Swenson I E, Nguyen M T, Pham B S, Vu Q N, Vu D M
Carolina Population Center, University of North Carolina, Chapel Hill.
J Biosoc Sci. 1993 Jul;25(3):285-302.
Selected determinants of overall infant mortality in Vietnam were examined using data from the 1988 Vietnam Demographic and Health Survey, and factors underlying neonatal and post-neonatal mortality were also compared. Effects of community development characteristics, including health care, were studied by logistic regression analysis in a subsample of rural children from the 1990 Vietnam Accessibility of Contraceptives Survey. Infant neonatal and post-neonatal mortality rates showed comparable distributions by birth order, maternal age, pregnancy intervals, mother's education and urban-rural residence. Rates were highest among first order births, births after an interval of less than 12 months, births to illiterate mothers and to those aged under 21 or over 35 years of age. Logistic regression analysis showed that the most significant predictor of infant mortality was residence in a province where overall infant mortality was over 40 per 1000 live births. In the rural subsample, availability of public transport was the most persistent community development predictor of infant mortality. Reasons for the low infant mortality rates in Vietnam compared to countries with similar levels of economic development are discussed.
利用1988年越南人口与健康调查的数据，对越南婴儿总体死亡率的选定决定因素进行了研究，并对新生儿和新生儿后期死亡率的潜在因素进行了比较。通过逻辑回归分析，在1990年越南避孕药具可及性调查的农村儿童子样本中，研究了包括医疗保健在内的社区发展特征的影响。婴儿、新生儿和新生儿后期死亡率按出生顺序、母亲年龄、怀孕间隔、母亲教育程度和城乡居住地呈现出类似的分布。在头胎出生、间隔不到12个月出生、母亲为文盲以及母亲年龄在21岁以下或35岁以上的婴儿中，死亡率最高。逻辑回归分析表明，婴儿死亡率最显著的预测因素是居住在一个每1000例活产婴儿中总体婴儿死亡率超过40例的省份。在农村子样本中，公共交通的可及性是婴儿死亡率最持久的社区发展预测因素。文中还讨论了与经济发展水平相似的国家相比，越南婴儿死亡率较低的原因。
