Trends in Infant and Child Mortality

N. Goutas, Konstantinidou M.K., D. Vlachodimitropoulos, A. Konstantinidou, T. Kontogiannis, S. Papadodima, C. Spiliopoulou
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引用次数: 15

Abstract

nfant and child mortality rates tend to decline over the last decades on a worldwide basis. Specifically, be- tween 1980 and 2003, death rates dropped by 46% for infants, 51% for ages 1 to 4, 44% for children ages 5 to 14 and 32% for teens ages 15 to 19. Relative bibliography and autopsy evidence helps us derive valuable information and conclusions on the causes regarding infant and children deaths, as well as other epidemiological and statistically based conclusions on the nature of these deaths. The main causes of death for infants include congenital anomalies, Sudden Infant Death Syndrome (SIDS), prematurity and low birthweight. They can also be attributed to respiratory, circulatory, neoplastic and other reasons that have lower probability of appearance in those ages. Concerning children's mortality: around the world, neonatal disorders, diarrhea, pneumonia, and malaria, malnutrition and underweight account for most of the children deaths around the world. However, children's health discussions in Europe and the USA focus on issues such as asthma, neurodevelopmental disorders, male genital malformations and childhood cancer. Diseases of the nervous and cardiovascular systems, account for one third of the sudden, unexpected and non vio- lent deaths of children aged 1 to 19 years. Accidental injuries, child abuse, homicides and teenage suicides increase mor- tality rates, especially among young children and teenagers.
婴儿和儿童死亡率趋势
在过去几十年里,婴幼儿死亡率在世界范围内有下降的趋势。具体而言,1980年至2003年期间,婴儿死亡率下降了46%,1至4岁儿童死亡率下降了51%,5至14岁儿童死亡率下降了44%,15至19岁青少年死亡率下降了32%。相关的参考书目和尸检证据有助于我们获得有关婴儿和儿童死亡原因的宝贵信息和结论,以及关于这些死亡性质的其他基于流行病学和统计学的结论。婴儿死亡的主要原因包括先天性异常、婴儿猝死综合症(SIDS)、早产和低出生体重。它们也可归因于呼吸、循环、肿瘤和其他原因,这些原因在这些年龄段出现的可能性较低。关于儿童死亡率:在世界各地,新生儿疾病、腹泻、肺炎和疟疾、营养不良和体重不足是世界各地儿童死亡的主要原因。然而,在欧洲和美国,关于儿童健康的讨论集中在哮喘、神经发育障碍、男性生殖器畸形和儿童癌症等问题上。神经和心血管系统疾病占1至19岁儿童突然、意外和非致命性死亡的三分之一。意外伤害、虐待儿童、杀人和青少年自杀增加了死亡率,特别是在年幼的儿童和青少年中。
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