西安市2010—2021年孕产妇和儿童死亡及保健服务分析

doi:10.12183/j.scjpm.2023.0985

摘要/Abstract

摘要： 目的分析西安市2010—2021年孕产妇、新生儿、婴儿和5岁以下儿童死亡及保健服务情况,为制定孕产妇和儿童保健管理措施提供参考。方法选用西安市卫生健康事业发展统计公报和陕西省卫生健康事业发展统计公报相关数据,分析2010—2021年孕产妇死亡率、新生儿死亡率、婴儿死亡率和5岁以下儿童死亡率变化趋势,孕产妇、儿童保健服务指标变化趋势,以及保健服务指标与死亡率的相关性。结果 2010—2021年西安市新生儿死亡率、婴儿死亡率、5岁以下儿童死亡率均呈下降趋势（均P<0.01）,产前检查率、住院分娩率、7岁以下儿童管理率均呈上升趋势（均P<0.01）。西安市新生儿死亡率与产前检查率、住院分娩率均呈负相关（均P<0.01）,婴儿死亡率、5岁以下儿童死亡率均与住院分娩率、7岁以下儿童管理率均呈负相关（P<0.01或P<0.05）。结论 2010—2021年西安市新生儿死亡率、婴儿死亡率及5岁以下儿童死亡率呈下降趋势,产前检查率、住院分娩率、7岁以下儿童管理率呈上升趋势。

关键词: 死亡率, 保健服务, 趋势分析

Abstract: Objective To analyze the mortality and health care services of maternal, neonates, infants, and children under the age of 5 in Xi’an from 2010 to 2021, and to provide a reference for the formulation of maternal and child health management measures. Methods Using the relevant data from Xi’an Health Development Statistical Bulletin and Shaanxi Health Development Statistical Bulletin, we analyzed the trend of maternal mortality, neonatal mortality, infant mortality, and mortality of children under the age of 5, the trend of maternal and child health care service indicators, and the correlation between health care service indicators and mortality from 2010 to 2021. Results From 2010 to 2021, the neonatal mortality rate, infant mortality rate, and mortality rate of children under the age of 5 in Xi’an showed a decreasing trend （all P < 0.01）, while the rate of prenatal examination, hospital delivery, and management of children under the age of 7 all showed an increasing trend （all P < 0.01）. The neonatal mortality rate was negatively correlated with the rate of prenatal examination and hospital delivery （both P < 0.01）, and the infant mortality rate and mortality rate of children under the age of 5 were negatively correlated with the hospital delivery rate and the management rate of children under the age of 7 （P < 0.01 or P < 0.05）. Conclusion From 2010 to 2021, the neonatal mortality rate, infant mortality rate, and mortality rate of children under the age of 5 in Xi’an showed a decreasing trend, while the rate of prenatal examination, hospital delivery, and management of children under the age of 7 showed an increasing trend.

Key words: Mortality rate, Health care services, Trend analysis

中图分类号:

R173

肖梦, 马琼. 西安市2010—2021年孕产妇和儿童死亡及保健服务分析[J]. 华南预防医学, 2023, 49(8): 985-989.

XIAO Meng, MA Qiong. Analysis of maternal and child mortality and health care services in Xi'an, 2010-2021[J]. South China Journal of Preventive Medicine, 2023, 49(8): 985-989.

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