韩国2001年至2021年间婴儿死亡率的区域差异
1Department of Preventive Medicine, School of Medicine, Keimyung University, Daegu, Korea.
Journal of Korean medical science
|November 15, 2023
概括
韩国婴儿死亡率存在区域差异,首尔以外的儿童死亡率更高. 这些差距最初缩小了,但最近又扩大了,表明需要有针对性的政策来确保婴儿健康公平.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 人口统计学 人口统计学
背景情况:
- 婴儿死亡率 (IMR) 是一个重要的公共卫生指标.
- 尽管整体情况有所改善,但全球范围内IMR的区域不平等仍然存在.
- 之前没有韩国流行病学研究专注于区域IMR差异.
研究的目的:
- 分析韩国婴儿死亡率的区域差异.
- 调查韩国各地区婴儿死亡不平等的趋势和原因.
- 为有效的公共卫生政策提供证据.
主要方法:
- 利用韩国统计局的韩国死亡原因数据 (2001-2021年).
- 计算的总和区域IMR,过多的婴儿死亡和人口归因分数 (PAF).
- 在三个时期 (2001-2007,2008-2014,2015-2021) 中,以首尔为参考,为年度百分比变化和计算的利率比率 (RRs) 和利率差异 (RDs) 的员工结合点回归.
主要成果:
- 总体而言,韩国的IMR为3.64/1000活产;14个地区的IMR高于首尔 (RR 1.15-1.62).
- 婴儿死亡的区域差异很大,PAF从2.2%到38.4%不等. 周围产生的问题是导致过度死亡的主要原因.
- IMR差异 (RR和RD) 最初有所减少,但在2001-2021年期间再次增加.
结论:
- 婴儿死亡率与韩国的地理位置有关,最近观察到地区差异越来越大.
- 迫切需要对这些区域不平等的原因进行深入的调查.
- 基于证据的政府政策对于实现国家婴儿健康平等至关重要.
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