北京大学郭岩教授论文在最新一期的《柳叶刀》杂志发表

信息来源 http://pkunews.pku.edu.cn/zdlm/2010-05/05/content_173929.htm

北京大学公共卫生学院卫生政策与管理学系郭岩教授与英国爱丁堡大学合作研究的论文“中国2008年5岁以下儿童死因研究 ”发表在最新一期的《柳叶刀》杂志上。


在过去二十年里，中国在降低儿童死亡率方面取得了显著成就，1990-2008年，中国新生儿、新生儿后期、5岁以下儿童死亡率分别降低了70%、72%、71%，提前实现了千年发展目标。其中1990-1995年与2002-2007年5岁以下儿童死亡率下降速度尤为显著，分别为31%和48%。但是国际上关于中国儿童死亡的研究文章较少。


这个研究是儿童疾病负担的全球研究的一部分.作者对有关中国儿童死亡公开发表的数据进行系统检索，在对1990-2008年新生儿、新生儿后期和5岁以下儿童死亡率的分析中，选取出206个高质量的以社区为基础纵向研究并提取信息。通过构建统计模型，按照省份、年龄组和主要死因后发现“早产并发症致死或将成为中国儿童死亡的首要死因，先天性异常、意外伤害和婴儿猝死综合征等所占死因比重将继续增加”。


各省数据指标显示，除免疫和其他卫生干预手段之外，如基础设施的完善、卫生系统的发展、人群教育水平的提高、人均和家庭收入的增加、计划生育政策的实施以及干预覆盖面的扩大等措施至关重要。在降低儿童死亡率同时，中国提供一个全新的研究模式，即将与卫生系统相关的社会、经济、人口政策、儿童存活的决定因素等纳入进来，并比较其重要性，这对以后的研究有着重要的启示意义。


多年来世界卫生组织和联合国儿童基金会的专家合作，对中低收入国家儿童死亡进行流行病学估计，但涉及中国较少。通过此次研究作者看到，国内目前关于儿童死亡的研究的数量和质量之高已令人侧目。国际社会没有理由在疾病负担的全球性研究中忽视中国，况且中国人口数量之大也不容忽视。


同期刊登的对这篇文章的专家评论文章指出:“作者对迄今未加以利用的中文出版的文章中的数据加以综合分析，充分挖掘了中文出版物这一被忽视的宝贵资源，经过标准的方法分析，从而得出中国新生儿和儿童死亡率的趋势和原因。他们的研究成果非常突出，为国际社会提供了有关儿童死亡率估计、趋势和差异性方面的重要信息和方法。这个新的分析报告具有里程碑式的意义。”

北京大学公共卫生学院 郭岩 教授百科简介，欢迎完善
http://wiki.epiman.cn/index.php?doc-view-153.html

The Lancet doi:10.1016/S0140-6736(10)60060-8

Causes of deaths in children younger than 5 years in China in 2008
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)60060-8/abstract

柳叶刀杂志的该篇全文见附件，一起学习交流一下


Prof Igor Rudan MD a b *, Kit Yee Chan PhD c d *, Jian SF Zhang MSc c, Evropi Theodoratou PhD a, Xing Lin Feng PhD d, Joshua A Salomon PhD e, Joy E Lawn PhD f, Prof Simon Cousens MA g, Prof Robert E Black MD h, Prof Yan Guo PhD d ?, Prof Harry Campbell MD a  ?, on behalf of WHO/UNICEF's Child Health Epidemiology Reference Group (CHERG)

Background
Previous estimates of the global burden of disease for children have not included much information from China, leading to a large gap in data. We identified the main causes of deaths in neonates (<1 month), postneonatal infants (1—11 months), and children (<5 years) in China using information that was available to the public.
Methods
The Child Health Epidemiology Reference Group in collaboration with colleagues from Peking University systematically searched Chinese databases that were available to the public. Information was obtained from the Chinese Ministry of Health and Bureau of Statistics websites, Chinese National Knowledge Infrastructure database, and Chinese Health Statistics yearbooks for 1990—2008. We also obtained information from 206 high-quality community-based longitudinal studies of different causes of deaths in children (<5 years) that were written in the Chinese language. A statistical model was developed to estimate the total number of deaths in children according to provinces, age groups, and main causes.
Findings
During 1990—2008, the mortality rates in neonates, postneonatal infants, and children were reduced by 70% (from 34·0 to 10·2 per 1000 livebirths), 72% (from 53·5 to 14·9 per 1000 livebirths), and 71% (from 64·6 to 18·5 per 1000 livebirths), respectively, meeting the targets set in the Millennium Development Goal 4. The leading causes of deaths in 2008 were pneumonia, birth asphyxia, and preterm birth complications, each accounting for 15—17% of all deaths. Congenital abnormalities and accidents increased in importance during this period, contributing to 11% and 10% of child deaths, respectively. Sudden infant death syndrome contributed to 5% of deaths in children.
Interpretation
Publically available Chinese databases contain much important information that has been underused in the estimation of global and regional burden of disease. On the basis of trends, preterm birth complications are expected to become the leading cause of child mortality in China, whereas deaths from congenital abnormalities, accidents, and sudden infant death syndrome are predicted to continue increasing in importance in the long term.

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膜拜......大牛

是第一作者吗？

崇拜，崇拜！！！

好像听说是通讯作者，厉害。顶。

呵呵，顶，大师厉害！

郭教授人很好，祝贺她，呵呵

厉害!膜拜！！！！！！