基于《世界卫生统计2015》资料全球婴儿死亡率分析-国际儿科研究杂志-CSCIED科技核心评价数据库-手机版

基于《世界卫生统计2015》资料全球婴儿死亡率分析

Analysis of global infant mortality rate based on “World Health Staistics 2015”

ES评分 0 浏览量：606 下载量：0

DOI	10.12208/j. ijped.20220004
刊名	国际儿科研究杂志 International Journal of Pediatrics Research
年，卷(期)	2022, 2(1)
作者	李鸿斌*,贲宇,
作者单位	如皋市妇幼保健计划生育服务中心 ; 南京大学医学院2019级临床医学专业江苏南京 ;
摘要	婴儿死亡率（IMR）千年发展目标完成情况对后疫情时期实现2030全球可持续发展儿童死亡率目标的启示。方法以《世界卫生统计2015》提供的IMR和主要死因构成比为基础，采用1990～2013年IMR下降幅度评估千年目标完成情况，通过对2000年与2013年阶段性比较分析IMR变化规律，采用双变量Pearson相关分析判断IMR与“感染非感染性疾病比值”、人均GDP的相关性。结果截止2013年，在194个世界卫生组织会员国中，40个（20.62%）国家实现了IMR千年发展目标。2000年与2013年比较，六大洲、低和高死亡率组IMR差异有统计学意义（P＜0.05），中等死亡率组差异无统计学意义(P＞0.05)；中、低死亡率组“感染非感染性疾病比值”差异无统计学意义(P＞0.05)，高死亡率组差异有统计学意义（P＜0.05）。低与中、中与高死亡率组“感染非感染性疾病比值”、IMR及平均下降量比较差异有统计学意义（P＜0.05）。全球IMR地区性差异明显，非洲IMR均值最高，欧洲最小，大洋洲、南美洲、北美洲居中，亚洲渐趋居中水平。2000年全球IMR比重为68.87%，2013年为73.74%，各国IMR比重与U5MR呈高度负相关关系（r2000年=-0.893，r2013年=-0.809，P＜0.05）。各国IMR与“感染非感染性疾病比值”呈高度正相关关系（r2000年=0.913，r2013年=0.901，P＜0.05），与人均GDP呈低度负相关关系（r2000年=-0.488，r2013年=-0.467，P＜0.05）。结论实现全球可持续发展5岁以下儿童死亡率目标的关键是积极有效降低IMR。防控重点应放在非洲和亚洲。高、中、低IMR国家的死因构成各有差别，经济增长对IMR的影响亦各不相同。建议适时调整防控策略，并加大投入力度。
Abstract	Objective To enlighten the achievement of the millennium development goal of infant mortality (IMR) for achieving the 2030 goal of sustainable child mortality in the post covid-19 epidemic period. Methods Based on the IMR and the proportion of main causes of death in the “World Health Statistics 2015”, the Millennium Development Goals of the decline of IMR from 1990 to 2013 was assessed, the IMR was analyzed by comparison between 2000 and 2013. Bivariate Pearson correlation analysis was used to determine the correlation between mortality and the ratio of infection to non infectious diseases and GDP per person in IMR. Results By 2013, in 194 WHO member states, the IMR in 40 (20.62%) countries achieved the millennium development goals. Comparison between 2000 and 2013, there was significant difference between low and high mortality groups in six continents (P＜0.05), there was no significant difference between the moderate death groups (P＞0.05), there was no significant difference in the ratio of infection to non infectious diseases between the middle and low mortality groups (P＞0.05), however there was significant difference between the high mortality groups (P ＜0.05). There was significant difference in the average decline of IMR and the ratio of non infectious diseases between low and medium, middle and high mortality groups (P＜0.05). The Global IMR had significant regional differences, the highest IMR was in Africa, the lowest IMR was in Europe, the medium IMR was in North America, Oceania, South America, Asia was becoming the middle level. IMR proportion was 68.87% in 2000, it was 73.74% in 2013, The IMR proportion was highly correlated with U5MR in every country （r2000年=-0.893，r2013年=-0.809，P＜0.05）. The IMR was highly correlated with the ratio of infection to non-infectious diseases in every country （r2000年=0.913，r2013年=0.901，P＜0.05）, and it was low negatively correlated with GDP per capita （r2000年=0.488，r2013年=0.467，P＜0.05）. Conclusions The key to achieving the goal of global sustainable development of under five mortality is to actively and effectively reduce IMR. Prevention and control should focus on Africa and Asia. The causes of death in high, medium and low IMR countries are different, and the impact of economic growth on IMR is also different. We suggest to adjust prevention strategies at the right time, and increase investment.
关键词	婴儿死亡率；世界卫生统计；感染性疾病；人均GDP
KeyWord	infant mortality rate; world health statistics; infectious diseases; GDP per capita
基金项目
页码	12-19

