Wilson A L
Department of Pediatrics, School of Medicine, University of South Dakota, Sioux Falls.
S D J Med. 1990 Jan;43(1):5-10.
The 1987 infant mortality in South Dakota returned to a rate below that of the nation as had been the trend for the eight years prior to 1986. Comparisons of South Dakota and the United States data show that for both whites and non whites the mean five year neonatal mortality rates were below those of the nation. Alternately, the South Dakota white post neonatal mortality rate is slightly higher than that of the nation and the non white post neonatal mortality rate is more than three times higher than that of the United States. Comparisons of the causes of post neonatal deaths show that the relative risk of death from potentially preventable causes is four times higher among South Dakota non whites as whites. The paper concludes with a discussion of the incidence of child abuse and neglect and the important role health care providers may play in preventing and treating this cause of significant mortality and morbidity of children.
1987年南达科他州的婴儿死亡率恢复到低于全国水平，这与1986年之前八年的趋势一致。南达科他州与美国数据的比较表明，白人和非白人的五年平均新生儿死亡率均低于全国水平。相比之下，南达科他州白人的新生儿后期死亡率略高于全国水平，而非白人的新生儿后期死亡率则比美国高出三倍多。对新生儿后期死亡原因的比较表明，南达科他州非白人因潜在可预防原因死亡的相对风险是白人的四倍。本文最后讨论了虐待和忽视儿童的发生率，以及医疗保健提供者在预防和治疗这种导致儿童重大死亡率和发病率的原因方面可能发挥的重要作用。
