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目的了解浙江省绍兴市流动人口5岁以下儿童死亡情况,为制定流动人口儿童卫生保健政策提供参考依据。方法收集整理绍兴市2011年5岁以下儿童死亡监测资料,统计分析流动人口5岁以下儿童死亡率、死亡原因、死前保健服务情况,并与本地户籍死亡儿童进行比较。结果 2011年绍兴市流动人口新生儿死亡率、婴儿死亡率、5岁以下儿童死亡率分别为5.40‰、7.69‰、9.85‰,均高于本地户籍儿童,差异有统计学意义(均P<0.01);流动人口儿童死亡原因主要为出生窒息、早产和低出生体重、溺水、意外窒息和肺炎,感染性疾病死亡、伤害死亡和死亡未治疗比率明显高于户籍儿童,差异有统计学意义(均P<0.01)。结论要降低流动儿童死亡率,应大力开展健康教育,提高流动孕产妇及儿童接受保健检查的意识,提高疾病识别和对伤害防范的能力。
Objective To understand the deaths of children under 5 years of age in the floating population of Shaoxing, Zhejiang Province, and provide a reference for formulating the policy of health care for migrant children. Methods To collect and sort out the data on the death monitoring of children under 5 years of age in Shaoxing City in 2011, and to analyze and analyze the mortality rate of children under 5 years of age, the cause of death and prenatal health services of floating population and compare with the death of local residents. Results The neonatal mortality rate, infant mortality rate and children under 5 years old in Shaoxing City in 2011 were 5.40 ‰, 7.69 ‰ and 9.85 ‰, respectively, which were higher than those of local registered children (all P <0.01 ). The causes of child death among floating population were mainly asphyxial birth, premature birth and low birth weight, drowning, accidental asphyxia and pneumonia, the rate of untreated infectious diseases death, injury death and death was significantly higher than that of household children P <0.01). Conclusion To reduce the mortality rate of migrant children, health education should be vigorously carried out to raise the awareness of migrant pregnant women and children for health checkup and to improve the ability of disease identification and injury prevention.