2001年至2017年法属圭亚那的婴儿死亡率:趋势和与法国大陆的比较

IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Mathieu Nacher , Célia Basurko , Gabriel Bafunyembaka Muhigirwa , Véronique Lambert , Lindsay Osei , Falucar Njuieyon , Alphonse Louis , Dominique Dotou , Nadia Thomas , Stephanie Bernard , Malika Leneuve , Narcisse Elenga , Najeh Hcini
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引用次数: 0

摘要

法属圭亚那是法国的海外领土,拥有资金充足的全民医疗体系,一半的人口生活在贫困线以下。在这方面,我们的目的是衡量和描述婴儿死亡率的原因,并由于法属圭亚那是法国领土,将其与法国大陆进行比较。方法采用2001 - 2017年全国死亡证明数据。结果总体而言,65岁前死亡的6.9%为1岁以下的婴儿(法国大陆为2.6%)。2001年至2017年期间的婴儿死亡率是法国大陆的2.6倍(每10万名婴儿中有1159.5对446.2),围产期原因、畸形和染色体异常、事故、感染原因和条件不明确的原因造成的死亡率过高。随着时间的推移,除了先天性畸形和染色体异常外,所有主要原因的婴儿死亡率似乎都有所下降,相反,这两种原因似乎有所增加。数据来源不允许研究社会因素或居住地的权重。结论随着时间的推移,除畸形和染色体异常外,所有死因的婴儿死亡率均呈下降趋势。虽然接触重金属和传染病是潜在的解释,但我们无法根据现有数据确定这种增加的原因。目前的结果表明,婴儿死亡率和畸形应受益于更详细的数据来源,以便更好地评估和减轻法属圭亚那婴儿死亡率的负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Infant mortality in French Guiana between 2001 and 2017 : Trends and comparisons with mainland France

Background

French Guiana is a French overseas territory which combines a well-funded universal health system and a population where half are under the poverty line. In this context, we aimed to measure and describe the causes of infant mortality and, because French Guiana is a French territory, to compare them with mainland France.

Methods

National death certificate data between 2001 and 2017 was used.

Results

Overall, 6.9 % of deaths before 65 years concerned infants <1 year (in mainland France 2.6%). The infant mortality rate over the 2001–2017 period was 2.6 times that of mainland France (1159.5 vs 446.2 per 100,000 infants <1 year) with excess incidence in perinatal causes, malformations and chromosomal anomalies, accidents, infectious causes, and in poorly defined conditions. Over time, there seemed to be a reduction of infant mortality for all the main causes, except for congenital malformations and chromosomal anomalies, which, on the contrary, seemed to increase. The data sources did not allow to study the weight of social factors or place of residence.

Conclusions

All causes of infant mortality seemed to decline over time except malformations and chromosomal anomalies, which increased. Although exposure to heavy metals, infectious diseases are potential explanations we cannot pinpoint the cause of this increase with the available data. The present results suggest infant mortality and malformations should benefit from more detailed data sources in order to better assess and alleviate the burden of infant mortality in French Guiana.

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来源期刊
Revue D Epidemiologie Et De Sante Publique
Revue D Epidemiologie Et De Sante Publique 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.70
自引率
0.00%
发文量
672
审稿时长
78 days
期刊介绍: The Journal of Epidemiology and Public Health maintains and deepens its own work through the diversity of methodologies and disciplines covered in each issue. The journal also offers pedagogical articles for teachers and students. Articles can be submitted in French or English. Discover a variety of information through : - research articles and reviews, - all disciplines: epidemiology, health economics, - various subjects: cancer, nutrition, aging, - and a wide geographical scope.
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