2004年至2021年中国五岁以下儿童可避免死亡率的时间趋势
You-Xiang Wang1, Yao-Dong Zhang2, Yi-Ran Wang2
1College of Public Health, Zhengzhou University, Zhengzhou, 450001, Henan, China.
Pediatric research
|March 7, 2025
概括
中国显著减少了5岁以下儿童的可避免死亡率,但差异仍然存在. 有针对性的农村干预对于儿童生存和实现可持续发展目标至关重要.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 人口统计学 人口统计学
背景情况:
- 在5岁以下的儿童 (U5) 中,可避免的死亡率 (AM) 是儿童存活率的关键指标.
- 减少AM对于实现全球儿童健康目标至关重要.
研究的目的:
- 分析中国U5儿童中AM的情况和时间趋势.
- 识别差异,并为儿童生存提供有针对性的干预措施.
主要方法:
- 利用了来自中国死亡监测数据集的数据.
- 用于趋势分析的Joinpoint回归和多变量线性回归.
主要成果:
- 5岁以下儿童的AM率从233.99/100,000 (2004年) 降至34.54/100,000 (2021年),平均年降幅为10.72%.
- 城市和农村在AM方面的差异很明显,特别是在2021年.
- 虽然围产死亡率下降 (每年9.75%),但出生伤害和窒息死亡人数增加. 溺水和陆路交通事故是男孩和女孩的首要原因,农村地区的溺水率更高.
结论:
- 中国在减少U5 AM方面取得了进展,但仍然存在重大的城乡差距.
- 需要针对性干预,以解决围产期问题,出生伤害,窒息,溺水和陆地运输事故,特别是在农村地区.
- 加强农村医疗保健能力对于解决差距和实现可持续发展目标至关重要.
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