缅甸东部克伦邦、克耶邦和孟邦冲突地区的死亡率。

Mortality rates in conflict zones in Karen, Karenni, and Mon states in eastern Burma.

作者信息

Lee Thomas J, Mullany Luke C, Richards Adam K, Kuiper Heather K, Maung Cynthia, Beyrer Chris

机构信息

Department of Medicine, UCLA School of Medicine, University of California-Los Angeles, 924 Westwood Boulevard, Los Angeles, CA 90024, USA.

出版信息

Trop Med Int Health. 2006 Jul;11(7):1119-27. doi: 10.1111/j.1365-3156.2006.01651.x.

DOI:10.1111/j.1365-3156.2006.01651.x

PMID:16827712

Abstract

OBJECTIVES

To estimate mortality rates for populations living in civil war zones in Karen, Karenni, and Mon states of eastern Burma.

METHODS

Indigenous mobile health workers providing care in conflict zones in Karen, Karenni, and Mon areas of eastern Burma conducted cluster sample surveys interviewing heads of households during 3-month time periods in 2002 and 2003 to collect demographic and mortality data.

RESULTS

In 2002 health workers completed 1290 household surveys comprising 7496 individuals. In 2003, 1609 households with 9083 members were surveyed. Estimates of vital statistics were as follows: infant mortality rate: 135 (95% CI: 96-181) and 122 (95% CI: 70-175) per 1000 live births; under-five mortality rate: 291 (95% CI: 238-348) and 276 (95% CI: 190-361) per 1000 live births; crude mortality rate: 25 (95% CI: 21-29) and 21 (95% CI: 15-27) per 1000 persons per year.

CONCLUSIONS

Populations living in conflict zones in eastern Burma experience high mortality rates. The use of indigenous mobile health workers provides one means of measuring health status among populations that would normally be inaccessible due to ongoing conflict.

摘要

目的

估算缅甸东部克伦邦、克耶邦和孟邦内战地区居民的死亡率。

方法

在缅甸东部克伦、克耶及孟地区冲突地带提供医疗服务的当地流动医护人员，于2002年和2003年的3个月时间段内进行整群抽样调查，与户主进行访谈，以收集人口统计学和死亡率数据。

结果

2002年，医护人员完成了1290户家庭调查，涵盖7496人。2003年，对1609户家庭、9083名成员进行了调查。生命统计估计如下：婴儿死亡率：每1000例活产中分别为135例（95%可信区间：96 - 181）和122例（95%可信区间：70 - 175）；五岁以下儿童死亡率：每1000例活产中分别为291例（95%可信区间：238 - 348）和276例（95%可信区间：190 - 361）；粗死亡率：每年每1000人分别为25例（95%可信区间：21 - 29）和21例（95%可信区间：15 - 27）。