Sunderland R, Gardner A, Gordon R R
J Epidemiol Community Health. 1986 Sep;40(3):228-31. doi: 10.1136/jech.40.3.228.
Postperinatal mortality rates have shown two phases of decline since 1947 which are traditionally ascribed to social and medical improvements. These factors cannot, however, explain the arrest of decline during the 1960s. There appears to be a biological effect on child mortality rates, manifesting as a generation effect. This is due partly to continuing changes in the structure of the child population, itself a consequence of social and biological changes among the parent generation when they were children. In this study national and selected urban postperinatal deaths have been divided into two categories: "probably inevitable" and "possibly preventable". The continuing prevalence of "possibly preventable" deaths gives cause for concern. If the number of these deaths is to be further reduced, reconsideration and redeployment of community child health staff may be necessary.
自1947年以来，围产期后死亡率呈现出两个下降阶段，传统上这归因于社会和医疗方面的改善。然而，这些因素无法解释20世纪60年代死亡率下降的停滞。似乎对儿童死亡率存在一种生物学效应，表现为代际效应。这部分是由于儿童人口结构的持续变化，而这本身又是父母一代在儿童时期社会和生物学变化的结果。在这项研究中，全国和部分城市的围产期后死亡被分为两类：“可能不可避免的”和“可能可预防的”。“可能可预防的”死亡持续存在令人担忧。如果要进一步减少这些死亡人数，可能需要重新考虑和重新部署社区儿童保健人员。
