Stachenko S J, Battista R N
Department of Social and Preventive Medicine, University of Montreal, Quebec.
Am J Prev Med. 1987 May-Jun;3(3):157-63.
Massachusetts birth and death certificate tapes for the years 1970-1980 were linked and analyzed to determine causes of death in the neonatal and postneonatal periods and to identify any related sociodemographic factors. Our analysis suggests that, although the neonatal mortality rate declined by about 43 percent, the postneonatal mortality rate remained relatively unchanged. Perinatal problems remained the principal cause of death during the neonatal period, throughout the decade. In the postneonatal period, congenital malformations became a leading cause of death toward the end of the decade because of a reduction in mortality from infectious diseases and perinatal problems. Infants born to mothers under 18 and over 34 years of age had the highest death rates from congenital birth defects. Higher mortality rates caused by congenital malformations were found in the more industrialized areas of Massachusetts. Further declines in infant mortality rates in Massachusetts will depend on preventive measures to reduce the incidence of congenital malformations.
将1970年至1980年马萨诸塞州的出生和死亡证明磁带进行关联和分析，以确定新生儿期和新生儿后期的死亡原因，并识别任何相关的社会人口因素。我们的分析表明，尽管新生儿死亡率下降了约43%，但新生儿后期死亡率相对保持不变。在整个十年中，围产期问题仍然是新生儿期死亡的主要原因。在新生儿后期，由于传染病和围产期问题导致的死亡率下降，先天性畸形在十年末成为主要死亡原因。18岁以下和34岁以上母亲所生婴儿的先天性出生缺陷死亡率最高。在马萨诸塞州工业化程度较高的地区，先天性畸形导致的死亡率更高。马萨诸塞州婴儿死亡率的进一步下降将取决于采取预防措施以降低先天性畸形的发生率。
