CAJ | 학술논문

目的分析2001-2013年四川省＜5岁儿童死亡率(U5MR)和死因构成变化趋势.方法从四川省＜5岁儿童死亡监测网收集2001-2013年基础监测资料,采用描述统计和x2检验分析四川省城市和农村儿童死亡率、新生儿死亡率、死因别死亡率.结果四川省U5MR从2001年的35.30‰降至2013年的11.77‰.2013年四川省农村U5MR为城市2.37倍,新生儿死亡占U5MR比例的44.72％.2013年四川省U5MR死因前3位:肺炎、先天性心脏病、早产或低出生体重.其中,城市前3位:先天性心脏病、溺水和早产或低出生体重(出生窒息并列),农村前3位:肺炎、早产或低出生体重与出生窒息.出生窒息、肺炎和低出生体重死亡率均逐年下降,而溺水、腹泻和交通意外死亡率呈现反复.结论 2013年四川省U5MR已达到国家2020年l3‰目标;降低农村U5MR,缩小城乡差异仍然是今后工作重点;基于死因构成变化,防治重点需要相应调整.
목적 분석2001-2013년사천성＜5세인동사망솔(U5MR)화사인구성변화추세.방법 종사천성＜5세인동사망감측망수집2001-2013년기출감측자료,채용묘술통계화x2검험분석사천성성시화농촌인동사망솔、신생인사망솔、사인별사망솔.결과 사천성U5MR종2001년적35.30‰강지2013년적11.77‰.2013년사천성농촌U5MR위성시2.37배,신생인사망점U5MR비례적44.72％.2013년사천성U5MR사인전3위:폐염、선천성심장병、조산혹저출생체중.기중,성시전3위:선천성심장병、닉수화조산혹저출생체중(출생질식병렬),농촌전3위:폐염、조산혹저출생체중여출생질식.출생질식、폐염화저출생체중사망솔균축년하강,이닉수、복사화교통의외사망솔정현반복.결론 2013년사천성U5MR이체도국가2020년l3‰목표;강저농촌U5MR,축소성향차이잉연시금후공작중점;기우사인구성변화,방치중점수요상응조정.
Objective To study the mortality of children under five and the causes of death together with related trend of dynamics,from 2001 to 2013 in Sichuan province.Methods Using the Children Death Monitoring Network under five in Sichuan province to obtain basic data.Descriptive statistics and chi-square were used to describe the mortalities in children and infants as well as the causes of death,in both rural and urban areas of Sichuan province.Results In Sichuan province,the mortality of children under five decreased from 35.30‰ in 2001 to 11.77‰o in 2013.In 2013,mortality in the rural areas was 2.37 times more than that in the urban area.The proportion of neonatal deaths among the mortality in children under five was 44.72％.Pneumonia,congenital heart diseases and premature or low birth weigh were the top three causes of death for children under five.Among them,the top three causes of death for urban area were congenital heart disease,drowning,and premature or low birth weight/birth asphyxia.Meanwhile,the top three causes of death in rural areas were pneumonia,premature birth/low birth weight and birth asphyxia.Overall,the mortality rates of birth asphyxia,pneumonia and low birth weight gradually decreasd but drowning,diarrhea and traffic accidents fluctuated.Conclusion The mortality of children under five in Sichuan province was 13％,which had already met the goal set for the year 2020.However,reducing the mortality in rural areas,narrowing the gap between urban and rural areas seemed the main part of the future endeavor while focus of prevention should be adjusted according to the causes of death.