【摘要】 目的　对影响婴儿死亡率的因素从宏观水平进行分析 ,从而制定优先的降低婴儿死亡率的措施。方法　运用多因素线性回归的方法 ,从人口学、社会学以及流行病学等方面 ,分析了 1997年中国 5个贫困省的县级的婴儿死亡率、社会人口学和卫生资源等方面的资料。结果　住院分娩率、人均卫生人员数、以及人口密度与婴儿死亡率呈负相关 ;高危妊娠率、人均儿科卫生人员数、年人均收入、以及少数民族人口比例与婴儿死亡率呈正相关。在分析中还发现了一些影响婴儿死亡率的内源性因素和外源性因素。结论　结果提示提倡住院分娩 ,提高住院分娩率 ,加强高危管理 ,加强基层卫生人员的服务水平 ,提高他们的服务能力 ,并对少数民族和边远的地区 ,给予更多的关注和倾斜 ,将有利于降低婴儿死亡率。更多还原

【Abstract】 Objectives To analysis macro level factors influencing infant mortality in order to set up the priority in lowering infant mortality.Methods Basing demographic,sociological and epidemiological research multivariate linear regression analysis techniques was used,both county level infant death data of 1997 and related county level social demographic and health resources data were analysed in 114 counties of 5 remote and poverty stricken provinces in China.Results Institutional delivery rate,per capita health personnel and population density were negatively related to infant mortality.Percentage of high risk pregnancy,per capita paediatricians per capita income and percentage of minority population were positively related to infant mortality.There were different factors influencing infant mortality such as endogenous causes and exogenous causes.Conclusions To advocate institution delivery rate,to establish and improve infant health workers′ capacity in grass root level,to pay greater attention to minority and to low population density area are recommended strategies to lower infant mortality.更多还原