文献类型：期刊文献

中文题名：2000—2017年中国5岁以下儿童死亡率变化趋势及死因研究

英文题名：Changing trend and cause of death of children under 5 years old in China,2000-2017

作者：李明阳[1];王淑霞[1];马明艳[1];陈雪莲[1];胡继宏[2]

第一作者：李明阳

机构：[1]甘肃中医药大学公共卫生学院,甘肃兰州730000;[2]甘肃中医药大学科研实验中心

第一机构：甘肃中医药大学公共卫生学院

年份：2021

卷号：48

期号：3

起止页码：389

中文期刊名：现代预防医学

外文期刊名：Modern Preventive Medicine

收录：CSTPCD;;北大核心:【北大核心2020】；

基金：国际合作项目(20YF3WA020)。

语种：中文

中文关键词：5岁以下儿童;死亡率;死亡原因

外文关键词：Children under 5 years old;Mortality;The cause of death

摘要：目的探讨2000—2017年中国5岁以下儿童年龄别死亡率变化趋势及其主要死因。方法收集世界银行和世界卫生组织数据库2000—2017年5岁以下儿童死亡相关报告数据,采用线性趋势χ~2检验分析2000—2017年中国5岁以下儿童各年龄段死亡率变化趋势,并对其主要死因进行研究。结果 2000—2017年新生儿、1~59月儿童、5岁以下儿童的死亡率均呈下降趋势(χ~2=697 548.65、342 727.46、1 036 400.59,P <0.01),新生儿死亡率下降最快(8.44%),1~59月儿童最慢(6.92%);5岁以下儿童死亡主要发生在新生儿期,占55.82%。新生儿早产、先天性异常及1~59月儿童伤害成为5岁以下儿童主要死因。结论降低新生儿早产和先天异常的死亡是降低5岁以下儿童死亡率的关键,同时还应注重1~59月儿童伤害的防控。
Objective To explore the trend of age-specific mortality of children under 5 years of age and its main causes of death in China from 2000 to 2017. Methods Data from the World Bank and the World Health Organization( WHO) database on deaths of children under 5 years of age from 2000 to 2017 were collected. The linear trend of χ2 test was used to analyze the mortality trend of children under 5 years of age and the main causes of death were studied in China from 2000 to 2017. Results From 2000 to 2017,neonatal,children aged 1-59 months and children under 5 years of age all showed a decreasing trend( χ2= 697 548. 65,342 727. 46,1 036 400. 59,all P < 0. 01),and neonatal mortality rate declined the fastest( 8. 44%),1-59 months children were the slowest( 6. 92%). Deaths of children under 5 years of age occurred mainly in the neonatal period,accounting for 55. 82%. Premature births,congenital abnormalities of the newborn and 1-59 months children injuries were the leading causes of death among children under 5 years of age. Conclusion Reducing the death of premature births and congenital anomalies is the key to reduce the mortality rate of children under 5 years old,and the prevention and control of injuries among children from 1-59 months should also be emphasized.