摘要
Abstract
Objective To analyze the death oi children under 5 years old in urban and rural areas of Hanzhong and to explore possible interventional measures. Methods Death data of 5 years old children from 2000 to 2010 in both of urban and rural areas of Hanzhong was analyzed retrospectively. Results The mortality rate of children under 5 years old in Hantai and Nanzheng was 13.65‰ and 20. 32‰, respectively. The mortality rate of newboms , infants , children of 1-4 years old and children under 5 years old in urban area ( Hantai) was much lower than that in rural area ( Nanzheng ) (χ2 value was 16. 89, 42. 69, 17. 54 and 59. 04, respectively, all P < 0. 001 ). The constituent ratio of death of newborns and infants was relatively high , and that of children aged 1 -4 years was relatively low. Meanwhile , the constituent ratio of two areas was similar ( both P > 0. 05 ). The causes of death of children under 5 years old in two areas were different. The first five causes of death in the urban were congenital malformation , asphyxia neonatomm , contretemps, premature and low birth weight, and pneumonia, while they were asphyxia neonatorum , pneumonia, contretemps, congenital malformation , and premature and low birth weight in the rural area. Conclusion In the past 11 years, the mortality rate of children under 5 years old of each age groups decreases year by year', and the death rate in the urban area is lower than that in the rural area . Infants and newboms death takes the majority of the death of children under 5 years old. The top five causes of children 's death in the urban and rural area are different , which indicates different impact of economics , culture and medical care on children in urban and rural area . Therefore, the future work in different areas should have their own focus .关键词
5岁以下儿童/死亡率/原因分析/干预措施Key words
children under 5 years/ mortality rate/ reason analysis / intervention measure分类
医药卫生