Sayers Susan M
Child Health Division, Menzies School of Health Research, Institute of Advanced Studies, Charles Darwin University, PO Box 41096, Casuarina, NT 0811, Australia.
Pediatr Clin North Am. 2009 Dec;56(6):1243-61. doi: 10.1016/j.pcl.2009.09.009.
Infant mortality and morbidity disparities occur between non-Indigenous and Indigenous populations of Australia, Canada, New Zealand, and the United States. Neonatal mortality is due to high-risk births, which vary according to prevalence of the maternal risk factors of smoking, alcohol consumption, infection, and disorders of nutritional status, whereas postneonatal mortality is predominantly influenced by environmental factors. Aside from changing socioeconomic conditions, a continuum of maternal and child health care is likely to be the most effective measure in reducing these health disparities.
在澳大利亚、加拿大、新西兰和美国,非原住民和原住民人口之间存在婴儿死亡率和发病率差异。新生儿死亡率归因于高危分娩,高危分娩因母亲吸烟、饮酒、感染和营养状况紊乱等风险因素的流行情况而异,而后新生儿死亡率主要受环境因素影响。除了不断变化的社会经济状况外,连续的母婴保健服务可能是减少这些健康差异的最有效措施。