Citation: | YOU Yan, WEN Zhen Lin, GAO Deng Wen. Analysis of under-5 death surveillance in Yanchi, Ningxia, 2011 - 2020[J]. CHINESE JOURNAL OF WOMEN AND CHILDREN HEALTH, 2023, 14(2): 12-15. DOI: 10.19757/j.cnki.issn1674-7763.2023.02.003 |
To investigate the trend of under-5 death and factors associated with it in Yanchi, Wuzhong, Ningxia Hui Autonomous region from 2011 to 2020, so as to provide evidence for formulating intervention measures.
Under-5 death children in Yanchi County 2011 - 2020 were recruited as study subjects retrospectively from the National Maternal and Child Health Monitoring Information System. Statistical analysis was conducted on Under-5 mortality rate and causes of death.
The neonatal mortality rate, infant mortality rate and under 5 mortality rate showed a downward trend from 2011 to 2020, dropping from 7.80 ‰, 11.50 ‰, and 13.60 ‰ to 0.00 ‰, 0.62 ‰, and 2.47 ‰, respectively, and the trends were statistically different between various years (χtrend2=12.228, 18.269, 21.170, all P < 0.001). Premature delivery or low birth weight, pneumonia, birth asphyxia, accidental death, congenital heart disease and other congenital abnormalities were the main causes of death of children under 5 in Yanchi County from 2011 to 2020.
Under 5 mortality rate in Yanchi County shows a downward trend 2011 - 2020. Further strengthening health management, promoting health education, and improving health professionals' technical competence can effectively reduce under 5 mortality rate.
[1] |
胡林林, 陈艳. 通化市2000 — 2006年5岁以下儿童死因分析及干预[J]. 中国妇幼保健, 2008, 23(28): 4002-4003. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB200828031.htm
|
[2] |
Bryce J, Boschi-Pinto C, Shibuya K, et al. WHO estimates of the causes of death in children[J]. The Lancet, 2005, 365(9465): 1147-1152. doi: 10.1016/S0140-6736(05)71877-8
|
[3] |
Lozano R, Fullman N, Roever L, et al. Measuring progress from 1990 to 2017 and projecting attainment to 2030 of the health-related sustainable development goals for 195 countries and territories: a systematic analysis for the global burden of disease study 2017[J]. The Lancet, 2018, 392(10159): 2091-2138. doi: 10.1016/S0140-6736(18)32281-5
|
[4] |
郭虹, 朱玲, 郝丽婷, 等. 2010年—2019年山西省5岁以下儿童死亡率及主要死因分析[J]. 护理研究, 2022, 36(6): 1077-1082. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202206023.htm
|
[5] |
高霞, 黄彩霞, 魏琳颜, 等. 2001 — 2016年兰州市城关区5岁以下儿童死亡趋势分析[J]. 中国妇幼保健, 2019, 34(11): 2421-2424. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201911001.htm
|
[6] |
孙晓艳, 唐红梅, 顾翼洋. 2009 — 2017年嘉兴市5岁以下儿童死亡监测分析[J]. 中国妇幼保健, 2019, 34(7): 1453-1457. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201907001.htm
|
[7] |
胡亚美, 江载芳. 褚福棠实用儿科学[M]. 7版. 北京: 人民出版社, 2002.
|
[8] |
韩历丽, 潘迎, 赵娟, 等. 2011 — 2016年北京市妇幼卫生绩效考核结果分析[J]. 中国妇幼保健, 2019, 6, 34(12): 2668-2670. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201912003.htm
|
[9] |
金曦. 中国0 ~ 6岁儿童生存发展策略—从证据到行动[M]. 北京: 北京大学医学出版社, 2018: 8-9.
|
[10] |
Hill K, You D, Inoue M, et al. Child mortality estimation: accelerated progress in reducing global child mortality, 1990 - 2010[J]. PLoS Medicine, 2012, 9(8): e1001303. doi: 10.1371/journal.pmed.1001303
|
[11] |
Macdorman MF, Declercq E, Zhang J. Obstetrical intervention and the singleton preterm birth rate in the United States from 1991 - 2006[J]. Am J Public Health, 2010, 100(11): 2241-2247. doi: 10.2105/AJPH.2009.180570
|
[12] |
詹建英, 郑双双, 赵正言. 浙江省5岁以下儿童意外死亡10年流行趋势分析[J]. 浙江预防医学, 2016, 28(5): 461-464. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX201605008.htm
|
[13] |
王菁, 徐勤华. 2006 — 2009年苏州市5岁以下儿童意外死亡趋势和死因分析[J]. 中国妇幼保健, 2013, 28(26): 4351-4353. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201326038.htm
|
[14] |
刘丹, 余红. 绍兴市5岁以下儿童死亡率及死因变化分析[J]. 预防医学, 2017, 29(2): 206-208. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX201702030.htm
|
[15] |
尹丽霞, 胡艳丽. 新生儿窒息规范化复苏的培训效果分析[J]. 中国妇幼保健, 2008, 23(5): 594-595. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB200805006.htm
|
[16] |
胡波波, 傅克本, 胡碧波. 2013 — 2017年余姚市5岁以下儿童死亡分析[J]. 中华疾病控制杂志, 2019, 23(2): 176-179, 184. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ201902011.htm
|