美国儿童腹死亡率. 这些是可以预防的吗?
M S Ho1, R I Glass, P F Pinsky
1Division of Viral Diseases, Centers for Disease Control, Atlanta, GA 30333.
JAMA
|December 9, 1988
概括
在美国 (1973-1983年),腹疾病每年造成大约500例可预防的儿童死亡. 母亲因素和获得医疗保健的机会影响了结果,这表明有针对性的干预措施可以改善儿童的生存率.
科学领域:
- 儿科死亡率 儿科死亡率
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 腹疾病是可预防的儿童死亡的一个重要原因.
- 了解人口和社会经济因素对于公共卫生干预至关重要.
研究的目的:
- 评估腹疾病对1973年至1983年间美国儿童死亡率的影响.
- 确定与儿童腹死亡相关的危险因素.
主要方法:
- 对1973年至1983年国家死亡率数据的分析.
- 在密西西比州对致命腹病例的审查,以确定孕产妇的风险因素.
主要成果:
- 平均每年有500名儿童 (1个月至4岁) 因腹死亡.
- 婴儿,黑人儿童和美国南部儿童的死亡率更高,特别是在冬季.
- 母亲因素,如年轻年龄,未婚状态,低教育程度和不良产前护理,与腹导致的儿童死亡率有关.
- 一半的死亡发生在医疗机构入院后.
结论:
- 儿童因腹死亡的情况在很大程度上是可以预防的.
- 针对特定风险因素的有针对性的公共卫生干预措施可以提高美国儿童存活率.
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