causes for the death were premature and low weight infant, neonatal asphyxia. The maternal management during perinatal period should be strengthened and the health care system and quality management in maternal department should be enhanced to improve diagnosis and prevention of accidents, strengthen social health care and child help, thus reducing the mortality rate of children under five years old.关键词
儿童/死亡/死亡原因/数据收集Key words
Child/Death/Cause of death/Data collection分类
医药卫生引用本文复制引用
付汉东,陆敏,夏耀宗,郑淑萍..孝感市2007-2011年5岁以下儿童死亡原因调查分析[J].中国全科医学,2013,16(3):286-288,3.基金项目
2010年度中华预防医学会公共卫生应用研究与疫苗可预防疾病科研资金支持项目(20101702) （20101702）
