目的 研究家庭地理环境与5岁以下儿童死亡关系,探索降低5岁以下儿童死亡率的有效途径,提出干预措施。方法 以十堰市2011-2013年上报的死亡信息数据为基础,自拟调查表对5岁以下死亡儿童的家庭地理环境状况进行回顾性调查,分析了解家庭住居地理环境是否与儿童死亡率有关联。结果 5岁以下儿童死亡男、女童居住地构成上差异无统计学意义(P=0.267),男、女童居住地地理环境构成上差异有统计学意义(P<0.005),男、女童居住地交通状况构成上差异有统计学意义(P<0.05),男、女童死亡与周边住居环境构成上差异无统计学意义(P>0.05),且男童在山区和丘陵的死亡比例高于女童。结论 5岁以下儿童死亡与家庭地理条件和交通状况关系密切。

Objective To study the relationship between family geography and deaths of children under five years old. Methods Based on the death data of reported information in 2011-2013 in Shiyan,it was retrospectively analyzed to understand whether the family residence geographical environment associated with child mortality with the proposed questionnaire. Results In different gender deaths of children under five years of age,there was no statistically significant difference (P=0.267) on the family residence constitutes.There were significant differences on the residence geography constitutes (P<0.05),a significant difference on the traffic conditions constitute (P<0.05),and there were no significant difference (P>0.05) on the constitute of surrounding environment residence. Conclusion There is a close relationship between different gender deaths of children under 5 years old and the family geographical conditions and traffic conditions,the death proportion of boys was higher than girls in the mountains and hills.