Causes of early childhood deaths in urban Dhaka, Bangladesh.
Causes of early childhood deaths in urban Dhaka, Bangladesh.
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DOI：
10.1371/journal.pone.0008145
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发表时间：
2009-12-03
期刊：
影响因子：
3.7
通讯作者：
Luby SP
中科院分区：
文献类型：
--
作者：
Halder AK;Gurley ES;Naheed A;Saha SK;Brooks WA;El Arifeen S;Sazzad HM;Kenah E;Luby SP
关于低收入城市地区幼儿死亡原因的数据有限。具有全国代表性的《2007年孟加拉国人口和健康调查》估计，每1 000名活产婴儿中有65名儿童死亡。我们调查了孟加拉国达卡两家大型儿科医院附近城市社区5岁以下儿童死亡率和原因，并评估了不同召回期的影响。我们在2006年对6 971个住户进行了一次调查，并在2007年对合资格的剩余住户或置换住户进行了一次跟进调查。初步调查收集了前一年死亡的所有五岁以下儿童的信息;后续调查收集了前五年儿童死亡的信息。我们比较了基于1年回忆与最近1年前4年回忆的死亡率。初步调查发现，前一年有58名5岁以下儿童死亡。后续调查发现，过去五年平均每年有53人死亡（SD±7.3）。2006-2007年期间，五岁以下儿童死亡率为每千名活产婴儿34人，新生儿死亡率为每千名活产婴儿15人。五岁以下儿童死亡的主要原因是呼吸道感染（22%）。两个时间段（最近1年的回忆和最近1年前的4年）4岁以下儿童的死亡率相似（36比32）。达卡市区的儿童死亡率大大低于全国的比率。死亡率不受1 - 5年回忆期的影响。
Data on causes of early childhood death from low-income urban areas are limited. The nationally representative Bangladesh Demographic and Health Survey 2007 estimates 65 children died per 1,000 live births. We investigated rates and causes of under-five deaths in an urban community near two large pediatric hospitals in Dhaka, Bangladesh and evaluated the impact of different recall periods. We conducted a survey in 2006 for 6971 households and a follow up survey in 2007 among eligible remaining households or replacement households. The initial survey collected information for all children under five years old who died in the previous year; the follow up survey on child deaths in the preceding five years. We compared mortality rates based on 1-year recall to the 4 years preceding the most recent 1 year. The initial survey identified 58 deaths among children <5 years in the preceding year. The follow up survey identified a mean 53 deaths per year in the preceding five years (SD±7.3). Under-five mortality rate was 34 and neonatal mortality was 15 per thousand live births during 2006–2007. The leading cause of under-five death was respiratory infections (22%). The mortality rates among children under 4 years old for the two time periods (most recent 1-year recall and the 4 years preceding the most recent 1 year) were similar (36 versus 32). The child mortality in urban Dhaka was substantially lower than the national rate. Mortality rates were not affected by recall periods between 1 and 5 years.
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影响因子：
3.8
作者：
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