摘要
【目的】 在宏观水平分析影响新生儿死亡率的因素 ,以便制定降低新生儿死亡率的措施。 【方法】 采用在吉林、新疆、湖南、贵州、海南 114个县调查的 1997年的全部新生儿死亡的县级加和资料以及相应的县级人口、经济、卫生资源等方面资料 ,运用通径分析的方法进行分析。 【结果】 调查地区新生儿死亡率为 39.76‰。直接影响新生儿死亡率的因素是住院分娩率 ,间接影响新生儿死亡率的因素是每千人口床位数 ,人均收入 ,少数民族人口比例。而产前检查率、无村医的村的比例、以及人口密度这三个因素对新生儿死亡率既有直接作用又有间接作用。 【结论】 大力提倡住院分娩、产前检查 ,加强三级保健网网底的建设、加强并调整村医的职能 ,加强围产保健管理 ,对少数民族和人口密度低的地区给予更多的关注是降低贫困地区新生儿死亡率的主要措施。
To analyse macro-level factors influencing infant mortality in order to set the priority of lowering infant mortality. The datum of infant mortality based on a conceptual model taken from demographic,sociological and epidemiological research were analysed with path analysis techniques.The basic datum came from 1997 surveys of linked county level data and related county-level social-demographic and health resources data in selected counties of 5 remote and poverty-stricken provinces in rural China. NMR in survey areas was 39.76‰.Our results also showed that the net direct factors influencing NMR was institutional delivery rate.The net indirect factors influencing NMR were the bed per capita,the income per capita and percentage of minority population.Prenatal check-up rate,percentage of village without doctor.But the population density had both direct and indirect effects on NMR. [Conclusions] The recommended strategies lowering infant mortality were to advocate the rate of delivery in hospital and prenatal check-up,establish village doctor,adjust their responsibility,standardised perinatal health care,pay greater attention to minority and low population density areas.
出处
《中国儿童保健杂志》
CAS
2002年第4期217-219,共3页
Chinese Journal of Child Health Care
基金
世界银行资助 (32 0 1 CHA)
