陕西省2010―2020年5岁以下儿童死亡监测结果分析  

Analysis of mortality monitoring results of children under 5 years old in Shaanxi Province from 2010 to 2020

作　　者：李敏 王宝珠 LI Min;WANG Baozhu(Healthcare Department,Northwest Women′s and Children′s Hospital,Xi′an 710061,China)

机构地区：[1]西北妇女儿童医院保健部,西安710061

出　　处：《中华疾病控制杂志》2023年第9期1019-1024,共6页Chinese Journal of Disease Control & Prevention

摘　　要：目的分析2010―2020年陕西省5岁以下儿童死亡状况及主要死因,为相关部门制定干预措施提供依据。方法收集陕西省5岁以下儿童死亡监测资料。应用Joinpoint回归模型分析5岁以下儿童死亡率变化趋势和主要死因别死亡率变化趋势。结果2010―2020年陕西省5岁以下儿童死亡率呈下降趋势,Joinpoint回归模型分析显示全省、城市和农村5岁以下儿童死亡率均为单调下降趋势,无转折点(全省APC=-11.23,P<0.001;城市APC=-4.87,P=0.038;农村APC=-12.23,P<0.001)。城乡5岁以下儿童死亡率变化趋势在2010―2013年间差异无统计学意义(P=0.709);在2013―2020年差异有统计学意义(P=0.015)。2010―2020年陕西省5岁以下儿童主要死因为出生窒息、先天性心脏病、早产或低出生体重和肺炎,死亡率均呈下降趋势。Joinpoint回归模型显示出生窒息下降趋势有1个转折点(2010―2012年APC=-43.80,P=0.108;2012―2020年APC=-12.16,P=0.023)。先天性心脏病、早产或低出生体重和肺炎均为单调下降趋势(先天性心脏病APC=-13.21,P<0.001;早产或低出生体重APC=-11.47,P<0.001;肺炎APC=-7.67,P=0.038)。结论2010―2020年陕西省5岁以下儿童死亡率、城市和农村5岁以下儿童死亡率、主要死因别死亡率总体呈下降趋势。Objective This study aims to analyze the mortality and primary death causes in children under five years old in Shaanxi Province from 2010 to 2020,and thus providing guidance for furture intervention strategies.Methods Mortality data for children under five years in Shaanxi Province were collected.The Joinpoint regression model was applied to analyze both mortality and major cause-specific mortality trends.Results From 2010 to 2020,the mortality rates among children under five years in Shaanxi Province were exhibited a significant decrease trend.The Joinpoint regression model showed a consistent monotonous downward trend in mortality rate across overall,urban and rural children under five years groups,with no turning point(overall APC=-11.23,P<0.001;urban APC=-4.87,P=0.038;rural APC=-12.23,P<0.001).No significant differences were found in the trend for annual changes of mortality between urban and rural groups from 2010 to 2013(P=0.709);however,a significant difference emerged from 2013 to 2020(P=0.015).The main cause-specific death rates,including asphyxia,congenital heart disease,preterm birth/low birth weight and pneumonia,all significantly decreased.The Joinpoint regression showed that the changing trend of the mortality for asphyxia had a turning point(APC=-43.80 and P=0.108 for 2010-2012,APC=-12.16 and P=0.023 for 2012-2020).The mortality rates for congenital heart disease,preterm birth/low birth weight and pneumonia showed a monotonous downward trend,with APC=-13.21 and P<0.001 for congenital heart disease,APC=-11.47 and P<0.001 for preterm birth/low birth weight,APC=-7.67 and P=0.038 for pneumonia.Conclusions From 2010 to 2020,the mortality rate among children under five years in Shaanxi Province showed an consistent downward trend.This trend was evident both in urban and rural child populations and across all main causes of death.

关 键 词：5岁以下儿童 死亡率 死因别死亡率 趋势分析 

分 类 号：R174[医药卫生—妇幼卫生保健]