1991～2016年中国孕产妇死亡率变化情况分析
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摘要
目的分析中国孕产妇死亡率变化情况,为完善有关策略提供参考。方法采用数据与文献分析。结果 2016年中国城乡孕产妇死亡率较1991年下降75.13%,年均降幅为2.89%。1991～2016年期间,农村孕产妇死亡率均高于同期城市孕产妇死亡率,城乡之间孕产妇死亡率差距呈逐年缩小趋势。农村孕产妇死亡率年均降低(3.08%)幅度大于城市(2.23%)。结论中国在农村地区实施的降低孕产妇死亡率策略成效显著,需继续予以坚持。应针对城市孕产妇死亡率降低趋缓的形势,研究制订更加有效的防控措施,以期实现健康中国规划目标。
Objective Analyze the changes of maternal mortality in China and provide reference for improving relevant strategies. Methods Data and literature analysis. Results In 2016, the total maternal mortality rate in urban and rural areas in China decreased by 75.13 % compared with 1991, with an average annual decline of 2.89 %. During the period from 1991 to 2016, the maternal mortality rate in rural areas was higher than that in urban maternal mortality during the same period. The gap of maternal mortality between urban and rural areas was decreasing year by year. The annual average decline rate of maternal mortality in rural areas(3.08 %) was greater than that in cities(2.23 %).Conclusion China's strategy to reduce maternal mortality in rural areas has achieved remarkable results and needs to be continued. We should study and formulate more effective prevention and control measures in response to the situation in which the maternal mortality rate in the city is slowing down, in order to achieve the goal of healthy China planning.
Objective Analyze the changes of maternal mortality in China and provide reference for improving relevant strategies. Methods Data and literature analysis. Results In 2016, the total maternal mortality rate in urban and rural areas in China decreased by 75.13 % compared with 1991, with an average annual decline of 2.89 %. During the period from 1991 to 2016, the maternal mortality rate in rural areas was higher than that in urban maternal mortality during the same period. The gap of maternal mortality between urban and rural areas was decreasing year by year. The annual average decline rate of maternal mortality in rural areas(3.08 %) was greater than that in cities(2.23 %).Conclusion China's strategy to reduce maternal mortality in rural areas has achieved remarkable results and needs to be continued. We should study and formulate more effective prevention and control measures in response to the situation in which the maternal mortality rate in the city is slowing down, in order to achieve the goal of healthy China planning.
引文
[1] WHO.关于孕产妇健康的10个事实[OL].[2015-11-07].
[2] WHO.孕产妇健康的事实档案[OL].[2015-11-07].
[3] 王临虹,郑睿敏,狄江丽,等.我国孕产妇死亡状况及防控对策 [J].中国妇幼卫生杂志,2010,1(1):44-47.
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[7] 祝丽玲,孟繁君,荣光影.2000-2014年中国孕产妇死亡率的变化趋势 [J].中国妇幼保健,2017,32(23):5817-5819.
[8] 刘凯波,沈汝,何芳.北京市流动孕产妇保健质量及需求状况 [J].中国妇幼保健,2004,19(2):14-15.
[9] 刘英涛,陈刚,吕军,等.流动人口妇女孕产期保健服务利用状况分析 [J].中国全科医学,2006,9(7):544-545.
[10] 张建平,祝丽琼.高龄妊娠对母儿的影响 [J].中国实用妇科与产科杂志,2016,22(10):725-726.
[11] 范玲.二孩政策放开后高龄孕妇的管理 [J].中国医刊,2017,52(10):4-7.
[12] ALKEMA L,CHOU D,HOGAN D,et al.Global,regional,and National levels and trends in maternal mortality between 1990 and 2015,with scenario-based projections to 2030:a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group [J].Lancet,2016,387(117):462-474.
[13] 康育慧,曹文君.秩和比法综合评价我国孕产妇保健工作质量 [J].中国妇幼保健,2016,31(12):2414-2416.
