Miller J E, Goldman N, Moreno L
Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, New Jersey 08903.
Soc Biol. 1993 Spring-Summer;40(1-2):131-46. doi: 10.1080/19485565.1993.9988840.
The 1986 experimental Demographic and Health Survey in the Dominican Republic was one of the first retrospective, population-based surveys of a developing country to collect information on prematurity status as well as birthweight. We show that the relationships among birthweight, prematurity status, and infant mortality are consistent with corresponding patterns observed in other Latin American and Caribbean countries and in developed nations. Two notable irregularities in the birthweight data are the atypically high proportion of infants weighing 4,000 grams or more, and the high mortality rates among infants with missing birthweight. Problems with the prematurity status data include an unexpectedly low proportion of premature births, an unusually small proportion of low birthweight explained by premature births, and an extremely high neonatal death rate among premature compared to term infants. Inclusion of an explicit definition of "premature" may help avert similar problems in future health surveys.
1986年在多米尼加共和国进行的实验性人口与健康调查，是发展中国家最早开展的基于人口的回顾性调查之一，旨在收集有关早产状况和出生体重的信息。我们发现，出生体重、早产状况和婴儿死亡率之间的关系，与在其他拉丁美洲和加勒比国家以及发达国家观察到的相应模式一致。出生体重数据存在两个显著异常情况：体重达到或超过4000克的婴儿比例异常高，以及出生体重缺失的婴儿死亡率很高。早产状况数据存在的问题包括：早产比例意外偏低，早产导致的低出生体重比例异常小，以及早产婴儿与足月婴儿相比新生儿死亡率极高。纳入“早产”的明确定义可能有助于避免未来健康调查中出现类似问题。
