アメリカの小児における下痢による死亡率. 予防できるのでしょうか?
M S Ho1, R I Glass, P F Pinsky
1Division of Viral Diseases, Centers for Disease Control, Atlanta, GA 30333.
JAMA
|December 9, 1988
まとめ
下痢性疾患は,米国 (1973年−1983年) で年間約500人の予防可能な幼児死亡を引き起こしました. 妊産婦の要因と医療へのアクセスが結果に影響を及ぼし,ターゲットを絞った介入が子供の生存率を向上させることを示唆しています.
科学分野:
- 小児の死亡率は
- 感染症 感染症は感染症です.
- 公衆衛生は公衆衛生である.
背景:
- 下痢性疾患は,予防可能な幼児死亡率の重要な原因である.
- 人口統計的,社会経済的要因を理解することは,公衆衛生の介入にとって極めて重要です.
研究 の 目的:
- 1973年から1983年の米国における小児死亡率に対する下痢性疾患の影響を評価する.
- 小児における下痢による死亡に関連する危険因子を特定する.
主な方法:
- 1973年から1983年の全国死亡率データの分析.
- ミシシッピ州の致命的な下痢症例のレビュー,母親の危険因子を特定するために.
主要な成果:
- 毎年,平均して500人の子ども (1ヶ月から4歳) が下痢で死亡しています.
- 乳児,黒人子ども,南米の子ども,特に冬の死亡率が高かった.
- 若い年齢,未婚状態,低教育,不十分な産前ケアなどの母性の要因は,下痢による子供の死亡率と関連していた.
- 死因の半分は,医療施設に入院後に発生した.
結論:
- 小児における下痢による死亡は,大部分は予防可能である.
- 特定された危険因子に焦点を当てた標的化された公衆衛生介入は,米国における子供の生存率を改善することができます.
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