Epidemic feature analysis of children under-five mortality cause in Xiamen city,2007~2011.
- QIN Wei-xia1,ZHU Han-song2,YE Li-juan1,HUANG Hui-ping1.
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Abstract
Objective To explore epidemic features of children under-five mortality cause in Xiamen City,in order to provide scientific basis for formulating control and prevention measures. Method The mortality data that reported by health institutions in Xiamen City through the national disease surveillance system during 2007 to 2011 were studied to describe the level and distribution of children under-five mortality. Results Under 5 mortality rate(U5MR) increased with years from 2007 to 2011(χ2trend=92.68,P<0.01).Mortality rate of neonates,infants,1~ 5 years of ages and children under-five were 1.76‰,3.02‰,1.13‰ and 4.13‰ respectively.The 3 top causes of U5MR were the perinatal period disease(1.40‰),birth defects(0.87‰) and injury(0.44‰) respectively,which together constituted a 65.53% ratio.The difference of U5MR between male(4.81‰) and female(3.42‰) was statistically significant(χ2=23.57,P<0.01).And U5MR in rural(5.59‰) were higher than that in town(3.75‰)(χ2=36.42,P<0.01).Municipal General Hospital was the main medical institutions. Conclusion Perinatal period disease,birth defects and injury are important causes of U5MR,while infants is the most ages,so strategy that control and prevention U5MR can be formulated according to death spectrum.
Key words
under 5 mortality rate / perinatal period disease / birth defects / injury / cause of death
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References
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[3] He CH,Wang YP,Zhu J,et al.Mortality from congenital malformations in children under 5 years old in China[J].四川大学学报:医学版,2010,41(2):324-328.
[4] 于国威,李嘉,王津,等.辽宁省2002~2007年城乡围产儿出生缺陷调查[J].中国公共卫生,2009,25(2):233-234.
[5] 刘洁,曲波,郭海强,等.ARIMA模型在中国5岁以下儿童死亡率预测中应用[J].中国公共卫生,2011,27(2):237-238.
[6] 朱雪娜,闫淑娟,李东阳.2001~2010年北京市5岁以下儿童先天异常死亡状况分析[J].中国儿童保健杂志,2011,19(6):554-557.
[7] Reefhuis J,Honein MA,Schieve LA,et al.Use of clomiphene citrate and birth defects,National Birth Defects Prevention Study,1997~2005[J].Hum Reprod,2011,26(2):451 -457.
[8] Anderka M,Mitchell AA,Louik C,et al.Medicationsused to treat nausea and vomiting of pregnancy and the risk of selected birth defects[J].Birth Defects Res A Clin Mol Teratol,2012,94(1):22-30.
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