江西省农村地区儿童保健指标状况及影响因素分析  

The study on indexes of child health care and their influencing factors in countryside of Jiangxi province

作　　者：程胜英[1] 汪玲[1] 吕军[1] 曹彬[2] 万红[3] 刘晓辉[3] 

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]卫生部妇幼保健与社区卫生司 [3]江西省卫生厅

出　　处：《中国妇幼保健》2007年第11期1476-1478,共3页Maternal and Child Health Care of China

摘　　要：目的:了解江西省农村地区儿童保健指标的变化情况,探讨围产儿死亡率及新生儿死亡率的影响因素。方法:利用江西省1999年与2005年的妇幼卫生保健年报表,并对随机抽取的妇幼保健人员进行定性访谈。结果:新生儿死亡率、婴儿后期死亡率、婴儿死亡率、5岁以下儿童死亡率、新生儿破伤风发病率、低出生体重儿发生率、5岁以下儿童中重度低体重患病率均有所下降且有显著性差异(P<0.001):围产儿死亡率、新生儿破伤风病死率变化无统计学意义;0～3岁儿童系统管理率下降且有显著性差异(P<0.001)。1999年与2005年围产儿死亡率和新生儿死亡率的影响因素发生变化。结论:提高医疗质量,改善农村地区孕妇与围生儿在围产期医疗保健的可及性。Objective： Find out the differences of indexes in child health care between 1999 and 2005 and explore influencing factors of perinatal mortality rate and neonatal mortality, rate. Methods： Use maternal and child health care annals in JiangXi province in 1999 and 2005 and interview the doctors and officials in health care field in 4 counties, which are sampled randomly among JiangXi province. Results： Declined indexes are neonatal mortality rate, later stage infant mortality rate, infant mortality rate, mortality rate under age 5, neonatal tetanus morbidity, proportion of low birth weight and moderate ＆ severe innutrition morbidity under age 5. The varieties of perinatal mortality rate and neonatal tetanus mortality rate have no meaning in statistics. The proportion of child health care under age 3 is decreased （P 〈0. 001 ） . The influencing factors of perinatal mortality rate and neonatal mortality rate are different between 1999 and 2005. Conclusion： We should improve medical quality and increase access to perinatal health care among the pregnant women and perinatal babies in countryside.

关 键 词：儿童保健 围产儿死亡率 新生儿死亡率 

分 类 号：R174[医药卫生—妇幼卫生保健]