Lancet:印度儿童及新生儿死亡负担研究-2000-2017

2020-05-22 MedSci原创 MedSci原创

尽管印度新生儿及婴幼儿得到疾病风险得到显著改善,但地区不平等的现象仍较为严重

过去几十年来,印度在改善儿童生存方面取得了重大进展,近日研究人员就印度各地方儿童死亡率变化趋势进行了考察。
 
研究分析了2000-17年间,印度每5×5 km范围内儿童5年死亡率(U5MR)和新生儿死亡率 (NMR) ,根据社会人口指数(SDI)将31个州和联邦分为三组。
 
印度每1000活产儿U5MR从2000年的83.1下降至2017年的42.4,NMR从38.0下降至23.5,但在低SDI地区,2017年,275 (88%)个地区的每1000名活产儿的U5MR在40以上,而291个(93%)地区,NMR在20以上。2010-17年间,各地方U5MR下降程度最大为9.02%,NMR下降程度最大为8.05%,其中低SDI的Odisha和Assam地区的改善最为显著,若这一趋势继续保持,印度将达成SDG 2030 U5MR目标,但未能达成SDG 2030 NMR和NHP 2025目标。2000-17年间,印度的儿童传染病下降幅度最高,新生儿疾病中等下降,先天性出生缺陷下降幅度最小。儿童和产妇营养不良是主要的危险因素,分别造成2017年68.2%的印度5岁以下儿童死亡和83.0%的新生儿死亡,10.8%的5岁以下儿童死亡可归因于不安全的水和卫生设施,8.8%可归因于空气污染。
 
研究认为,尽管印度新生儿及婴幼儿得到疾病风险得到显著改善,但地区不平等的现象仍较为严重。
 
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  2. [GetPortalCommentsPageByObjectIdResponse(id=2061257, encodeId=ef0b206125ece, content=<a href='/topic/show?id=097063384db' target=_blank style='color:#2F92EE;'>#死亡负担#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63384, encryptionId=097063384db, topicName=死亡负担)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=263b421, createdName=zhaozuguo, createdTime=Sat May 30 13:19:54 CST 2020, time=2020-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=813721, encodeId=a838813e2139, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=64245268311, createdName=14818eb4m67暂无昵称, createdTime=Thu Aug 27 08:01:25 CST 2020, time=2020-08-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1830652, encodeId=45c81830652df, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Sat Jan 30 04:19:54 CST 2021, time=2021-01-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1629910, encodeId=ce4616299100d, content=<a href='/topic/show?id=b7645849e55' target=_blank style='color:#2F92EE;'>#新生儿死亡#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58497, encryptionId=b7645849e55, topicName=新生儿死亡)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=450321383666, createdName=charleshjw, createdTime=Sun May 24 03:19:54 CST 2020, time=2020-05-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1033794, encodeId=98281033e9485, content=顶刊就是不一样,质量很高,内容精彩!学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=goodbing, createdTime=Fri May 22 15:19:54 CST 2020, time=2020-05-22, status=1, ipAttribution=)]
    2020-08-27 14818eb4m67暂无昵称

    学习了

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2061257, encodeId=ef0b206125ece, content=<a href='/topic/show?id=097063384db' target=_blank style='color:#2F92EE;'>#死亡负担#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63384, encryptionId=097063384db, topicName=死亡负担)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=263b421, createdName=zhaozuguo, createdTime=Sat May 30 13:19:54 CST 2020, time=2020-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=813721, encodeId=a838813e2139, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=64245268311, createdName=14818eb4m67暂无昵称, createdTime=Thu Aug 27 08:01:25 CST 2020, time=2020-08-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1830652, encodeId=45c81830652df, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Sat Jan 30 04:19:54 CST 2021, time=2021-01-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1629910, encodeId=ce4616299100d, content=<a href='/topic/show?id=b7645849e55' target=_blank style='color:#2F92EE;'>#新生儿死亡#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58497, encryptionId=b7645849e55, topicName=新生儿死亡)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=450321383666, createdName=charleshjw, createdTime=Sun May 24 03:19:54 CST 2020, time=2020-05-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1033794, encodeId=98281033e9485, content=顶刊就是不一样,质量很高,内容精彩!学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=goodbing, createdTime=Fri May 22 15:19:54 CST 2020, time=2020-05-22, status=1, ipAttribution=)]
    2021-01-30 howi
  4. [GetPortalCommentsPageByObjectIdResponse(id=2061257, encodeId=ef0b206125ece, content=<a href='/topic/show?id=097063384db' target=_blank style='color:#2F92EE;'>#死亡负担#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63384, encryptionId=097063384db, topicName=死亡负担)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=263b421, createdName=zhaozuguo, createdTime=Sat May 30 13:19:54 CST 2020, time=2020-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=813721, encodeId=a838813e2139, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=64245268311, createdName=14818eb4m67暂无昵称, createdTime=Thu Aug 27 08:01:25 CST 2020, time=2020-08-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1830652, encodeId=45c81830652df, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Sat Jan 30 04:19:54 CST 2021, time=2021-01-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1629910, encodeId=ce4616299100d, content=<a href='/topic/show?id=b7645849e55' target=_blank style='color:#2F92EE;'>#新生儿死亡#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58497, encryptionId=b7645849e55, topicName=新生儿死亡)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=450321383666, createdName=charleshjw, createdTime=Sun May 24 03:19:54 CST 2020, time=2020-05-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1033794, encodeId=98281033e9485, content=顶刊就是不一样,质量很高,内容精彩!学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=goodbing, createdTime=Fri May 22 15:19:54 CST 2020, time=2020-05-22, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=2061257, encodeId=ef0b206125ece, content=<a href='/topic/show?id=097063384db' target=_blank style='color:#2F92EE;'>#死亡负担#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63384, encryptionId=097063384db, topicName=死亡负担)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=263b421, createdName=zhaozuguo, createdTime=Sat May 30 13:19:54 CST 2020, time=2020-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=813721, encodeId=a838813e2139, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=64245268311, createdName=14818eb4m67暂无昵称, createdTime=Thu Aug 27 08:01:25 CST 2020, time=2020-08-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1830652, encodeId=45c81830652df, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Sat Jan 30 04:19:54 CST 2021, time=2021-01-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1629910, encodeId=ce4616299100d, content=<a href='/topic/show?id=b7645849e55' target=_blank style='color:#2F92EE;'>#新生儿死亡#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58497, encryptionId=b7645849e55, topicName=新生儿死亡)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=450321383666, createdName=charleshjw, createdTime=Sun May 24 03:19:54 CST 2020, time=2020-05-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1033794, encodeId=98281033e9485, content=顶刊就是不一样,质量很高,内容精彩!学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=goodbing, createdTime=Fri May 22 15:19:54 CST 2020, time=2020-05-22, status=1, ipAttribution=)]
    2020-05-22 goodbing

    顶刊就是不一样,质量很高,内容精彩!学到很多

    0

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