Abstract: Objective To analyse the death situations of children under 5 years old of the residents in Pudong New Area of Shanghai from 2002 to 2013,and provide references for developing measures to promote children health. Methods The vital data of children under 5 years old were collected and analyzed from 2002 to 2013.The cause of death was coded by the 10^th edition of International Classification of Diseases (ICD-10).The trend was tested by join-point regression program 4.1. Results The total death of children under 5 years old in Pudong New Area was 889.Under 5 mortality rate (U5MR) covered from 3.09‰～6.56‰.Infant mortality rate (IMR) covered from 2.31‰~5.37‰.The top three causes of death were congenital malformation,neonatal illness,injury and poisoning,which three causes added up to 81.21% of the total. Conclusions The U5MR of the registered population in Pudong New Area is quite low.Prenatal and postnatal care and foster physical fitness should be promoted among the population in order to reduce the cause specific death rate of genital malformation and neonatal illness,and enhance children safety education to reduce the cause specific death rate of injury.

Key words: death cause, epidemiology, trend analysis, children under 5 years old

摘要： 目的 分析浦东新区2002-2013年5岁以下儿童死亡情况,为制定相应的干预措施提供依据。方法 对2002-2013年上海市浦东新区<5岁户籍人口死亡资料进行流行病学分析。死因按照ICD-10 进行分类;数据采用DeathReg进行死亡率、死因构成比、死因顺位等指标的分析,应用Join-point regression program 4.1统计软件进行率值的年均变化百分比(annual percent change,APC)的计算和率值趋势检验。结果 浦东新区2002-2013年期间户籍人口5岁以下儿童死亡总数为889例,死亡率为3.09‰～6.56‰,婴儿死亡率为2.31‰~5.37‰,新生儿死亡率、婴儿死亡率及5岁以下儿童死亡率均呈现逐年下降趋势;前3位死因依次为先天异常、新生儿病和损伤中毒,占死亡总数的81.21%。结论 浦东新区5 岁以下儿童死亡率处于较低水平,应继续大力推进优生优育工作,鼓励产前检查普及相关知识,减少新生儿病及先天异常的发生,并加强少年儿童安全教育,减少因意外伤害造成的死亡。

关键词: 死因, 流行病学, 趋势分析, 5岁以下儿童