参考文献
相关文献

[1] United Natins. Goal 3: Ensure healthy lives and promote well-being for all at all ages[EB/OL]. (2017-07-06)[2022-02-16]. https://undocs.org/zh/A/RES/71/313.
[2] 李鸿斌. 基于《世界卫生统计2015》资料全球 5 岁以下儿童死亡率的现状分析[J]，中国循证医学杂志，2017，17(3): 269-275.
[3] Collaborators G C M. Global, regional, national, and selected subnational levels of stillbirths, neonatal, infant, and under-5 mortality, 1980-2015: a systematic analysis for the Global Burden of Disease Study 2015[J]. Lancet, 2016,388（10053）:1725-1774.
[4] 赵梓伶，蒋莉华，何琳坤，等.国内外新生儿死亡率、婴儿死亡率与5岁以下儿童死亡率关系研究[J].中国妇幼保健，2016，31(13)：2585-2588.
[5] United Natins. The Sustainable Development Goals Report 2020[EB/OL], (2020-07-06)[2022-02-16]. https://unstats.un.org/sdgs/report/2020/The-Sustainable-Development-Goals-Report-2020_Chinese.pdf.
[6] World Health Organization. World Health Statistics 2015[EB/OL]. [2022-02-16]. http://www.who.int/gho/publications/world_health_statistics/en/.
[7] UN data. Per capita GDP at current prices - US dollars[EB/OL].[2022-02-16]. http://data.un.org/Data.aspx?q=GDP+PER+CAPITA&d=SNAAMA&f=grID%3a101%3bcurrID%3aUSD%3bpcFlag%3a1.
[8] United Nations Statistics Division. Millennium Development Goals Indicators[EB/OL]. [2022-02-16].http://millenniumindicators.un.org/unsd/mdg/Resources/Static/Products/Progress2014/Progress_C.pdf.
[9] UNCEF. Levels and Trends in Child Mortality 2014[EB/OL].https://data.unicef.org/resources/levels-trends-child-mortality-report-2014/.
[10] World Health Organization. Millennium Development Goals(MDGs)[EB/OL]. http://www.who.int/mediacentre/factsheets/fs290/zh/.
[11] 联合国儿童基金会. 关于2019冠状病毒病（COVID-19）的最新资讯[EB/OL]. (2021-12-09)[2022-02-16].https://www.unicef.cn/press-releases/covid-19-biggest-global-crisis-children-our-75-year-history-unicef.
[12] 联合国 IGME. 最新的儿童死亡率估计显示，世界仍无法实现可持续发展目标[EB/OL]. (2021-12-19)[2022-02-16].https://www.unicef.org/press-releases/latest-child-mortality-estimates-reveal-world-remains-track-meeting-sustainable
[13] 李鸿斌. 中国婴儿死亡率发展趋势研究——动态数列分析法的应用[J]. 中国人口科学，2013，33(6)：39-49.
[14] Cha S, Cho Y. Changes in Under-5 Mortality Rate and Major Childhood Diseases: A Country-Level Analysis[J]. Asia-PAC J Public HE, 2016, 28(2):178-196.
[15] Joshi M. Comprehensive peace agreement implementation and reduction in neonatal, infant and under-5 mortality rates in post-armed conflict states, 1989–2012[J]. BMC Int Health Hum Rights, 2015, 15（27）:1-10.
[16] Rezaei S, Jamshidi K, Moradi K. Impact of Socioeconomic and Health System Factors on Infant Mortality in OPEC: Evidence from 2004 to 2013[J]. Int J Pediatr, 2015, 3（2.2）: 493-499.
[17] Hongbin L, Haijuang F, Jie W, et al. Relationships among gross domestic product per capita, government health expenditure per capita and infant mortality rate in China[J]. Biomedical Research 2017; 28 (6): 2859-2864.
[18] OSAWE, Wellington O, Osawe OW. Determinant of Infant Mortality Rate: A Panel Data Analysis of African Countries[J]. Developing Country Studies, 2014, 4（18）: 111-115.
[19] Byaro M, Musonda P. Impact of Public Health Expenditure on Infant and Under-five Mortality in Tanzania (1995-2013): An Application of Bayesian Approach[J]. Journal of Economics and Sustainable Development, 2016, 7(12): 178-187.

引用本文

李鸿斌*,贲宇. 基于《世界卫生统计2015》资料全球婴儿死亡率分析 [J]. 国际儿科研究杂志. 2022; 2; (1). 12 - 19.

文献评论

相关学者

相关机构