江苏地区5岁以下儿童死亡状况分析

Analysis on the mortality of children under 5 years in Jiangsu province

目的:了解江苏地区5岁以下儿童死亡情况,分析死亡原因,为避免儿童死亡制定干预措施提供依据。方法:对26 803例出生儿童进行5岁以下死亡情况调查,分析发生死亡原因。结果:共发生5岁以下儿童死亡233例,儿童死亡发生率8.69‰;发生死亡原因前5位排名为出生窒息、溺水、早产和低出生体重、其他先天异常、先天性心脏病以及交通意外并列,儿童在不同年龄阶段死亡原因排位略有不同。农村儿童死亡发生率(10.01‰)高于城区(6.30‰),苏北、苏中、苏南地区儿童死亡率分别为10.07‰、9.70‰和5.70‰,苏南与苏中、苏北地区之间差异有统计学意义,苏中和苏北之间的差异无统计学意义。结论:对不同年龄阶段儿童应采取相应的预防措施减少儿童死亡的发生。

Objective：To understand the mortality of children under 5 years in Jiangsu province,analyze the causes,and provide a basis for making interventional measures to avoid death of children. Methods：The mortality of 26 803 children under 5 years was investigated,and the causes of death were analyzed. Results：233 children under 5 years died,the mortality was 8.69‰.The top five causes of death were birth asphyxia,drowning,preterm delivery and low birth weight,other congenital diseases,congenital heart disease/traffic accidents;the rank of death causes was slightly different among the children at different age groups.The mortality of rural children（10.01‰） was higher than that of urban children（6.30‰）.The mortalities of children from Northern Jiangsu,Central Jiangsu and Southern Jiangsu were 10.07‰,9.70‰ and 5.70‰,respectively,there was significant difference in the mortality of children between Southern Jiangsu and Central Jiangsu,Northern Jiangsu,but there was no significant difference in the mortality of children between Central Jiangsu and Northern Jiangsu. Conclusion：Corresponding preventive measures should be taken to reduce the occurrence of death of children at different age groups.