Tollman S M, Herbst K, Garenne M, Gear J S, Kahn K
Department of Community Health, University of the Witwatersrand, Johannesburg.
S Afr Med J. 1999 Aug;89(8):858-64.
To present baseline results from first-phase demographic and health surveillance in the Agincourt field site, Bushbuckridge. To contrast findings with international data, and comment on their relevance to health development.
Multi-round, prospective community-based study. Baseline census, 1992.
A subdistrict in South Africa's rural north-east, adjacent to the border with Mozambique.
Entire population of the Agincourt subdistrict.
Baseline variables for each resident included age, sex, months spent at home during 1991, mother alive/dead, highest educational standard achieved, and refugee status. A full demographic profile was constructed.
In 1992 the subdistrict contained 57,609 persons, 26.4% of whom were Mozambican, with a population density of 148 persons per km2. Forty-four per cent were under 15 years of age, and the dependency ratio was 93%. Fertility was declining, along with a moderate decline in adult female mortality. The approximate total fertility rate was 4.0; teenage parenting was common and almost 40% of 19-year-olds had at least one child. Over 60% of men and 14% of women in the 30-49-year age group were migrants, resulting in a high proportion of single-parent households. Despite improvements, most children experienced delays in reaching primary school, and less than half made the transition to secondary school. Educational levels among Mozambican children were lower than those of local children.
Agincourt contains a complex mix of communities comprising migrant workers, Mozambicans and a more stable permanent population. The area shares features with sub-Saharan Africa, although the mortality and fertility transitions have progressed further. Reliable, local information is essential for managing decentralised health systems.
展示阿金库尔实地研究点（布什巴克里奇）第一阶段人口与健康监测的基线结果。将研究结果与国际数据进行对比，并就其与健康发展的相关性发表评论。
多轮前瞻性社区研究。1992年进行基线普查。
南非东北部农村的一个分区，与莫桑比克接壤。
阿金库尔分区的全体居民。
每位居民的基线变量包括年龄、性别、1991年在家居住的月数、母亲健在/已故、所达到的最高教育水平以及难民身份。构建了完整的人口概况。
1992年该分区有57,609人，其中26.4%为莫桑比克人，人口密度为每平方公里148人。44%的人口年龄在15岁以下，抚养比为93%。生育率在下降，成年女性死亡率也有适度下降。总生育率约为4.0；青少年生育现象普遍，近40%的19岁女性至少育有一个孩子。30 - 49岁年龄组中，超过60%的男性和14%的女性为移民，导致单亲家庭比例较高。尽管有所改善，但大多数儿童上学仍有延迟，不到一半的儿童能够升入中学。莫桑比克儿童的教育水平低于当地儿童。
阿金库尔包含由移民工人、莫桑比克人和更稳定的常住人口组成的复杂社区组合。该地区具有撒哈拉以南非洲的一些特征，尽管死亡率和生育率转变进程更为深入。可靠的本地信息对于管理分散的卫生系统至关重要。
