Determinants of child mortality in a rural Ugandan community.
Determinants of child mortality in a rural Ugandan community.
复制标题
乌干达农村社区儿童死亡率的决定因素。
作者：
F. Kaharuza;S. Sabroe;F. Scheutz
客观化
估计乌干达东部农村地区儿童死亡率及其相关风险因素。
设计
一项基于社区的横断面研究，使用前胎技术--一种获取前胎存活信息的可靠方法。
设置
乌干达东部的一个农村地区。
参与者
在1999年4月和5月，总共访问了2888名多胎妊娠者。
主要结果衡量标准
活产儿童的死亡人数。
结果
两岁以下儿童死亡率为每1000活产108人。每年的儿童死亡率为每1000名儿童中有82人死亡--风险年。儿童死亡率与父母教育程度低、母亲为青春期或35岁或以上的母亲所生有关。非条件Logistic回归显示，父母未受过教育的孩子不庆祝两岁生日的风险增加了一倍。儿童在新生儿期死亡的可能性是出生第一年的三倍。母亲和父亲每接受一年教育，儿童死亡风险分别降低4%和6%。产次、居住地和婚姻状况与儿童死亡率的超额风险无关。季节性死亡率遵循厄尔尼诺降雨模式。最后，儿童死亡率存在地理差异，尽管这在统计上并不显著。
结论
地区一级的儿童死亡率趋势监测可以在产前环境中使用先期生育技术来完成。产妇教育是儿童生存的一个重要预测因素，应纳入诊所的常规数据收集。
OBJECTIVE
To estimate the rate of and risk factors associated with child mortality in rural eastern Uganda.
DESIGN
A community based cross-sectional study using the preceding birth technique--a robust method of obtaining information of survival of the previous child.
SETTING
A rural district in Eastern Uganda.
PARTICIPANTS
In total, 2888 multigravidae were interviewed in April and May 1999.
MAIN OUTCOME MEASURE
Number of deaths among children born alive.
RESULTS
The under-two child mortality rate was 108 per 1000 livebirths. The annual child mortality was 82 per 1000 child-years of risk. Child mortality was associated with low parental education, being born to adolescent mothers or mothers aged 35 or more. Unconditional logistic regression showed that children born to uneducated parents had a doubled risk of not celebrating their second birthday. It was three times more likely for a child to die in the neonatal period than in the first year of life. Child mortality risk decreased by 4% and 6% for every year of education attained by mothers and fathers, respectively. Parity, residence and marital status were not associated with excess risk of child mortality. Seasonal mortality followed the El Nino rainfall pattern. Finally, there were geographical differences in child mortality although this was not statistically significant.
CONCLUSION
Monitoring trends in child mortality at district level can be done using the preceding birth technique in antenatal settings. Maternal education, an important predictor of child survival should be included in routine data collection at clinics.