中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2012年
9期
930-932
,共3页
朱新义%黄祚军%刘利容%崔兆麟
硃新義%黃祚軍%劉利容%崔兆麟
주신의%황조군%류리용%최조린
婴儿死亡率%孕产妇%人群监测
嬰兒死亡率%孕產婦%人群鑑測
영인사망솔%잉산부%인군감측
Infant mortality rate%Pregnant women%Population surveillance
目的 分析2000-2010年河南省婴儿死亡率变化趋势及孕产妇保健方面的影响因素.方法 采用描述性分析、Cox-Stuart检验和多元线性回归分析的方法,对2000-2010年河南省监测地区人群婴儿死亡率变化趋势及其孕产妇保健因素进行分析.结果 2000-2010年河南省及其城乡婴儿死亡率分别由30.91‰、10.05‰和33.99‰下降至712‰、5.51‰和8.03‰,年均下降分别为13.65％、5.83％和13.44％,下降趋势均有统计学意义(P＜0.05),农村下降幅度(25 96％)超过城市(4.54％),城乡间差异由23.49％逐年减少至2.52％.孕产妇建卡率、产后访视率、住院分娩率、新法接生率、低出生体重率与婴儿死亡率之间多元线性回归分析差异有统计学意义(F=229.738,P=0.004),影响强度依次为住院分娩率、低出生体重率、新法接生率、建卡率、产后访视率.结论 河南省及其城乡婴儿死亡率呈下降趋势,下降幅度农村超过城市,城乡间差异逐年减小；孕产妇建卡率、产后访视率、住院分娩率和新法接生率是影响婴儿死亡率 下降的重要因素,应进一步加强孕产妇住院分娩和产后访视工作.
目的 分析2000-2010年河南省嬰兒死亡率變化趨勢及孕產婦保健方麵的影響因素.方法 採用描述性分析、Cox-Stuart檢驗和多元線性迴歸分析的方法,對2000-2010年河南省鑑測地區人群嬰兒死亡率變化趨勢及其孕產婦保健因素進行分析.結果 2000-2010年河南省及其城鄉嬰兒死亡率分彆由30.91‰、10.05‰和33.99‰下降至712‰、5.51‰和8.03‰,年均下降分彆為13.65％、5.83％和13.44％,下降趨勢均有統計學意義(P＜0.05),農村下降幅度(25 96％)超過城市(4.54％),城鄉間差異由23.49％逐年減少至2.52％.孕產婦建卡率、產後訪視率、住院分娩率、新法接生率、低齣生體重率與嬰兒死亡率之間多元線性迴歸分析差異有統計學意義(F=229.738,P=0.004),影響彊度依次為住院分娩率、低齣生體重率、新法接生率、建卡率、產後訪視率.結論 河南省及其城鄉嬰兒死亡率呈下降趨勢,下降幅度農村超過城市,城鄉間差異逐年減小；孕產婦建卡率、產後訪視率、住院分娩率和新法接生率是影響嬰兒死亡率 下降的重要因素,應進一步加彊孕產婦住院分娩和產後訪視工作.
목적 분석2000-2010년하남성영인사망솔변화추세급잉산부보건방면적영향인소.방법 채용묘술성분석、Cox-Stuart검험화다원선성회귀분석적방법,대2000-2010년하남성감측지구인군영인사망솔변화추세급기잉산부보건인소진행분석.결과 2000-2010년하남성급기성향영인사망솔분별유30.91‰、10.05‰화33.99‰하강지712‰、5.51‰화8.03‰,년균하강분별위13.65％、5.83％화13.44％,하강추세균유통계학의의(P＜0.05),농촌하강폭도(25 96％)초과성시(4.54％),성향간차이유23.49％축년감소지2.52％.잉산부건잡솔、산후방시솔、주원분면솔、신법접생솔、저출생체중솔여영인사망솔지간다원선성회귀분석차이유통계학의의(F=229.738,P=0.004),영향강도의차위주원분면솔、저출생체중솔、신법접생솔、건잡솔、산후방시솔.결론 하남성급기성향영인사망솔정하강추세,하강폭도농촌초과성시,성향간차이축년감소；잉산부건잡솔、산후방시솔、주원분면솔화신법접생솔시영향영인사망솔 하강적중요인소,응진일보가강잉산부주원분면화산후방시공작.
Objective To understand the trends and influential factors on infant mortality in Henan province from 2000 to 2010.Methods Descriptive method,Cox-Stuart trend test and multiple linear regression were used to study the infant mortality trends and related influential factors in the regions with monitoring programs of Henan province,fiom 2000 to 2010.Results The total urban and rural infant mortality rates dropped significantly,from 30.91 per thousand,10.05 per thousand,33.99 por thousand in 2000 to 7.12 per thousand,5.51 per thousand,8.03 per thousand in 2010,respectively.The average annual rates of decrease were 13.65 percent,5.83 percent and 13.44 percent.The downward hrends were statistically significant (P＜0.05).The infant mortality rates dropped more significantly in rural areas (25.96％) than in the urban areas(4.54％).Difference between urban and rural areas reduced from 23.49％ to 2.52％.Rates on factors as setting up matemal record cards,carrying on postpartum visits,hospital delivery,or under help by new midwives and low birth weight rate etc.were remarkably influencing the rate on nfant mortality (F=229.738,P=0.004).In order,the inpact of strengths on those factors showed as:hospitalized delivery rate,low birth weight rate,the rate of ‘clean' delivery,setting up record cards on postpartum visits.Conclusion Total provincial,urban and rural infant mortality rates all showed downward trends.The infant mortality rates dropped more significantly in rural areas than in urban arcas.Difference between urban and rural areas was gradually getting small.Rates on setting up maternal record cards,carrying on postpartum visit,hospital delivery and tnder help by new midwives rate were important tactors that significantly impacting the infant mortality rate.Work on setting up record cards and hospital delivery should be further strengthened.
