Acheson L S
Department of Family Medicine, Case Western Reserve University, Cleveland, OH.
Am J Epidemiol. 1994 Jan 15;139(2):173-83. doi: 10.1093/oxfordjournals.aje.a116979.
The Old Order Amish are a distinct ethnic group with a very high birth rate and patterns of perinatal risk factors quite different from those of the general population. This study reports marital fertility and perinatal, infant, and child death rates for an entire Amish settlement of approximately 10,000 individuals, centered around Geauga County, Ohio. All 6,623 births from 1948 to 1988 listed in a directory of Geauga Settlement Amish households were studied. The childbearing experience of all 475 married women over the age of 44 years was also described. Women aged > 44 years had a median of 8.3 births; 24% of the births were to women aged > 34 years. Despite a higher prevalence of several risk factors for perinatal and infant death among the Amish, neonatal and infant death rates for Geauga Settlement Amish have been very similar to the corresponding rates for white children in rural Ohio and the state as a whole. The beneficial aspects of Amish society that may lessen the impact of perinatal risk factors on mortality merit further study.
旧秩序阿米什人是一个独特的族群，出生率很高，围产期风险因素模式与普通人群有很大不同。本研究报告了俄亥俄州乔加县附近一个约有10000人的阿米什人聚居地的婚姻生育率、围产期、婴儿及儿童死亡率。研究了乔加聚居地阿米什家庭名录中列出的1948年至1988年的所有6623例出生情况。还描述了475名44岁以上已婚妇女的生育经历。44岁以上的妇女平均生育8.3胎；24%的婴儿是由34岁以上的妇女所生。尽管阿米什人中围产期和婴儿死亡的几种风险因素患病率较高，但乔加聚居地阿米什人的新生儿和婴儿死亡率与俄亥俄州农村及全州白人儿童的相应死亡率非常相似。阿米什社会中可能减轻围产期风险因素对死亡率影响的有益方面值得进一步研究。
