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死亡出生率:在190个国家提供估计
Cynthia Stanton1, Joy E Lawn, Hafiz Rahman
1The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Lancet (London, England)
|May 9, 2006
概括
全球死产估计显示,2000年有320万名婴儿死亡,报告不足是一个主要挑战. 改善数据收集对于公共卫生对死产的行动至关重要.
科学领域:
- 全球健康 全球健康
- 围产期流行病学 围产期流行病学
- 人口统计学 人口统计学
背景情况:
- 全球对死产的数据有限,定义为怀孕最后12周胎儿死亡.
- 新生儿死亡率数据很少,系统的全球死胎估计也没有.
- 这项研究旨在估计2000年190个国家的死产率和数量.
研究的目的:
- 系统地识别和评估来自不同来源的现有死产数据.
- 开发一个可靠的模型来估计国家死产率和相关的不确定性.
- 为2000年提供第一个关于死胎的全面全球估计.
主要方法:
- 数据来源包括生命登记,人口和健康调查 (DHS) 以及已公布/未公布的研究.
- 针对DHS,使用了对避孕日历数据的新分析.
- 一个随机效应回归模型预测了国家死胎率和不确定性间隔.
主要成果:
- 来自44个国家 (生命记录),16个国家 (DHS) 和103个国家 (研究) 的数据符合纳入标准.
- 估计的死产率有很大的差异,从高收入国家每1000名婴儿中有5名,到南亚和撒哈拉以南非洲每1000名婴儿中有32名.
- 全球估计死亡出生人数为320万 (不确定性范围为250万至400万),可能是低估.
结论:
- 死产是一个重要的全球健康问题,特别是在资源较低的环境中.
- 在出生死胎负担最高的地区存在可用数据的严重缺乏,加之是报告不足.
- 改善死胎数据收集对于有效的公共卫生干预和政策制定至关重要.
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