Al-Thani Mohammed, Al-Thani Al-Anoud, Toumi Amine, Khalifa ShamsEldin, Ijaz Muhammad Asif, Akram Hammad
Ministry of Public Health, State of Qatar.
Cent Asian J Glob Health. 2018 Nov 1;7(1):334. doi: 10.5195/cajgh.2018.334. eCollection 2018.
Childhood mortality is an important health indicator that reflects the overall health status of a population. Despite the decrease in global childhood mortality rates over the past decades, it still remains an important public health issue in Qatar.
The data from 2004-2016 were extracted from the Qatar Ministry of Public Health Birth and Death Database. International Classification of Diseases (ICD-10) was used for coding the causes of death. The childhood mortality rate was defined as the probability of a child dying between the first and the fifth birthday, expressed as the number of deaths per 1,000 children surviving to 12 months of age. The sex ratio was calculated by dividing the mortality rate of males by that of females. Mann-Kendall trend test was performed to examine time trends. Relative risks were calculated to examine differences by nationality (Qatari and non-Qatari) and sex.
A significant decrease in mortality rate of children aged one to five was observed from 1.76 to 1.05 per 1000 children between 2004 and 2016 (Kendall tau=-0.6, p=0.004). Three prominent causes of mortality were motor vehicle accidents, congenital malformations of the circulatory system, and accidental drowning/submersion. A statistically non-significant decrease in childhood mortality from motor vehicle accidents was oberved for all nationalities (total (Kendall tau=-0.03), Qatari (Kendall tau=-0.14), and non-Qatari (Kendall tau=-0.12)). A significant decrease was seen for total accidental drowning and submersion (Kendall tau=-0.54, p=0.012), while no statistically significant decrease was seen for total congenital malformations of the circulatory system (Kendall tau=-0.36, NS). The Qatari population did have a significant decrease in childhood mortality due to congenital malformations of the circulatory system (Kendall tau=-0.67, p=0.003) and accidental drowning and submersion (Kendall tau=-0.55, p=0.016).
The study is a first attempt to evaluate childhood mortality statistics from Qatar and could be useful in supporting Qatar's ongoing national health strategy programs.
儿童死亡率是反映人口总体健康状况的一项重要健康指标。尽管过去几十年来全球儿童死亡率有所下降，但在卡塔尔，这仍然是一个重要的公共卫生问题。
从卡塔尔公共卫生部出生和死亡数据库中提取2004 - 2016年的数据。使用国际疾病分类（ICD - 10）对死亡原因进行编码。儿童死亡率定义为儿童在1岁至5岁生日之间死亡的概率，以每1000名存活至12个月大的儿童中的死亡人数表示。性别比通过男性死亡率除以女性死亡率来计算。进行曼 - 肯德尔趋势检验以检查时间趋势。计算相对风险以检查国籍（卡塔尔人和非卡塔尔人）和性别的差异。
2004年至2016年期间，1至5岁儿童的死亡率从每1000名儿童中的1.76例显著下降至1.05例（肯德尔系数=-0.6，p = 0.004）。三个主要死亡原因是机动车事故、循环系统先天性畸形以及意外溺水/浸没。所有国籍（总计（肯德尔系数=-0.03）、卡塔尔人（肯德尔系数=-0.14）和非卡塔尔人（肯德尔系数=-0.12））因机动车事故导致的儿童死亡率在统计学上无显著下降。意外溺水和浸没总数有显著下降（肯德尔系数=-0.54，p = 0.012），而循环系统先天性畸形总数在统计学上无显著下降（肯德尔系数=-0.36，无显著性差异）。卡塔尔人群因循环系统先天性畸形导致的儿童死亡率有显著下降（肯德尔系数=-0.67，p = 0.003）以及意外溺水和浸没有显著下降（肯德尔系数=-0.55，p = 0.016）。
该研究是评估卡塔尔儿童死亡率统计数据的首次尝试，可能有助于支持卡塔尔正在进行的国家卫生战略计划。
