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目的分析黄浦区出生人口的主要特征及其影响因素,为制订公共卫生政策提供依据。方法通过上海市出生医学信息系统收集2014年黄浦区出生登记信息,对生育水平、出生性别比和破宫产率进行分层分析,探索其影响因素。结果 2014年黄浦区户籍人口的总生育率为45.67%,总和生育率为1.17,生育水平仍处于较低水平。非户籍人口的出生性别比达113.9,严重偏离正常范围。沪籍和非沪籍的破宫产率分别高达49.54%和45.62%,均高于WHO推荐的15%的警戒水平。结论出生监测信息的利用反映了人群生育水平和生育特征,显示了计划生育政策的转折点,也明确了控制出生性别比、降低破宫产率将是今后卫生部门需加强的重点。
Objective To analyze the main characteristics of the birth population in Huangpu District and its influencing factors so as to provide basis for formulating public health policies. Methods Shanghai Birth Medical Information System was used to collect the birth registration information of Huangpu District in 2014. The levels of births, sex ratio at birth and the rate of broken palace were stratified to explore the influencing factors. Results In 2014, the total fertility rate of hukou households in Huangpu District was 45.67%, and the total fertility rate was 1.17. The level of fertility was still at a low level. The sex ratio at birth of non-permanent residents reached 113.9, deviating from the normal range seriously. The breaking rates of the broken-house of Shanghai-based and non-Shanghai-origin were as high as 49.54% and 45.62% respectively, both higher than the 15% warning level recommended by the WHO. Conclusion The utilization of birth monitoring information reflects the level of population fertility and reproductive characteristics of the population, shows the turning point of family planning policy, and also clearly controls the sex ratio at birth and reduces the rate of broken palace. This will be the focus of the health sector to be strengthened in the future.