制裁とイラクの幼児死亡率
1Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, University of London, UK. Mohamed.Ali@lshtm.ac.uk
Lancet (London, England)
|June 24, 2000
まとめ
湾岸紛争と国連の制裁に伴い,イラク南部では幼児死亡率が著しく上昇した. 対照的に,イラク北部では,石油と食料の交換プログラムの下での資源配分の改善に起因する,子供の死亡率の低下が見られた.
科学分野:
- 公衆衛生は公衆衛生である.
- デモグラフィー デモグラフィー 人口統計
- エピデミオロジー エピデミオロジー
背景:
- ユニセフは1999年にイラクで児童死亡率調査を実施した.
- 調査は南部・中央,北部の自治地域を対象とした.
研究 の 目的:
- イラクにおける幼児死亡率の信頼できる推定値を提供するため.
- 異なる地域における幼児死亡率の傾向を比較する.
主な方法:
- 1999年に実施された横断的な世帯調査.
- 構造化されたアンケートは,23,105人の女性 (南部/中央) と14,035人の女性 (自治区) に管理されました.
- 乳児および5歳未満の死亡率に関するデータを収集した.
主要な成果:
- イラク南部/中部では,乳児死亡率は,生児1000人当たり47人から108人に増加した (1984-99).
- イラク南部と中央部の5歳未満の死亡率は,生児1000人当たり56人から131人に上昇した.
- 自治区では,乳児死亡率は1000人当たり64から59に低下し,5歳未満の死亡率は1000人当たり80から72に低下した.
結論:
- 湾岸紛争と国連の制裁後のイラク南部/中部では,幼児死亡率が増加した.
- 小児死亡率は,石油と食料の交換プログラムによって自治区で減少した.
- 資源の配分は死亡率の動向に影響を与え,よりよい配分は北部で結果を改善した.
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