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目的:分析上海市户籍及非户籍人口5岁以下儿童死亡的主要原因及相关因素,为制定干预措施提供流行病学依据。方法:收集2011年上海市出生死亡监测数据,分析上海市2011年户籍与非户籍5岁以下儿童死亡状况。结果:2011年上海市户籍人口5岁以下儿童前三位死因为新生儿病、先天异常和损伤中毒,新生儿病为新生儿期首位死因,先天异常为婴儿期和1~4岁年龄组首位死因,损伤中毒是威胁1~4岁儿童生命的重要原因。结论:重视孕期保健及新生儿病诊治,通过各种途径加强社会和家庭对1~4岁儿童的安全监护。
OBJECTIVE: To analyze the main causes and related factors of the death of children under 5 years of age in Shanghai’s census and non-census register, and provide epidemiological evidence for the development of intervention measures. Methods: We collected data on birth and death in Shanghai in 2011 and analyzed the deaths of children under 5 years of age in Shanghai in 2011 with or without household registration. Results: In 2011, the top three deaths of children under 5 years old from Shanghai were due to neonatal diseases, congenital anomalies and injuries. Neonatal disease was the first cause of death in neonatal period. The congenital anomalies were the first in infancy and the first to fourth years Cause of death, injury poisoning is a threat to children aged 1 to 4 important reasons for life. Conclusion: Emphasis is placed on the diagnosis and treatment of prenatal care and neonatal diseases. Various ways are adopted to strengthen the social and family safety supervision for children aged 1-4 years.