Peking University Health Science Center, 38 Xueyuan Road, Haidian District, 100083 Beijing, China.
Bull World Health Organ. 2009 Dec;87(12):913-20. doi: 10.2471/BLT.08.060426. Epub 2009 Aug 25.
To examine trends and variations in maternal mortality in China between 2000 and 2005.
We used Poisson regression analysis of data from the Chinese National Maternal and Child Health Routine Reporting System between 2000 and 2005 to identify time trends in the maternal mortality ratio (MMR) by province and region.
The MMR declined by an average of 5% per year (crude relative risk, RR: 0.95; 95% confidence interval, CI: 0.94-0.97). There was no interaction between region and year (P = 0.2311). Mortality declined by 5% per year in the eastern region (crude RR: 0.95; 95% CI: 0.92-0.97), by 5% per year in the central region (crude RR; 0.95; 95% CI: 0.94-0.96), and by 4% per year in the western region (crude RR: 0.96; 95% CI: 0.94-0.98). The absolute difference in MMR between the western and eastern regions declined from 65.4 deaths per 100,000 live births in 2000 to 49.4 per 100,000 live births in 2005.
China is making good progress towards achieving the fifth Millennium Development Goal, and there is no evidence of a widening gap between better-off and economically more deprived provinces.
探讨 2000 年至 2005 年期间中国孕产妇死亡率的趋势和变化。
我们使用 2000 年至 2005 年中国国家妇幼保健常规报告系统的数据进行泊松回归分析，以确定按省份和地区划分的孕产妇死亡率（MMR）的时间趋势。
MMR 平均每年下降 5%（粗相对风险，RR：0.95；95%置信区间，CI：0.94-0.97）。地区与年份之间无交互作用（P = 0.2311）。东部地区死亡率每年下降 5%（粗 RR：0.95；95%CI：0.92-0.97），中部地区每年下降 5%（粗 RR：0.95；95%CI：0.94-0.96），西部地区每年下降 4%（粗 RR：0.96；95%CI：0.94-0.98）。西部地区和东部地区之间的 MMR 绝对差异从 2000 年的每 10 万活产儿 65.4 例降至 2005 年的每 10 万活产儿 49.4 例。
中国在实现第五个千年发展目标方面取得了良好进展，而且富裕省份和经济欠发达省份之间的差距没有扩大的迹象。
