5세 미만 영유아 세부시기별 사망위험요인과 사망원인 분석 = A Study on Risk Factors for Death and the Causes of Death in Infants (12 Months Old or Younger) and Toddlers (1-4 Years Old): Based on Statistics Korea’s Birth-and-Death Data on Infants Under the Age of 5, 2012~2015
| DC Field | Value |
|---|---|
| dc.contributor.author | 박상희 |
| dc.date.accessioned | 2024-07-12T08:19:12Z |
| dc.date.available | 2024-07-12T08:19:12Z |
| dc.date.issued | 2024-06-30 |
| dc.identifier.issn | 1226-072X |
| dc.identifier.uri | https://repository.kihasa.re.kr/handle/201002/45527 |
| dc.description.abstract | 이 연구의 목적은 통계청의 5세 미만 영유아 출생코호트 추적관찰자료를 활용하여 영유아의 세부시기별(0세, 1~4세) 사망의 위험요인을 분석하기 위함이다. 분석 결과, 출생아 1,274,027명 중 5세 미만 사망아는 총 3,929명(0세 사망: 2,889명, 1~4세 사망: 1,040명)으로 0세 사망의 비율이 전체의 79.62%였다. COX 비례위험 생존 분석 결과, 영유아의 성별, 출생체중, 임신주수, 모총출생아수, 부모연령, 부모교육 정도가 5세 미만 사망과 관련성이 있는 것으로 나타났다. 세부시기별 분석 결과, 0세 시기 사망은 출생체중, 임신주수, 모의연령, 부모교육 수준이 사망과의 관련성이 컸지만, 1~4세 시기에는 부모의 연령과 교육 수준이 사망에 미치는 영향이 감소하였다. 시기별 주요 사망원인을 분석한 결과, 0세 사망은 출생전후기병태(1,165명:(40.33%))와 선천성 기형의 비중이 높고(707명:(24.47%)), 1~4세 사망은 기타질환(신생물, 208명:(20.00%)), 신경계통질환:(15명(1.44%))과 외인사(운수사고: 108명(10.38%), 낙상: 42명(4.04%), 가해: 51명(4.90%) 등)의 비중이 높았다. 이 연구를 바탕으로 영유아 세부시기별 차이를 고려한 모자보건 및 영유아 건강정책을 개발하여 사망위험요인을 예방하여야 함을 제언한다. |
| dc.description.abstract | The purpose of this study is to analyze both the risk factors for death and the causes of death in infants and toddlers, categorized by detailed age (less than 12 months old, 1-4 years old), using birth cohort tracking observation data from the National Statistical Office. The analysis revealed that out of 1,274,027 infants and toddlers, 3,929 deaths occurred under the age of 5 (2889 deaths at age 0 and 1,040 deaths at ages 1-4), with the rate of death at age 0 accounting for 79.62% of the total. Findings from the COX proportional risk survival analysis suggest that gender, birth weight, gestational week, maternal total birth rate, parental age, and parental education level were related to deaths under the age of 5. A detailed age-group analysis indicated significant associations between death at age 0 and birth weight, gestational weeks, maternal age, and parental education level, while the effect of parental age and education level decreased in the age range of 1-4. Deaths at age 0 were largely attributed to pre-birth and post-natal diseases (1,165 deaths; 40.33%) and congenital abnormalities (707 deaths; 24.47%), while deaths at ages 1-4 were predominantly due to other diseases (208 deaths neoplasms; 20.00%), nervous system diseases (15 deaths; 1.44%), and external causes like transportation accidents (108 deaths; 10.38%), falls (42 deaths; 4.04%), and harms (51 deaths; 4.90%). Based on this study, it is suggested that maternal and child health policies should be developed to address differences in risk factors among infants and toddlers across different ages, aiming to prevent death. |
| dc.format | application/pdf |
| dc.format.extent | 17 |
| dc.language | kor |
| dc.publisher | 한국보건사회연구원 |
| dc.publisher | Korea Institute for Health and Social Affairs |
| dc.rights | KOGL BY-NC-ND |
| dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ |
| dc.rights.uri | https://www.kogl.or.kr/info/licenseType4.do |
| dc.title | 5세 미만 영유아 세부시기별 사망위험요인과 사망원인 분석 |
| dc.title.alternative | A Study on Risk Factors for Death and the Causes of Death in Infants (12 Months Old or Younger) and Toddlers (1-4 Years Old): Based on Statistics Korea’s Birth-and-Death Data on Infants Under the Age of 5, 2012~2015 |
| dc.type | Article |
| dc.type.local | Article(Series) |
| dc.subject.keyword | 5세 미만 사망 |
| dc.subject.keyword | 영유아 사망의 위험요인 |
| dc.subject.keyword | 영유아 사망원인 |
| dc.subject.keyword | 출생코호트 분석 |
| dc.subject.keyword | Death under the Age of 5 |
| dc.subject.keyword | Risk Factors for Infant Death |
| dc.subject.keyword | Cause of Death |
| dc.subject.keyword | Birth Cohort Analysis |
| dc.description.eprintVersion | published |
| dc.contributor.alternativeName | Park, Sanghee |
| dc.identifier.doi | 10.15709/hswr.2024.44.2.50 |
| dc.citation.title | 보건사회연구 |
| dc.citation.title | Health and Social Welfare Review |
| dc.citation.volume | 44 |
| dc.citation.number | 2 |
| dc.citation.date | 2024-06-30 |
| dc.citation.startPage | 50 |
| dc.citation.endPage | 66 |
| dc.identifier.bibliographicCitation | 보건사회연구 제44권 제2호, pp.50-66 |
| dc.identifier.bibliographicCitation | Health and Social Welfare Review Vol.44 No.2, pp.50-66 |
| dc.date.dateaccepted | 2024-07-12T08:19:12Z |
| dc.date.datesubmitted | 2024-07-12T08:19:12Z |
| dc.subject.kihasa | 아동복지 |
| dc.subject.kihasa | 인구변화 |
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