摘要
目的:研究在不同经济水平下我国儿童死亡健康公平性。方法:利用《中国卫生统计年鉴》、《中国统计年鉴》中的相关资料,计算以儿童死亡率为基础的一系列健康公平性指标——集中曲线、集中指数等。结果:我国新生儿死亡率、婴儿死亡率、5岁以下儿童死亡率西部各省份普遍高于中部各省份;省际集中指数均为负值,绝对值在0.10左右,集中曲线均在标准线之上,反映出儿童死亡主要集中于社会经济发展水平较落后的省份。2001-2008年我国儿童死亡的不公平性在各省间的差距有所改善但不明显。结论:我国应发展贫困地区经济,缩小区域贫富差距,提高基层医疗卫生服务的效率和质量,以降低儿童死亡率。
OBJECTIVE：To study the health equity in child mortality at different economic levels.METHODS：Using data from China Health Statistics Yearbook and China Statistical Yearbook,we calculated indicators like concentration index and concentration curve to evaluate equity in health.RESULTS：Infant mortality rate,neonatal mortality rate and child mortality rate under age 5 in western provinces were higher than median provinces.All concentration indexes were negative and the values were around 0.10 which indicated that child mortality in poor provinces is higher than in rich provinces.The gaps of inequities in child mortality among different provinces were decreasing from the period of 2001 to 2008,but not significantly.CONCLUSION：Chinese government should develop economy of impoverished areas,reduce gaps among different provinces and improve efficiency and quality of primary medical services to decrease motality of children.
出处
《中国药房》
CAS
CSCD
北大核心
2011年第38期3623-3626,共4页
China Pharmacy
关键词
健康公平
死亡
儿童
集中指数
集中曲线
Health equity
Mortality
Child
Concentration index
Concentration curve
