超越妊娠——孟加拉国生育年龄年轻女性被忽视的死亡负担：一项前瞻性队列研究。
Beyond pregnancy--the neglected burden of mortality in young women of reproductive age in Bangladesh: a prospective cohort study.
机构信息
Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
出版信息
BJOG. 2013 Aug;120(9):1085-9. doi: 10.1111/1471-0528.12245. Epub 2013 May 7.
OBJECTIVE
To describe proportionate mortality and causes of death unrelated to pregnancy.
DESIGN
Prospective cohort study.
SETTING
Rural northwest Bangladesh.
POPULATION
A cohort of 133,617 married women of reproductive age.
METHODS
Verbal autopsies were conducted for women who died whilst under surveillance in the cohort trial. Physician-assigned causes of death based on verbal autopsies were used to categorise deaths.
MAIN OUTCOME MEASURES
The proportion of deaths due to non-communicable diseases, infectious diseases, injury or pregnancy.
RESULTS
Of the 1107 deaths occurring among women between 2001 and 2007, 48% were attributed to non-communicable diseases, 22% to pregnancy, 17% to infections, 9% to injury and 4% to other causes.
CONCLUSIONS
Although focus on pregnancy-related mortality remains important, more attention is warranted on non-communicable diseases among women of reproductive age.
目的
描述与妊娠无关的比例性死亡和死因。
设计
前瞻性队列研究。
地点
孟加拉国西北部农村。
人群
133617 名生育年龄已婚妇女的队列。
方法
对队列试验中受监测的死亡妇女进行口头尸检。根据口头尸检分配的医生死因用于对死亡进行分类。
主要观察指标
非传染性疾病、传染病、损伤或妊娠导致的死亡比例。
结果
2001 年至 2007 年间，在 1107 名妇女死亡中，48%归因于非传染性疾病，22%归因于妊娠，17%归因于感染，9%归因于损伤，4%归因于其他原因。
结论
尽管对妊娠相关死亡率的关注仍然很重要，但需要更加关注生育年龄妇女的非传染性疾病。
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