美国华盛顿大学Simon I. Hay等众多研究人员合作报道了2000-2017年之间1.23亿新生儿、婴儿以及儿童的死亡情况。相关论文发表在2019年10月17日出版的《自然》杂志上。
研究人员使用地质统计生存模型对2000-2017年期间99个低收入和中等收入国家中5岁以下新生儿、婴儿和儿童的死亡数量进行了统计。研究人员估计，截止到2017年，这些国家5岁以下儿童中有32％居住在每千名活产儿中有25个或更少儿童死亡的地区，然而在没有地理不平等的情况下，这些国家可以避免2000年至2017年间58％的儿童死亡。
这项研究使人们能够确定高死亡率人群、发展模式和地理不平等状况，从而为适当的投入和实施提供信息，这将有助于改善所有人的健康。
研究人员介绍，自2000年以来，许多国家在改善儿童生存方面取得了相当大的成就，但是局部的进展仍不清楚。为了向实现联合国可持续发展目标3.2（即到2030年结束可预防的儿童死亡）提供信息，科学家需要收集在国家以下层面关于儿童死亡率和趋势的持续的数据。
附：英文原文
Title: Mapping 123 million neonatal, infant and child deaths between 2000 and 2017
Author: Roy Burstein, Nathaniel J. Henry, Michael L. Collison, Laurie B. Marczak, Amber Sligar, Stefanie Watson, Neal Marquez, Mahdieh Abbasalizad-Farhangi, Masoumeh Abbasi, Foad Abd-Allah, Amir Abdoli, Mohammad Abdollahi, Ibrahim Abdollahpour, Rizwan Suliankatchi Abdulkader, Michael R. M. Abrigo, Dilaram Acharya, Oladimeji M. Adebayo, Victor Adekanmbi, Davoud Adham, Mahdi Afshari, Mohammad Aghaali, Keivan Ahmadi, Mehdi Ahmadi, Ehsan Ahmadpour, Rushdia Ahmed, Chalachew Genet Akal, Joshua O. Akinyemi, Fares Alahdab, Noore Alam, Genet Melak Alamene, Kefyalew Addis Alene, Mehran Alijanzadeh, Cyrus Alinia, Vahid Alipour, Syed Mohamed Aljunid, Mohammed J. Almalki, Hesham M. Al-Mekhlafi, Khalid Altirkawi, Nelson Alvis-Guzman, Adeladza Kofi Amegah, Saeed Amini, Arianna Maever Loreche Amit, Zohreh Anbari, Sofia Androudi, Mina Anjomshoa, Fereshteh Ansari, Carl Abelardo T. Antonio, Jalal Arabloo, Zohreh Arefi, Olatunde Aremu, Bahram Armoon, Amit Arora, Al Artaman, Anvar Asadi, Mehran Asadi-Aliabadi, Amir Ashraf-Ganjouei, Reza Assadi, Bahar Ataeinia, Sachin R. Atre, Beatriz Paulina Ayala Quintanilla, Martin Amogre Ayanore, Samad Azari, Ebrahim Babaee, Arefeh Babazadeh, Alaa Badawi, Soghra Bagheri, Mojtaba Bagherzadeh, Nafiseh Baheiraei, Abbas Balouchi, Aleksandra Barac, Quique Bassat, Bernhard T. Baune, Mohsen Bayati, Neeraj Bedi, Ettore Beghi, Masoud Behzadifar, Meysam Behzadifar, Yared Belete Belay, Brent Bell, Michelle L. Bell, Dessalegn Ajema Berbada, Robert S. Bernstein, Natalia V. Bhattacharjee, Suraj Bhattarai, Zulfiqar A. Bhutta, Ali Bijani, Somayeh Bohlouli, Nicholas J. K. Breitborde, Gabrielle Britton, Annie J. Browne, Sharath Burugina Nagaraja, Reinhard Busse, Zahid A. Butt, Josip Car, Rosario Crdenas, Carlos A. Castaeda-Orjuela, Ester Cerin, Wagaye Fentahun Chanie, Pranab Chatterjee, Dinh-Toi Chu, Cyrus Cooper, Vera M. Costa, Koustuv Dalal, Lalit Dandona, Rakhi Dandona, Farah Daoud, Ahmad Daryani, Rajat Das Gupta, Ian Davis, Nicole Davis Weaver, Dragos Virgil Davitoiu, Jan-Walter De Neve, Feleke Mekonnen Demeke, Gebre Teklemariam Demoz, Kebede Deribe, Rupak Desai, Aniruddha Deshpande, Hanna Demelash Desyibelew, Sagnik Dey, Samath Dhamminda Dharmaratne, Meghnath Dhimal, Daniel Diaz, Leila Doshmangir, Andre R. Duraes, Laura Dwyer-Lindgren, Lucas Earl, Roya Ebrahimi, Soheil Ebrahimpour, Andem Effiong, Aziz Eftekhari,et al
Issue&Volume: 2019-10-16
Abstract:
Since 2000, many countries have achieved considerable success in improving child survival, but localized progress remains unclear. To inform efforts towards United Nations Sustainable Development Goal 3.2—to end preventable child deaths by 2030—we need consistently estimated data at the subnational level regarding child mortality rates and trends. Here we quantified, for the period 2000–2017, the subnational variation in mortality rates and number of deaths of neonates, infants and children under 5 years of age within 99 low- and middle-income countries using a geostatistical survival model. We estimated that 32% of children under 5 in these countries lived in districts that had attained rates of 25 or fewer child deaths per 1,000 live births by 2017, and that 58% of child deaths between 2000 and 2017 in these countries could have been averted in the absence of geographical inequality. This study enables the identification of high-mortality clusters, patterns of progress and geographical inequalities to inform appropriate investments and implementations that will help to improve the health of all populations.
DOI: 10.1038/s41586-019-1545-0
Source:https://www.nature.com/articles/s41586-019-1545-0
Nature：《自然》，创刊于1869年。隶属于施普林格·自然出版集团，最新IF：69.504
官方网址：http://www.nature.com/
投稿链接：http://www.nature.com/authors/submit_manuscript.html
本期文章：《自然》：Online/在线发表
