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1999年至2015年阿克里州里奥布兰科市的婴儿死亡率趋势

Infant mortality trend in the city of Rio Branco, AC, 1999 to 2015.

作者信息

Ramalho Alanderson Alves, Andrade Andréia Moreira de, Martins Fernanda Andrade, Koifman Rosalina Jorge

机构信息

Universidade Federal do Acre. Centro de Ciências da Saúde e do Desporto. Rio Branco, AC, Brasil.

Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil.

出版信息

Rev Saude Publica. 2018 Apr 9;52:33. doi: 10.11606/S1518-8787.2018052000280.

Abstract

OBJECTIVE

Analyze the trend of infant mortality in Rio Branco, state of Acre, from 1999 to 2015.

METHODS

An ecological observational study of a time series, in which data from deaths from the Information System on Mortality and Births of the Information System on Live Births were used. The annual percentage change was estimated using the Joinpoint software.

RESULTS

The infant mortality rate decreased from 26.99 in 1999 to 14.50 in 2015 per 1,000 live births, with an annual percentage change of -4.37 (95%CI -5.4- -3.4). When stratified by age components, the neonatal period presented an annual percentage change of -4.73 (95%CI -5.7- -3.7), and the post-neonatal period was -3.7 (95%CI -5.4- -2.0). Avoidability, avoidable causes and poorly defined causes showed a downward trend throughout the period and causes not clearly preventable showed an upward trend until 2008. The group of causes that contributed most to the infant deaths during the period studied was perinatal diseases, followed by malformations, infectious and parasitic diseases, and respiratory diseases.

CONCLUSIONS

Despite the decreasing trend in infant mortality rates in the capital compared to developed countries, it is relatively high.

摘要

目的

分析1999年至2015年阿克里州里奥布兰科市的婴儿死亡率趋势。

方法

对时间序列进行生态观察研究,使用了来自生命统计信息系统中死亡率和出生信息的数据。使用Joinpoint软件估计年度百分比变化。

结果

每1000例活产婴儿的婴儿死亡率从1999年的26.99降至2015年的14.50,年度百分比变化为-4.37(95%可信区间-5.4至-3.4)。按年龄组分层时,新生儿期的年度百分比变化为-4.73(95%可信区间-5.7至-3.7),新生儿后期为-3.7(95%可信区间-5.4至-2.0)。可避免性、可避免原因和定义不明确的原因在整个时期呈下降趋势,而未明确可预防的原因在2008年前呈上升趋势。在所研究期间,导致婴儿死亡的主要原因组是围产期疾病,其次是畸形、感染性和寄生虫病以及呼吸道疾病。

结论

尽管与发达国家相比,首都的婴儿死亡率呈下降趋势,但仍相对较高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3edf/5893275/e5dbe02a9724/0034-8910-rsp-S1518-52-87872018052000280-gf01.jpg

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