Bhuiya A, Wojtyniak B, D'Souza S, Nahar L, Shaikh K
Soc Sci Med. 1987;24(5):439-43. doi: 10.1016/0277-9536(87)90217-6.
This study investigated the relationship of measles case fatality among the under-fives with age, case type, complications, sex, mother's education, and household economic condition in a rural area of Bangladesh. A total of 3465 measles cases were detected during 1980 and 61 of them died of measles associated complications within 45 days of rash onset. Case type, sex, mother's education and household economic condition were found to have statistically significant impact on case fatality. Risk of death among the secondary cases was 1.87 times higher than in the primary cases, girls had 2.73 times higher risk of death than boys. Children of mothers without any formal schooling and those from the poorest households experienced 1.83 and 2.18 times higher risk of death than their counterparts whose mothers had at least one year of schooling and from economically better off households respectively.
本研究调查了孟加拉国农村地区五岁以下儿童麻疹病死率与年龄、病例类型、并发症、性别、母亲教育程度及家庭经济状况之间的关系。1980年共检测到3465例麻疹病例，其中61例在出疹后45天内死于麻疹相关并发症。研究发现，病例类型、性别、母亲教育程度和家庭经济状况对病死率有统计学上的显著影响。二代病例的死亡风险比一代病例高1.87倍，女孩的死亡风险比男孩高2.73倍。母亲未接受过任何正规教育的儿童以及来自最贫困家庭的儿童，其死亡风险分别比母亲至少接受过一年教育的儿童和来自经济状况较好家庭的儿童高1.83倍和2.18倍。
