Dyson T
World Health Stat Rep. 1977;30(4):282-311.
This paper attempts to give an overview of current levels of child mortality prevailing in the world. It also examines trends and socioeconomic differentials in child mortality for selected countries and regions of the world. Lastly it reviews data on causes of child death and related environmental factors. The paper concludes that despite the fact that child deaths are frequently avoidable, mortality differentials between the developed and developing regions of the world are more pronounced in childhood (ages one to under five years) than at any other time of life. While some developing countries have substantially reduced the level of mortality in childhood, in others it remains very high. In contrast, in most developed countries child death rates are now so low, that they no longer serve as useful measures of public health.
本文试图概述当前世界范围内儿童死亡率的现状。它还考察了世界上部分国家和地区儿童死亡率的趋势以及社会经济差异。最后,它回顾了儿童死亡原因及相关环境因素的数据。该论文得出结论,尽管事实上儿童死亡往往是可以避免的,但世界发达地区和发展中地区之间的死亡率差异在童年时期(1岁至5岁以下)比生命中的任何其他时期都更为明显。虽然一些发展中国家已大幅降低了儿童死亡率水平,但其他一些国家的这一比率仍然很高。相比之下,在大多数发达国家,儿童死亡率现在非常低,以至于不再作为衡量公共卫生状况的有效指标。