Edmonston B, Andes N
J Epidemiol Community Health. 1983 Jun;37(2):121-6. doi: 10.1136/jech.37.2.121.
Data from the national Peru Fertility Survey are used to estimate infant and childhood mortality ratios, 1968--77, for 124 Peruvian communities, ranging from small Indian hamlets in the Andes to larger cities on the Pacific coast. Significant mortality variations are found: mortality is inversely related to community population size and is higher in the mountains than in the jungle or coast. Multivariate analysis is then used to assess the influence of community population size, average female education, medical facilities, and altitude on community mortality. Finally, this study concludes that large-scale sample surveys, which include maternal birth history, add useful data for epidemiological studies of childhood mortality.
秘鲁全国生育调查的数据被用于估算1968年至1977年期间124个秘鲁社区的婴儿和儿童死亡率,这些社区范围从安第斯山脉的小型印第安村落至太平洋沿岸的较大城市。研究发现了显著的死亡率差异:死亡率与社区人口规模呈负相关,且山区的死亡率高于丛林或沿海地区。随后采用多变量分析来评估社区人口规模、女性平均受教育程度、医疗设施及海拔对社区死亡率的影响。最后,本研究得出结论,包含产妇生育史的大规模抽样调查可为儿童死亡率的流行病学研究增添有用数据。