摘要
目的:分析湖南省2013年5岁以下儿童主要死亡原因及其死亡的基本特征,为减少儿童死亡、保护儿童健康,制定儿童生存、发展、保护战略措施提供依据。方法:对湖南省各市州2013年5 747例5岁以下儿童死亡资料进行回顾性分析,采用描述性统计的方法分析湖南省5岁以下儿童的死因构成及死亡的特征,应用卡方检验分析湖南省各市州2013年5岁以下儿童死亡情况的差异。结果:1)2013年湖南省5岁以下儿童死亡率(under-5 mortality rate,U5MR)为7.00‰;2)线性趋势卡方检验表明2002至2013年近10年内湖南省U5MR均呈下降趋势(均P<0.05);3)2013年湖南省5岁以下儿童死亡原因中溺水所占比重最大,为13.35%,其次是先天性心脏病、早产或低出生体质量、肺炎及意外窒息,所占比重依次为12.65%,11.66%,10.82%和8.13%;4)卡方检验表明:2013年湖南省各市州U5MR存在差异(χ2=163.185,P<0.05)。结论:2013年湖南省U5MR较之前明显下降;2013年各市州U5MR存在差异;2013年湖南省城市与农村的U5MR也存在差异;2013年湖南省5岁以下儿童死亡原因中溺水所占比重最大,肺炎所占比重是第4位。
Objective： To analyze the main causes and characteristics for death among children under 5 years old so as to provide the basis for taking strategic measures for child survival, development, protection.Methods： The data of 5 747 dead children, who were under 5 years old in diff erent cities of Hunan Province in 2013, were retrospectively analyzed. Descriptive statistic methods were used to analyze the causes and characteristics of death among the children. Chi-square test was used to analyze the diff erences of mortality rate.Results： In 2013, the under-5 mortality rate（U5MR） was 7.00‰. By linear trend chi-square test, the U5 MR from 2002 to 2013 showed a tendency toward decrease（P〈0.05）. Among the death causes, drowning was the major one and it accounted for 13.35% of death, following by congenital heart disease, premature birth or low birth weight, pneumonia and accidental suffocation, with a ratio at 12.65%, 11.66%, 10.82%, and 8.13%, respectively. After chi-square test, there were differences in U5 MR in the cities of Hunan Province in 2013（χ2=163.185, P〈0.05）.Conclusion： Compared with previous data, the U5 MR in 2013 is decreased significantly. There are differences in U5 MR in the cities, and there are also difference in U5 MR between city and rural area in Hunan Province in 2013. Among the death causes for children under 5 years old in Hunan Province in 2013, drowning is in the major one, and pneumonia is the fourth one.
出处
《中南大学学报（医学版）》
CAS
CSCD
北大核心
2016年第3期287-294,共8页
Journal of Central South University ：Medical Science
基金
湖南省自然科学基金(12JJ3099)~~
关键词
5岁以下儿童
死亡率
死因
湖南省
children under 5 years old
mortality rate
causes of death
Hunan Province
