西藏地区孕产妇死亡率变化趋势及影响因素分析

发布时间：2019-07-08 17:35

【摘要】：目的了解西藏地区2002-2011年孕产妇死亡率的变化趋势及影响因素,为进一步降低孕产妇死亡率提供依据。方法利用中国卫生统计年鉴的数据,分析孕产妇死亡率与住院分娩率、新法接生率、产前检查率等因素之间的关系,使用多元线性回归分析影响孕产妇死亡率的主要因素。结果孕产妇死亡率从2002年401.4/10万下降至2011年180.7/10万,住院分娩率和新法接生率分别从2002年33.3%和63.0%上升至2011年62.5%和83.2%。经趋势检验,孕产妇死亡率随时间变化呈下降趋势,新法接生率和住院分娩率呈上升趋势(P0.01)。新法接生率和住院分娩率与孕产妇死亡率呈负相关,经多元线性回归分析,新法接生率的偏回归系数具有统计学差异(P0.05)。结论 2002-2011年孕产妇死亡率呈下降趋势,新法接生率和住院分娩率与孕产妇死亡率具有相关性,新法接生率为孕产妇死亡率最主要的影响因素。
[Abstract]:Objective To study the trends and factors of maternal mortality in Tibet from 2002 to 2011, and to provide the basis for further reducing the maternal mortality rate. Methods Using the data of the China Health Statistics Yearbook, the relationship between the maternal mortality rate and the hospital delivery rate, the new delivery rate and the rate of antenatal care was analyzed, and the main factors that affected the maternal mortality rate were analyzed using the multi-element linear regression analysis. Results The maternal mortality rate decreased from 401.4 per 100,000 in 2002 to 180.7 per 100,000 in 2011, and the rate of hospital delivery and the new delivery rate increased from 33.3 per cent in 2002 to 63.0 per cent in 2011 to 62.5 per cent and 83.2 per cent in 2011, respectively. After the trend test, the maternal mortality rate decreased with the time, and the delivery rate of the new law and the rate of hospital delivery were on the rise (P0.01). The rate of delivery and the rate of delivery in the new method were negatively correlated with the maternal mortality rate, and the partial regression coefficient of the new method was statistically different from the multivariate linear regression analysis (P0.05). Conclusion The maternal mortality rate in 2002-2011 is decreasing, and the new delivery rate and the rate of hospital delivery are related to the maternal mortality rate, and the new delivery rate is the most important factor affecting the maternal mortality rate.
【作者单位】：山东大学公共卫生学院;
【分类号】：R173

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