Abstract:Objective To analyze the death among children under 5 years of age in Huzhou City, Zhejiang Province from 2012 and 2021, so as to provide insights into reduction of mortality among children. Methods The mortality surveillance data among children under 5 years of age in Huzhou City from 2012 to 2021 were collected from Children Death Report Cards and Surveillance Report among Children under 5 Years of Age, including gender, place of residence, date of death and death diagnosis. The trends in mortality and cause of death were analyzed among children under 5 years of age in Huzhou City from 2012 to 2021. Results A total of 1 262 deaths occurred among children under 5 years of age in Huzhou City from 2012 to 2021, with mean annual mortality of 4.39‰, and the mortality appeared a tendency towards a decline (χ2trend=132.695, P<0.001). A total of 899 infants died, with mean annual mortality of 3.13‰, and 363 children at ages of 1 to <5 years died, with mean annual mortality of 1.26‰. The mortality appeared a tendency towards a decline among both infants (χ2trend=117.778, P<0.001) and children at ages of 1 to <5 years (χ2trend=19.201, P<0.001). A total of 724 local children died, with mean annual mortality of 3.33‰, and there were 538 deaths among floating children, with mean annual mortality of 7.65‰. The mortality appeared a tendency towards a decline among both local (χ2trend=43.728, P<0.001) and floating children (χ2trend=94.038, P<0.001). The five most common causes of death included preterm birth or low birth weight (207 deaths, 16.40%), drowning (155 deaths, 12.28%), accidental asphyxia (138 deaths, 10.94%), other congenital abnormalities (126 deaths, 9.98%), and congenital heart diseases (113 deaths, 8.95%). Conclusions The mortality appeared a tendency towards a decline among children under 5 years of age in Huzhou City from 2012 to 2021, and preterm birth or low birth weight was the predominant cause of death.
安静, 李辉, 盛红斌, 蒋琦. 2012—2021年湖州市5岁以下儿童死亡监测资料分析[J]. 预防医学, 2023, 35(7): 628-631.
AN Jing, LI Hui, SHENG Hongbin, JIANG Qi. Death among children under five years of age in Huzhou City from 2012 to 2021. Preventive Medicine, 2023, 35(7): 628-631.
[1] 联合国.联合国千年发展目标报告[EB/OL].[2023-05-16].http://www.un.org/zh/milleniumgoals/reports.shtml. [2] PERIN J,MULICK A,YEUNG D,et al.Global,regional,and national causes of under-5 mortality in 2000-19:an updated systematic analysis with implications for the sustainable development goals[J].Lancet Child Adolesc Health,2022,6(2):106-115. [3] 中华人民共和国国务院妇女儿童工作委员会.中国儿童发展纲要(2021—2030年)[EB/OL].[2023-05-16].http://www.gov.cn/zhengce/content/2021-09/27/content_5639412.htm. [4] 方积亁,徐勇勇,陈峰.卫生统计学[M].北京:人民卫生出版社,2012:41-44. [5] DAVID S,LUCIA H,DANZHEN Y,et al.Global regional and national trends in under-5 mortality between 1990 and 2019 with scenario-based projections until 2030:a systematic analysis by the UN inter-agency group for child mortality estimation[J].Lancet Glob Health,2022,10(2):195-206. [6] MACHARIA P M,BENOVA L.Double burden of under-5 mortality in LMICs[J].Lancet Glob Health,2022,10(11):1535-1536. [7] 赵晓丽,刘卓娅,罗美芳,等.2011—2020年深圳市宝安区5岁以下儿童死亡监测分析[J].中国预防医学杂志,2021,55(5):378-383. [8] 罗灿,王雄虎,朱颖贤,等.广东省2015—2018年5岁以下儿童死亡原因分析[J].中国公共卫生,2021,37(2):346-349. [9] NASER A Y,AL-SHEHRI H,ALTAMIMI N,et al.Profile of hospital admissions due to preterm labor and delivery in England[J/OL].Healthcare(Basel),2023,11(2)[2023-05-16].https://doi.org/10.3390/healthcare11020163. [10] 朱春梅,邱丽倩.2015—2020年丽水市围产儿死亡监测结果[J].预防医学,2022,34(10):1048-1052. [11] 刘丹,余红,沈宝根,等.绍兴市5岁以下儿童意外死亡分析[J].预防医学,2020,32(4):411-414. [12] 丁晶莹,俞梅华,沈益妹.2012—2021年湖州市居民溺水死亡及寿命损失分析[J].预防医学,2022,34(7):676-680. [13] 李福明,谢士钰,姜之歆,等.国际比较视域下1990—2019年中国5岁以下儿童疾病负担研究[J].中华预防医学杂志,2022,56(5):619-625.