北京市部分山区婴儿死亡危险因素分析

Analysis of the Risk Factors of Infant Death in Dart Mountainous Counties of Beijing.

目的 为了解北京市山区婴儿死亡影响因素。 方法 对三个山区县１９９６ 、１９９７ 年两年死亡的全部婴儿进行了１∶１ 病例对照研究，并用卡方检验及多因素Ｌｏｇｉｓｔｉｃ 回归分析等进行统计分析。 结果 母孕期合并症、怀孕次数、产前检查、就医观念，母亲文化程度、接受科学育儿宣传、婴儿出生体重、婴儿定期体检、以及家庭经济状况是影响婴儿死亡的９ 个危险因素；母亲文化程度越高，对卫生资源利用就越充分；农村仍存在轻视二胎女婴的现象。 结论 改善农村医疗保健条件、提高家庭经济文化水平、消除落后观念对卫生资源利用的制约是进一步降低山区婴儿死亡的关键。

Objective To Investigate the risk factors of infant death and to provide basis for the prevention and reduction of infant death. Methods 228 cases of dead infant were studied through a one to one matched case control study. Data was analysed with multiple factors and conditional logistic analysis. Results Such cases were associated with following factors:pregnant complications,total pregnant times,physically pregnant examinations,thoughts of seeing doctor,illiterate parents, health education of children nursing,low birth weight,regular physical examinations of infant,and family economical condition.The results also showed that the high literate of mothers,the more utilization of health resouse;there were negligence of female infants in moutainous district. Conclusion Improving medical and heath care condition,enhancing family cultural and economical levels,eliminating backward thoughts were the major methods of reducing infant death rate.