ENVIRONMENTAL FACTORS IN CHILD MORTALITY IN ENGLAND AND WALES
ENVIRONMENTAL FACTORS IN CHILD MORTALITY IN ENGLAND AND WALES
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DOI：
10.1093/oxfordjournals.aje.a121224
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发表时间：
1971-01-01
影响因子：
5
通讯作者：
HOLLAND, WW
中科院分区：
文献类型：
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作者：
COLLINS, JJ;KASAP, HS;HOLLAND, WW
柯林斯，J. J.，H. S. Kasap和W. W.荷兰（Dept.）临床流行病学和社会医学，圣托马斯医院医学院，伦敦，S.E.1。）英格兰和威尔士儿童死亡率的环境因素。Amer J Epidem 93：10-22，1971.-对1940-1967年期间英格兰和威尔士0-14岁儿童死亡率的研究表明，自1940年以来，除先天畸形外，总死亡率和一些特定疾病组的死亡率显著下降。在较年轻的年龄组中，下降幅度最大。对1950-1953年和1959-1963年与人口集中有关的死亡率进行了单独的审议，发现生活在大城市的1岁以下儿童相对而言更容易患两种疾病，支气管炎和呼吸系统结核病。儿童死亡率的所有原因，从呼吸和非呼吸的原因，然后分析了1958年至1964年的7个社会指数，其中包括家庭，工业和硫污染的措施。研究发现，在0-1岁儿童中，所有社会指数（除用于测量硫污染的指数外）都与所有原因、支气管肺炎和所有呼吸道原因造成的死亡率相关。在1-4岁的年龄组中，这种联系较弱，在5- 1 - 4岁的儿童中，这种联系不明显。偏相关分析表明，生活污染和工业污染占变异的较大部分。最后，一些以前的研究，使用类似的社会和环境指数进行了讨论，并强调在分析这些数据所涉及的局限性。
Collins, J. J., H. S. Kasap and W. W. Holland (Dept. of Clinical Epidemiology and Social Medicine, St. Thomas' Hospital Medical School, London, S.E.1.) Environmental factors in child mortality in England and Wales. Amer J Epidem 93: 10-22, 1971.—An examination of death rates during the period 1940-1967 for children aged 0–14 years in England and Wales shows a marked decrease since 1940 in overall mortality and in mortality from a number of specific disease groups, except congenital malformation. The decline has been greatest in the younger age groups. Separate consideration is given to death rates in relation to population concentration for the years 1950–1953 and 1959–1963, and it is found that children under the age of 1 year living in the conurbations are relatively at risk from two diseases, bronchitis and tuberculosis of the respiratory system. Childhood mortality from all causes and from respiratory and nonrespiratory causes is then analyzed for the years 1958–1964 in relation to seven social indices; these include measures of domestic, industrial and sulphur pollution. It is found that in children aged 0–1 years all the social indices (except that intended to measure sulphur pollution) are correlated with mortality from all causes, from broncho-pneumonia and from all respiratory causes. In the age group 1–4 years the association is weaker, and in children aged 5–14 years no relationship is apparent. Partial correlation analysis shows that domestic and industrial pollution account for the greater part of the variation. Finally, a number of previous studies which have used similar social and environmental indices are discussed, and the limitations involved in analyzing such data are stressed.