[1996 - 2006年中国5岁以下儿童先天性畸形死亡率]

[Mortality from congenital malformations in children under 5 years old in China, 1996-2006].

作者信息

He Chun-hua, Wang Yan-ping, Zhu Jun, Liang Juan, Dai Li, Miao Lei, Li Xiao-hong, Zhou Guang-xuan, Li Qi

机构信息

National Office for Maternal and Child Health Surveillance, West China Second Hospital, Sichuan University, Chengdu 610041, China.

出版信息

Sichuan Da Xue Xue Bao Yi Xue Ban. 2010 Mar;41(2):324-8.

PMID:20506664

Abstract

OBJECTIVE

To identify the trend and pattern of mortality from congenital malformations in children under 5 years old in China.

METHODS

Data from 1996 to 2006 were obtained from the national child mortality surveillance network, which included 116 counties (cities) throughout China. A descriptive analysis was performed on birth defect-specific mortality (U5MR) in children under 5 years old.

RESULTS

The national birth defect-specific U5MR decreased from 412.0 per 100,000 live births in 1996 to 342.2 per 100,000 live births in 2006. The declining trend in birth defect-specific U5MR was more obvious from 2003 to 2006. The same pattern was observed in urban areas, in coastal regions and in inner land regions of China. Rural areas had higher birth defect-specific U5MR than urban areas. Remote regions had higher birth defect-specific U5MR than coastal regions and inner land regions. The proportion of mortality due to congenital malformations in total U5MR increased from 9.2% in 1996 to 14.4% in 2006.

CONCLUSION

The proportion of mortality due to congenital malformations in children under 5 years old is increasing in China.

摘要

目的

确定中国5岁以下儿童先天性畸形死亡率的趋势和模式。

方法

1996年至2006年的数据来自全国儿童死亡率监测网络，该网络覆盖中国116个县（市）。对5岁以下儿童特定出生缺陷死亡率（U5MR）进行描述性分析。

结果

全国特定出生缺陷U5MR从1996年的每10万例活产412.0例降至2006年的每10万例活产342.2例。2003年至2006年，特定出生缺陷U5MR的下降趋势更为明显。中国城市地区、沿海地区和内陆地区均呈现相同模式。农村地区特定出生缺陷U5MR高于城市地区。偏远地区特定出生缺陷U5MR高于沿海地区和内陆地区。先天性畸形导致的死亡在5岁以下儿童总死亡率中的占比从1996年的9.2%升至2006年的14.4%。