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首页> 外文期刊>BMC Public Health >Trends and seasonality in cause-specific mortality among children under 15?years in Guangzhou, China, 2008–2018
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Trends and seasonality in cause-specific mortality among children under 15?years in Guangzhou, China, 2008–2018

机译：15岁以下儿童的趋势和季节性在15岁以下的儿童造成的死亡率和季节性在广州，中国，2008 - 2018年

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BACKGROUND:This study analyzed the trends and seasonality in mortality among children aged 0-14?years in Guangzhou, China during 2008-2018. Understanding the epidemiology of this public health problem can guide policy development for children mortality prevention.METHODS:A population-based epidemiological retrospective study was conducted. Seven thousand two hundred sixty-five individual data of children mortality were obtained from the Guangzhou Center for Disease Control and Prevention?(CDC). The Poisson regression was used to quantify the annual average reduction rate and the difference in mortality rate between sex and age groups. Incidence ratio with 95% confidence interval (CI) was estimated to determine the temperaol variations in mortality by month, season, school term, day of the week and between holidays and other days.RESULTS:Between 2008 and 2018, the children mortality rate in Guangzhou decreased from 54.0 to 34.3 per 100,000 children, with an annual reduction rate of 4.6% (95% CI: 1.1%-8.1%), especially the under-5 mortality rate decreased by 8.3% (95% CI: 4.8%-11.6%) per year. Decline trends varied by causes of death, even with an upward trend for the mortality of asphyxia and neurological diseases. The risk of death among males children was 1.33 times (95% CI: 1.20-1.47) of that of females. The distribution of causes of death differed by age group. Maternal and perinatal, congenital and pneumonia were the top three causes of death in infants and cancer accounted for 17% of deaths in children aged 1-14?years. Moreover, the injury-related mortality showed significant temporal variations with higher risk during the weekend. And there was a summer peak for drowning and a winter peak for asphyxia.CONCLUSIONS:Guangzhou has made considerable progress in reducing mortality over the last decade. The findings of characteristics of children mortality would provide important information for the development and implementation of integrated interventions targeted specific age groups and causes of death.
机译：背景：本研究分析了2008 - 2018年广州0-14岁的儿童死亡率的趋势和季节性。了解这一公共卫生问题的流行病学可以指导儿童死亡率预防的政策发展。方法：进行了基于人口的流行病学回顾性研究。从广州疾病控制和预防中心获得七千二百五十五个儿童死亡率？（CDC）。泊松回归用于量化年平均降低率和性和年龄组之间死亡率的差异。估计发病率与95％置信区间（CI）估计以月份，季节，学期，一周中和假期和其他日子之间的性能变化。结果：2008年至2018年，儿童死亡率广州从54.0减少到每10万人34.3名儿童，年减少率为4.6％（95％CI：1.1％-8.1％），尤其是下降的死亡率减少了8.3％（95％CI：4.8％-11.6 ％） 每年。下降趋势因死因而变化，即使是窒息和神经疾病死亡率的上升趋势。男性死亡风险是女性的1.33倍（95％CI：1.20-1.47）。年龄组的死因分配不同。母亲和围产期，先天性和肺炎是婴儿和癌症的前三个原因，占1-14岁的儿童死亡的17％。此外，与伤害相关的死亡率显示出在周末风险较高的显着时间变化。并且有一个夏天的峰值，溺水和窒息的冬季峰值。结论：广州在过去十年中降低了死亡率的相当大。儿童特征的调查结果将为综合干预措施的发展和实施提供重要信息，针对特定年龄组和死亡原因。

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