2001-2010年平凉市0-7岁儿童卫生状况及预测研究

发布时间：2018-04-26 18:44

本文选题：死亡率 + 儿童健康服务　；参考：《兰州大学》2012年硕士论文

【摘要】：目的通过对2001-2010年平凉市0-7岁儿童健康服务和保健服务相关数据的分析,对平凉市儿童健康服务和保健服务的现状进行综合性的评价,分析影响平凉市儿童死亡率的因素,探讨平凉市儿童健康服务和保健服务工作中存在的主要问题,为平凉市在制定妇幼保健方面的政策措施时提供科学参考。方法依据平凉市2001-2010年妇幼卫生年报信息,分析平凉市儿童健康服务和保健服务现况,并与甘肃省和全国儿童健康服务和保健服务的水平进行比较,计算增长率,绘制趋势变化图。利用关联分析法评估社会各因素对婴儿死亡率的影响程度,找出主要影响因子。用灰色预测法预测2011-2020年的儿童健康服务变化趋势。结果 1.平凉市妇幼机构及人员数量变化：2001-2010年平凉市妇幼机构数保持不变,妇幼保健机构人员从130人增加到309人；妇幼保健机构医务人员学历主要集中在大专和中专,2010年本科学历仅占27.31%；妇幼保健机构人员职称主要为初级和中级,高级仅有4.46%。 2.平凉市儿童健康服务趋势变化：(1)新生儿死亡率：2001-2010年平凉市新生儿死亡率整体下降,但高于全国、甘肃省平均水平,降低幅度也低于全国和甘肃省十年的平均下降幅度。(2)婴儿死亡率：2001-2010年平凉市婴儿死亡率呈下降趋势,达到了联合国千年发展目标即婴儿死亡率降到13.00%o。(3)5岁以下儿童死亡率：2001-2010年平凉市5岁以下儿童死亡率呈明显下降趋势,但低于甘肃省平均水平,高于全国平均水平。(4)低出生体重：平凉市2001-2010年低出生体重呈下降趋势。 3.平凉市儿童保健服务趋势变化：(1)新生儿访视率：平凉市2010年新生儿访视率为90.37%,与2001年相比,增加了2.89%,上升幅度为10.91%,与全国和甘肃省平均水平基本一致。(2)新生儿破伤风：2008-2010年近三年来平凉市未发生新生儿破伤风发。(3)3岁以下系统管理率：平凉市3岁以下儿童系统管理率从2001年的59.80%增加到2010年的81.72%,增加了20.92%,增长幅度为36.66%。(4)7岁以下儿童保健管理率：2010年平凉市7岁以下儿童保健管理率已达到了全国平均水平。(5)母乳喂养：平凉市4个月母乳喂养率高于甘肃省整体水平,2010年达到了95.30%。(6)营养不良：2010年平凉市5岁以下儿童中重度营养不良患病率降为1.54%,降低幅度为69.38%,与全国平均水平一致。 4.影响因素的分析：经关联分析,影响婴儿死亡率的最主要因素广播电视覆盖率的关联度为0.93,其次是新型农村合作医疗,第三为城镇人均可支配收入。 5.平凉市儿童健康服务预测：2011-2020年平凉市新生儿死亡率、婴儿死亡率和5岁以下儿童死亡率呈整体下降趋势,较为缓慢,下降幅度不大。结论 2001-2010年间平凉市儿童健康服务和保健服务水平稳步提升,这与平凉市的经济、卫生、文化、教育和社会等因素有密切关系。但与发达国家和地区相比,还存在一定差距,仍有进一步提高的空间。
[Abstract]:objective
Through the analysis of the data related to health service and health service of 0-7 year old children in Pingliang for 2001-2010 years, the present situation of children's health service and health service in Pingliang was evaluated comprehensively. The factors affecting the mortality of children in Pingliang were analyzed, and the main problems existed in the work of children health service and health service in Pingliang were discussed. Pingliang provides scientific reference for formulating policies and measures for maternal and child health care.
Method
Based on the information of the 2001-2010 year maternal and child health report in Pingliang, the present situation of children's health services and health services in Pingliang was analyzed, and compared with the level of children's health services and health services in Gansu province and China, the rate of growth was calculated and the trend map was drawn. The impact of social factors on infant mortality was evaluated by using the association analysis method. The main influencing factors were identified. The trend of child health service in 2011-2020 years was predicted by grey prediction.
Result
1. the changes in the number of women and children in Pingliang and the number of women and children: the number of women and children in Pingliang remained unchanged in 2001-2010 years, and the staff of maternal and child health care institutions increased from 130 to 309; the educational background of maternal and child health care institutions was mainly concentrated in junior college and secondary school. In 2010, only 27.31% of the undergraduate education was educated; the professional titles of women and child health care institutions were mainly in the primary and middle schools. Level, advanced only 4.46%.
2. Pingliang city children health service trends: (1) neonatal mortality: 2001-2010 years in the 2001-2010 year the overall decline in neonatal mortality in Pingliang, but higher than the whole country, the average level in Gansu Province, lower than the national and the average decline in the ten years in Gansu province. (2) infant mortality rate: 2001-2010 years in the 2001-2010 death rate of infant mortality is declining, The millennium development goal of the United Nations was reached to the infant mortality rate of 13.00%o. (3) under 5 years of age: the mortality rate of children under 5 years in Pingliang was obviously declining in 2001-2010 years, but lower than the average level in Gansu, higher than the national average. (4) low birth weight: the low birth weight of Pingliang was declining in 2001-2010 years.
3. the trend of child health service service in Pingliang: (1) the visiting rate of newborns: the visiting rate of newborns in Pingliang was 90.37% in 2010. Compared with 2001, it increased by 2.89% and 10.91%, which was basically consistent with the national and Gansu average. (2) neonatal tetanus: no neonatal tetanus occurred in the last three years of 2008-2010 years in the city of Pingliang. (3) the system management rate under 3 years of age: the management rate of children under 3 years of age in Pingliang increased from 59.80% in 2001 to 81.72% in 2010, increased by 20.92%, increased by 36.66%. (4) children under 7 years of age health management rate: the health management rate of children under 7 in Pingliang in 2010 has reached the national average level. (5) breastfeeding: Pingliang 4 The rate of breastfeeding was higher than the overall level of Gansu province in 2010. In 2010, it reached 95.30%. (6) malnutrition. In 2010, the prevalence rate of moderate and severe dystrophy in children under 5 years of age in Pingliang was reduced to 1.54%, and the decrease was 69.38%, which was in accordance with the national average.
4. analysis of influencing factors: through correlation analysis, the most important factor affecting infant mortality is 0.93, followed by new rural cooperative medical care, and third for urban per capita disposable income.
5. Pingliang children's Health Service Forecast: 2011-2020 years, the mortality of newborn in Pingliang, infant mortality and the mortality of children under 5 years of age showed a overall decline, relatively slow, and the decline was not significant.
conclusion
In the past 2001-2010 years, the health service and health service level of children in Pingliang have been steadily improved, which is closely related to the economic, health, cultural, educational and social factors in Pingliang, but there is still a certain gap compared with the developed countries and regions, and there is still room for further improvement.

【学位授予单位】：兰州大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R179

【参考文献】