上海市黄浦区2014年出生监测分析

Analysis on the birth registration information for Huangpu District in Shanghai in 2014

目的分析黄浦区出生人口的主要特征及其影响因素,为制订公共卫生政策提供依据。方法通过上海市出生医学信息系统收集2014年黄浦区出生登记信息,对生育水平、出生性别比和破宫产率进行分层分析,探索其影响因素。结果 2014年黄浦区户籍人口的总生育率为45.67%,总和生育率为1.17,生育水平仍处于较低水平。非户籍人口的出生性别比达113.9,严重偏离正常范围。沪籍和非沪籍的破宫产率分别高达49.54%和45.62%,均高于WHO推荐的15%的警戒水平。结论出生监测信息的利用反映了人群生育水平和生育特征,显示了计划生育政策的转折点,也明确了控制出生性别比、降低破宫产率将是今后卫生部门需加强的重点。

Objective To provide characteristics and influence factors of the bases for making public health policies by analyzing the main birth population in Huangpu District of Shanghai. Methods Based on Shanghai municipal medical birth information system, the birth registration information for Huangpu District in Shanghai in 2014 was collected, and stratified analyses were made on the fertility rates, sex ratios at birth and cesarean section rates thereof so as to explore the influence factors thereof. Results The general fertility rate for the registered population in Huangpu District of Shanghai was 45.67%o in 2014, and the total fertility rate thereof was only 1.17, which showed that the fertility level thereof stills remained at a low level. The sex ratio at birth of the non-permanent resident population there- of was 113.90, which deviated severely from the normal level. The cesarean section rates for the registered population and non-permanent resident population thereof reached high levels of 49.54% and 45.62%, respectively, which were both above the alert level of 15% as recommended by WHO. Conclusion The use of the birth registration information reflects the fertility level and fertility characteristics of the said population. The results thereof reveals that the family plan policy is at a turning point and also clarifies that the control of sex ratios at birth and the reduction of cesarean section rates will be the focus of the work to be strengthened by relevant health departments in future.