Mohammadi Younes, Heidarimoghadam Rashid, Hosseini Bistoon, Babamiri Mohammad, Nikravesh Azita, Javaheri Masoumeh, Moeini Babak
Modeling of Noncommunicable Disease Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.
J Res Health Sci. 2018 Mar 7;18(1):e00407.
Child mortality is one of the major health indices and the main targets in sustainable development goals. This study aimed to estimate child mortality rate and assess the progress toward sustainable development goals in Hamadan Province, western Iran and its districts from 1990 to 2016.
A cross-sectional study.
We used two data sources including death registration system (DRS) and summary birth history data (SBH) of 2010 census for estimating child mortality rate. SBH data was analyzed by Maternal Age Cohort and Maternal age period methods. To obtain the final trend with 95% uncertainty, we used Bayesian Penalized B-Spline.
At provincial level, child mortality rate reduced by 82% from 1990 (97 per 1000 live births) to 2016 (16 per 1000 live births). At district level, in 2016, the highest child mortality rate belonged to Toyserkan and Kaboodarahang districts with 18 per 1000 live births, and the lowest child mortality rate belonged to Hamadan and Razan districts with 12 per 1000 live births. The highest and the lowest reduction rate from 1990 to 2016 belonged to Razan and Kaboodarahang districts, respectively.
The rate of child mortality has declined massively at both provincial and district levels. However, disparity existed among districts of Hamadan Province. The level of maternal education and income level was associated with disparity.
儿童死亡率是主要的健康指标之一，也是可持续发展目标的主要目标。本研究旨在估计伊朗西部哈马丹省及其各地区1990年至2016年的儿童死亡率，并评估在实现可持续发展目标方面取得的进展。
一项横断面研究。
我们使用了两个数据源，包括死亡登记系统（DRS）和2010年人口普查的简要出生史数据（SBH）来估计儿童死亡率。SBH数据通过孕产妇年龄队列和孕产妇年龄时期方法进行分析。为了获得具有95%不确定性的最终趋势，我们使用了贝叶斯惩罚B样条。
在省级层面，儿童死亡率从1990年的每1000例活产97例降至2016年的每1000例活产16例，降幅为82%。在地区层面，2016年，儿童死亡率最高的是图伊塞尔坎和卡布达拉杭地区，每1000例活产中有18例，最低的是哈马丹和拉赞地区，每1000例活产中有12例。1990年至2016年降幅最高和最低的分别是拉赞地区和卡布达拉杭地区。
省级和地区层面的儿童死亡率均大幅下降。然而，哈马丹省各地区之间存在差异。孕产妇教育水平和收入水平与这种差异有关。
