希腊婴儿,新生儿和新生儿后死亡率:全国时间趋势分析
Nikolaos Vlachadis1, Nikolaos Loukas2, Nikolaos Antonakopoulos3
1Department of Obstetrics and Gynecology, General Hospital of Messinia, Kalamata, GRC.
Cureus
|July 1, 2024
概括
几十年来,希腊的婴儿死亡率显著下降,但经济危机扭转了这一进展. 最近的改善显示出积极的趋势,尽管利率仍然高于危机前的水平.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 流行病学 流行病学
背景情况:
- 婴儿死亡率是围产期健康和公共健康的关键指标.
- 了解婴儿,新生儿和新生儿后死亡率的长期趋势对于公共卫生政策至关重要.
研究的目的:
- 综合分析希腊婴儿死亡率 (IMR),新生儿死亡率 (NMR) 和新生儿后死亡率 (PNMR) 的时间趋势.
- 评估经济危机对这些死亡率趋势的影响.
主要方法:
- 利用了希腊统计局67年 (1956-2022) 的官方国家数据.
- 员工加入点回归分析以评估时间趋势并计算年度百分比变化 (APC) 和平均年度百分比变化 (AAPC).
- 计算出每1000个活产儿的死亡率,有95%的置信区间.
主要成果:
- 婴儿死亡率 (IMR) 显示持续下降,直到2008年,达到2.7/1,000活产的低点.
- 经济危机 (2008-2016) 导致IMR增加了57% (APC为3.4).
- 危机后 (2016-2022) 出现了改善 (APC为-3.7),2022年IMR为3.1/1,000活产. 总体来说,IMR的AAPC为-3.9.
- 在研究期间,NMR和PNMR也显著下降 (AAPC分别为-3.2和-4.5).
结论:
- 希腊实现了婴儿死亡率的大幅降低,但经济危机破坏了这一进展.
- 虽然最近的趋势有所改善,但婴儿死亡率尚未恢复到危机前的水平.
- 该研究强调了公共卫生指标对经济衰退的脆弱性.
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