十堰市5岁以下死亡儿童家庭社会环境调查分析
Investigation and analysis on family and social environment of death of children under five years old in Shiyan city
杨培东 1叶章宇 1孙剑 1曾传军1
作者信息
摘要
目的:以十堰市2011 ～2013年5岁以下儿童死亡上报信息为基础,对其家庭背景中的社会关系和家庭结构进行普遍调查,分析探索降低5岁以下儿童死亡率的有效途径.方法:调查对象为5岁以下死亡儿童家庭以及居住地邻居有健康儿童家庭.选择不同地理环境的十堰市城区及偏远山区县竹溪县,以依据自拟的调查表,调查儿童家庭主要家庭成员间以及现居住地邻居间相处和谐情况的评价,家庭结构信息.结果:调查5岁以下死亡儿童竹溪县51例,城区为54例.家庭社会关系主观问卷调查均显示家庭成员间及近邻居间关系满意度96.00％以上,城区与竹溪县无差异.其家庭结构信息显示死亡儿家庭存在缺陷的比例较高平均21.00％,健康儿家庭平均10.48％,两者差异比较有统计学意义(P＜0.05),多胎家庭比较无统计学意义(P＞0.05).从母亲孕期保健看,死亡儿童家庭及健康儿童家庭分别只有59.00％和75.20％基本完成孕期保健.结论:家庭社会关系的主观问卷调查不能真实反映家庭成员间的和谐关系,家庭存在缺陷的儿童存在较高的死亡率,家庭保健意识还有提高空间,因此,保健服务对存在缺陷的家庭及儿童应该给予特别的关注,避免给社会和家庭带来的伤害.
Abstract
Objective:To conduct a general survey on social relationship and family structure based on the reported information of death of children under five years old in Shiyan city from 2011 to 2013,analyze and explore the effective methods to reduce the mortality of children under five years old.Methods:The families with death of children under five years old and the neighboring families with healthy children in urban areas and remote mountain area (Zhuxi county) in Shiyan city were surveyed by a serf-designed questionnaire;the survey contents included the social relationship among main family members and neighbors and family structure.Results:Fifty-one deaths of children under five years old from Zhuxi county and fifty-four death of children under five years old from urban area were surveyed.Family and social relationship subjective survey showed that the satisfaction degrees of relationships among family members and neighbors in Zhuxi county and urban area were both beyond 96.00％,there was no statistically significant difference between Zhuxi county and urban area.Their family structure information displayed that the proportion of families with defects was as high as 21.00％,and the proportion of healthy families was 10.48％,there was statistically significant difference (P＜0.05),while multiple birth families was not (P＞0.05).In families with death children and healthy children,59.00％ and 75.20％ of the mothers completed prenatal health care,respectively.Conclusion:Family and social relationship survey can not be a true reflection of harmonious relationships among family members.The children from families with defects have higher mortality.Therefore,health care for children from families with defects should be given special attention further to avoid social and family hurts.
关键词
5岁以下儿童/死亡率/死因/家庭环境/社会环境Key words
Child under 5 years/Mortality/Cause of death/Family environment/Social environment引用本文复制引用
出版年
2015
NETL
NSTL
维普
万方数据