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Rural-urban differences of neonatal mortality in a poorly developed province of China

BACKGROUND: The influence of rural-urban disparities in children's health on neonatal death in disadvantaged areas of China is poorly understood. In this study of rural and urban populations in Gansu province, a disadvantaged province of China, we describe the characteristics and mortality of n...

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Autores principales: Yi, Bin, Wu, Li, Liu, Hong, Fang, Weimin, Hu, Yang, Wang, Youjie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3144461/
https://www.ncbi.nlm.nih.gov/pubmed/21682907
http://dx.doi.org/10.1186/1471-2458-11-477
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author Yi, Bin
Wu, Li
Liu, Hong
Fang, Weimin
Hu, Yang
Wang, Youjie
author_facet Yi, Bin
Wu, Li
Liu, Hong
Fang, Weimin
Hu, Yang
Wang, Youjie
author_sort Yi, Bin
collection PubMed
description BACKGROUND: The influence of rural-urban disparities in children's health on neonatal death in disadvantaged areas of China is poorly understood. In this study of rural and urban populations in Gansu province, a disadvantaged province of China, we describe the characteristics and mortality of newborn infants and evaluated rural-urban differences of neonatal death. METHODS: We analyzed all neonatal deaths in the data from the Surveillance System of Child Death in Gansu Province, China from 2004 to 2009. We calculated all-cause neonatal mortality rates (NMR) and cause-specific death rates for infants born to rural or urban mothers during 2004-09. Rural-urban classifications were determined based on the residence registry system of China. Chi-square tests were used to compare differences of infant characteristics and cause-specific deaths by rural-urban maternal residence. RESULTS: Overall, NMR fell in both rural and urban populations during 2004-09. Average NMR for rural and urban populations was 17.8 and 7.5 per 1000 live births, respectively. For both rural and urban newborn infants, the four leading causes of death were birth asphyxia, preterm or low birth weight, congenital malformation, and pneumonia. Each cause-specific death rate was higher in rural infants than in urban infants. More rural than urban neonates died out of hospital or did not receive medical care before death. CONCLUSIONS: Neonatal mortality declined dramatically both in urban and rural groups in Gansu province during 2004-09. However, profound disparities persisted between rural and urban populations. Strategies that address inequalities of accessibility and quality of health care are necessary to improve neonatal health in rural settings in China.
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spelling pubmed-31444612011-07-28 Rural-urban differences of neonatal mortality in a poorly developed province of China Yi, Bin Wu, Li Liu, Hong Fang, Weimin Hu, Yang Wang, Youjie BMC Public Health Research Article BACKGROUND: The influence of rural-urban disparities in children's health on neonatal death in disadvantaged areas of China is poorly understood. In this study of rural and urban populations in Gansu province, a disadvantaged province of China, we describe the characteristics and mortality of newborn infants and evaluated rural-urban differences of neonatal death. METHODS: We analyzed all neonatal deaths in the data from the Surveillance System of Child Death in Gansu Province, China from 2004 to 2009. We calculated all-cause neonatal mortality rates (NMR) and cause-specific death rates for infants born to rural or urban mothers during 2004-09. Rural-urban classifications were determined based on the residence registry system of China. Chi-square tests were used to compare differences of infant characteristics and cause-specific deaths by rural-urban maternal residence. RESULTS: Overall, NMR fell in both rural and urban populations during 2004-09. Average NMR for rural and urban populations was 17.8 and 7.5 per 1000 live births, respectively. For both rural and urban newborn infants, the four leading causes of death were birth asphyxia, preterm or low birth weight, congenital malformation, and pneumonia. Each cause-specific death rate was higher in rural infants than in urban infants. More rural than urban neonates died out of hospital or did not receive medical care before death. CONCLUSIONS: Neonatal mortality declined dramatically both in urban and rural groups in Gansu province during 2004-09. However, profound disparities persisted between rural and urban populations. Strategies that address inequalities of accessibility and quality of health care are necessary to improve neonatal health in rural settings in China. BioMed Central 2011-06-18 /pmc/articles/PMC3144461/ /pubmed/21682907 http://dx.doi.org/10.1186/1471-2458-11-477 Text en Copyright ©2011 Yi et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Yi, Bin
Wu, Li
Liu, Hong
Fang, Weimin
Hu, Yang
Wang, Youjie
Rural-urban differences of neonatal mortality in a poorly developed province of China
title Rural-urban differences of neonatal mortality in a poorly developed province of China
title_full Rural-urban differences of neonatal mortality in a poorly developed province of China
title_fullStr Rural-urban differences of neonatal mortality in a poorly developed province of China
title_full_unstemmed Rural-urban differences of neonatal mortality in a poorly developed province of China
title_short Rural-urban differences of neonatal mortality in a poorly developed province of China
title_sort rural-urban differences of neonatal mortality in a poorly developed province of china
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3144461/
https://www.ncbi.nlm.nih.gov/pubmed/21682907
http://dx.doi.org/10.1186/1471-2458-11-477
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