| 朱新义,黄祚军,刘利容,崔兆麟.河南省2000--2010年婴儿死亡率变化趋势及孕产妇保健影响因素分析[J].Chinese journal of Epidemiology,2012,33(9):930-932 |
| 河南省2000--2010年婴儿死亡率变化趋势及孕产妇保健影响因素分析 |
| Factor analysis on trend of infant mortality and maternal health management in Henan province from 2000 to 2010 |
| Received:May 22, 2012 |
| DOI：10.3760/cma.j.issn.0254-6450.2012.09.012 |
| KeyWord: 婴儿死亡率 孕产妇 人群监测 |
| English Key Word: Infant mortality rate Pregnan twomen Population surveillance |
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| Abstract: |
| 目的 分析2000-2010年河南省婴儿死亡率变化趋势及孕产妇保健方面的影响因素。方法 采用描述性分析、Cox—Stuart检验和多元线性同门分析的方法，对2000-2010年河南省监测地区人群婴儿死亡率变化趋势及其孕产妇保健因素进行分析。结果 2000-2010年河南省及其城乡婴儿死亡率分别由30.91‰、10.05‰和33.99‰下降至7.12‰、5.5l‰和8.03‰，年均下降分别为13.65%、5.83%和13.44%，下降趋势均有统计学意义(P结论 河南省及其城乡婴儿死亡率呈下降趋势，下降幅度农村超过城市，城乡间差异逐年减小；孕产妇建卡率、产后访视率、住院分娩率和新法接生率是影响婴儿死亡率下降的重要因素，应进一步加强孕产妇住院分娩和产后访视工作。 |
| English Abstract: |
| Objective To understand the trends and influential factors on infant mortality in Henan province from 2000to 2010. Methods Descriptive method, Cox-Stuart trend test and multiple linear regression were used to study the infant mortality trends and related influential factors in the regions with monitoring programs of Henan province, from 2000 to 2010. Results The total urban and rural infant mortality rates dropped significantly, from 30.91 per thousand, 10.05 per thousand, 33.99 per thousand in 2000 to 7.12 per thousand，5.51 per thousand, 8.03 per thousand in 2010, respectively. The average annual rates of decrease were 13.65 percent, 5.83 percent and 13.44 percent. The downward trands were statistically significant (P<0.05). The infant mortality rates dropped more significantly in rural areas (25.96%) than in the urban areas(4.54%). Difference between urban and rural areas reduced from 23.49% to 2.52%. Rates on factors as setting up maternal record cards, carrying on postpartum visits, hospital delivery, or under help by new midwives and low birth weight rate etc.were remarkably influencing the rate on infant mortality (F=229.738, P=0.004). In order, the impact of strengths on those factors showed as：hospitalized detivery rate, low birth weight rate, the rate of‘clean’delivery, setting up record cards on postpartunl visits. Conclusion Total provincial, urban and rural 1nfant mortality rates all showed downward trends. The infant mortality rates dropped more significantly in rural areas than in urban areas. Difference between urban and rural areas was gradually getting small. Rates on setting up maternal record cards, carrying on postpartum visit, hospital delivery and under help by new midwives rate were importan tfactors that significantly impacting the infant mortality rate. Work on setting up record cards and hospital delivery should be further strengthened． |
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