了解为什么在高收入国家儿童死亡
Peter Sidebotham1, James Fraser2, Teresa Covington3
1Division of Mental Health and Well Being, University of Warwick, Coventry, UK.
Lancet (London, England)
|September 12, 2014
概括
要了解高收入国家的儿童和青少年死亡率,需要检查内在,环境和社会因素. 社会经济地位是关键决定因素,影响多个领域,并突出了潜在干预领域,以减少儿童死亡.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 社会学 社会学 社会学
背景情况:
- 高收入国家的儿童和青少年死亡率受到复杂的因素相互作用的影响.
- 这些因素可以分为内在 (生物学,心理),物理环境,社会环境和服务提供领域.
- 社会经济梯度很突出,但它们在各个领域的复杂机制往往不太清楚.
研究的目的:
- 识别和概念化在高收入国家导致儿童和青少年死亡率的多方面的因素.
- 探索影响不同领域死亡率的复杂机制,特别是社会经济梯度.
- 突出潜在的干预领域,以防止儿童死亡.
主要方法:
- 对影响儿童和青少年死亡率的因素的概念分析.
- 将促成因素分为四个主要领域:内在,物理环境,社会环境和服务提供.
- 确定固定和可修改的风险因素,包括社会经济地位.
主要成果:
- 儿童死亡率受到内在,环境,社会和服务提供因素的影响.
- 社会经济地位通过各个领域的复杂,往往不太了解的机制显著影响死亡率.
- 一些因素是不可改变的 (例如,遗传学,性别),而其他因素则容易受到干预.
结论:
- 解决儿童和青少年死亡率问题需要采用综合方法,考虑多个领域.
- 针对可改变因素的干预措施,特别是与社会经济地位和环境条件相关的干预措施,有望减少儿童死亡率.
- 了解因素的复杂相互作用对于制定有效的预防策略至关重要.
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