Albitsky V Yu, Baranov A A
The Research Institute of Pediatrics and Children Health Care of the Federal State Budget Scientific Institution "The Academician B. V. Petrovsky Russian Research Center of Surgery", 119333, Moscow, Russia,
The Research Institute of Pediatrics and Children Health Care of the Federal State Budget Scientific Institution "The Academician B. V. Petrovsky Russian Research Center of Surgery", 119333, Moscow, Russia.
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2024 Mar;32(2):147-154. doi: 10.32687/0869-866X-2024-32-2-147-154.
The article presents comprehensive medical statistical analysis of indicators and causes of mortality of children population of the Russian Federation in 2017-2021. It is emphasized that in Russia, in conditions of extremely unfavorable demographic situation, the hyper actual task is to preserve life of every child. It is demonstrated that crucial role in mortality of children population is played by not only infant mortality and mortality of children aged 1-4 years, but also by mortality of children of older ages. The children population mortality still keeps gender and residence differences. The problem of reliable registration of infant mortality is to be revisited since part of newborns born alive are classified after birth as stillborn. Beginning from 2018, the first place was taken by the class "Injuries, poisonings and some other consequences of external causes" driving back the class "Individual conditions occurring in perinatal period". Thus, measures of preventing negative impact of social factors on children health continue to be an important component of modern system of health care of children population. The directions of measures reducing children mortality in Russia are proposed.
本文对2017 - 2021年俄罗斯联邦儿童人口的死亡率指标和原因进行了全面的医学统计分析。强调在俄罗斯,在极其不利的人口状况下,当务之急是保护每个儿童的生命。结果表明,儿童人口死亡率中起关键作用的不仅有婴儿死亡率和1 - 4岁儿童死亡率,还有大龄儿童死亡率。儿童人口死亡率仍存在性别和居住地差异。由于部分出生时存活的新生儿在出生后被归类为死产,婴儿死亡率可靠登记的问题有待重新审视。自2018年起,“伤害、中毒和其他外部原因的一些后果”类别取代了“围产期出现的个体状况”类别,升至首位。因此,预防社会因素对儿童健康产生负面影响的措施仍然是现代儿童人口医疗保健体系的重要组成部分。文中提出了降低俄罗斯儿童死亡率的措施方向。