[14] 江震,鞠丽荣,王志锋,等.中国中西部农村地区孕产妇保健覆盖现况研究 [J].中国妇幼保健,2013,28(31):5101-5105.
[15] 成超男,毛强,刘兴荣.基于熵权TOPSIS 法和RSR法相结合的西部地区孕产妇保健工作质量评价 [J].中国妇幼保健,2018,33(10):2168-2171.
[16] 范小静,许永健,党少农,等.中国西部农村妇女产后访视现状分析 [J].中国妇幼保健,2017,32(19):4611-4615.
[17] 周远洋,朱军,王艳萍,等.1996-2010年全国孕产妇死亡率变化趋势 [J].中华预防医学杂志,2011,45(10):934-939.
[18] 全国妇幼卫生监测办公室.2013年全国妇幼卫生监测—三网监测主要结果分析报告(2013) [C].2013.
[19] 陈锰,刘兴会,梁娟.中国孕产妇死亡率及死亡原因地区差异及对策 [J].中国实用妇科与产科杂志,2015,31(12):1095-1099.
[2] WHO.孕产妇健康的事实档案[OL].[2015-11-07].
[3] 王临虹,郑睿敏,狄江丽,等.我国孕产妇死亡状况及防控对策 [J].中国妇幼卫生杂志,2010,1(1):44-47.
[4] 王国强.中国疾病预防控制60年 [M].北京:中国人口出版社,2015:135.
[5] WHO.孕产妇死亡率[OL].[2016-09-12].
[6] 国家卫生健康委员会.2018年全国妇幼健康工作会议在京召开[OL].[2018-02-01]
[7] 祝丽玲,孟繁君,荣光影.2000-2014年中国孕产妇死亡率的变化趋势 [J].中国妇幼保健,2017,32(23):5817-5819.
[8] 刘凯波,沈汝,何芳.北京市流动孕产妇保健质量及需求状况 [J].中国妇幼保健,2004,19(2):14-15.
[9] 刘英涛,陈刚,吕军,等.流动人口妇女孕产期保健服务利用状况分析 [J].中国全科医学,2006,9(7):544-545.
[10] 张建平,祝丽琼.高龄妊娠对母儿的影响 [J].中国实用妇科与产科杂志,2016,22(10):725-726.
[11] 范玲.二孩政策放开后高龄孕妇的管理 [J].中国医刊,2017,52(10):4-7.
[12] ALKEMA L,CHOU D,HOGAN D,et al.Global,regional,and National levels and trends in maternal mortality between 1990 and 2015,with scenario-based projections to 2030:a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group [J].Lancet,2016,387(117):462-474.
[13] 康育慧,曹文君.秩和比法综合评价我国孕产妇保健工作质量 [J].中国妇幼保健,2016,31(12):2414-2416.
[14] 江震,鞠丽荣,王志锋,等.中国中西部农村地区孕产妇保健覆盖现况研究 [J].中国妇幼保健,2013,28(31):5101-5105.
[15] 成超男,毛强,刘兴荣.基于熵权TOPSIS 法和RSR法相结合的西部地区孕产妇保健工作质量评价 [J].中国妇幼保健,2018,33(10):2168-2171.
[16] 范小静,许永健,党少农,等.中国西部农村妇女产后访视现状分析 [J].中国妇幼保健,2017,32(19):4611-4615.
[17] 周远洋,朱军,王艳萍,等.1996-2010年全国孕产妇死亡率变化趋势 [J].中华预防医学杂志,2011,45(10):934-939.
[18] 全国妇幼卫生监测办公室.2013年全国妇幼卫生监测—三网监测主要结果分析报告(2013) [C].2013.
[19] 陈锰,刘兴会,梁娟.中国孕产妇死亡率及死亡原因地区差异及对策 [J].中国实用妇科与产科杂志,2015,31(12):1095-1099.