HIV感染孕产妇所生儿童的死亡状况分析  

An analysis of mortality situation of children born by HIV-infected mothers

作　　者：方利文[1] 邢再玲[1] 王临虹[1] 王前[1] 张伟[2] 孙定勇[3] 黄越华[4] 张燕[5] 

机构地区：[1]中国疾病预防控制中心妇幼保健中心,北京100050 [2]新疆维吾尔自治区疾病预防控制中心妇幼保健中心,新疆乌鲁木齐830002 [3]河南省疾病预防控制中心性病艾滋病防治研究所,河南郑州450003 [4]广西壮族自治区妇幼保健院,广西南宁530003 [5]云南省妇幼保健院,云南昆明650051

出　　处：《中国妇幼健康研究》2009年第4期397-400,共4页Chinese Journal of Woman and Child Health Research

基　　金：国家“十五”科技攻关课题资助项目（2004BA719A03）

摘　　要：目的了解我国艾滋病高流行地区艾滋病感染孕产妇所生儿童的死亡状况。方法于2008年8～11月在我国艾滋病高发4省7县／区对2004年1月-2007年12月期间艾滋病感染孕产妇所生儿童的死亡状况进行回顾性调查，分析儿童死亡原因及死亡水平。结果艾滋病感染孕产妇所生新生儿死亡率为33．71‰，婴儿死亡密度为110．78／1000人年，5岁以下儿童死亡密度为59．83／1000人年；艾滋病感染婴儿死亡率为352．94‰，艾滋病感染孕产妇所生非艾滋病感染婴儿死亡率为62．50‰；艾滋病感染孕产妇所生的5岁以下死亡儿童中，44．90％死于艾滋病，15．56％死于早产低出生体重。结论我国艾滋病高流行地区艾滋病感染孕产妇所生儿童死亡率处于较高水平，艾滋病感染孕产妇所生儿童死亡的首要原因是艾滋病，其次是早产低出生体重。Objective To investigate mortality rate of children born by H/V-infected mothers in some HIV highly prevalent areas in China. Methods The mortality situation of children born by HIV-positive mothers in 7 counties or prefectures of 4 provinces of HIV highly prevalent areas in China in a period from January, 2004 - December, 2007 was investigated retrospectively for cause of death and mortality rate from August to November, 2008. Results The mortality rate of neonate born by HIV-infected mothers was 33.71‰, the infantile mortality density was 110.78/1 000 infant-year, the mortality density of children under 5 years was 59.83/1 000 child-year; the mortality rate in HIV-infected infants was 352.94‰; the mortality rate in HIV-uninfected infants born by HIV-infected mothers was 62.50‰. Among dead children under 5 years, 44.90% of them died from HIV/AIDS and 15.56% of them died from premature low birth weight. Conclusion The mortality rate of children born by HIV-infectod mothers in HIV highly prevalent areas in China is high. The first cause of death of children born by HIV-infected mothers is HIV/AIDS and the second cause of death is premature low birth weight.

关 键 词：儿童 艾滋病 死亡率 死亡密度 死亡原因 

分 类 号：R512.91[医药卫生—内科学]