PDF(Pubmed)
Abstract：
UNASSIGNED: Children mortality is considered as one of the main indicators of population development and health, while most of the children\'s deaths are preventable. This study systematically reviewed the determinants of children mortality in Iran.
UNASSIGNED: This systematic review was conducted to summarize all the factors associated with children mortality in three age groups; Neonate (0-28 d), Infant (28 d-1 yr old) and children (<5 yr old), based on the PRISMA guideline. Many of the electronic international and national databases, in addition to hand searching of reference of selected articles, grey literature, formal and informal reports and government documents were screened to identify potential records up to Jan 2022. We included all studies that identified determinants of child mortality in any province of Iran or the whole country, without any restriction.
UNASSIGNED: Overall, 32 studies were included, published between 2000 and 2022, of which 23 were cross-sectional and 15 published in Farsi language. The associations between several risk factors (n=69) and the child mortality were examined. Among the identified factors, \'birth weight\', \'mother\'s literacy\', \'socioeconomic status\', \'delivery type\', \'gestational age\', \'pregnancy interval\', \'immaturity\', \'type of nutrition\', and \'stillbirth\' were the most important mentioned determinants of child mortality in Iran.
UNASSIGNED: Appropriate interventions and policies should be developed and implemented in Iran, addressing the main identified associated factors, resulting from this review study, with the aim of minimizing preventable child deaths, based on their age categories.
UNASSIGNED: This systematic review was conducted to summarize all the factors associated with children mortality in three age groups; Neonate (0-28 d), Infant (28 d-1 yr old) and children (<5 yr old), based on the PRISMA guideline. Many of the electronic international and national databases, in addition to hand searching of reference of selected articles, grey literature, formal and informal reports and government documents were screened to identify potential records up to Jan 2022. We included all studies that identified determinants of child mortality in any province of Iran or the whole country, without any restriction.
UNASSIGNED: Overall, 32 studies were included, published between 2000 and 2022, of which 23 were cross-sectional and 15 published in Farsi language. The associations between several risk factors (n=69) and the child mortality were examined. Among the identified factors, \'birth weight\', \'mother\'s literacy\', \'socioeconomic status\', \'delivery type\', \'gestational age\', \'pregnancy interval\', \'immaturity\', \'type of nutrition\', and \'stillbirth\' were the most important mentioned determinants of child mortality in Iran.
UNASSIGNED: Appropriate interventions and policies should be developed and implemented in Iran, addressing the main identified associated factors, resulting from this review study, with the aim of minimizing preventable child deaths, based on their age categories.
摘要：
■儿童死亡率被认为是人口发展和健康的主要指标之一，而大多数儿童的死亡是可以预防的。这项研究系统地回顾了伊朗儿童死亡率的决定因素。
■进行了这项系统评价，以总结与三个年龄组儿童死亡率相关的所有因素；新生儿（0-28d），婴儿（28d-1岁）和儿童（<5岁），基于PRISMA准则。许多电子国际和国家数据库，除了手工搜索所选文章的参考之外，灰色文学，对正式和非正式报告和政府文件进行了筛选，以确定截至2022年1月的潜在记录。我们纳入了所有确定伊朗任何省份或整个国家儿童死亡率决定因素的研究，没有任何限制。
■总的来说，包括32项研究，在2000年至2022年之间出版，其中23个是横断面的，15个是以波斯语出版的。研究了几种危险因素（n=69）与儿童死亡率之间的关系。在确定的因素中，\'出生体重\',\'母亲\'s识字\',“社会经济地位”，\'传递类型\',\'胎龄\',\'怀孕间隔\',\'不成熟\',“营养类型”，和“死产”是伊朗儿童死亡率最重要的决定因素。
■应在伊朗制定和实施适当的干预措施和政策，解决已确定的主要相关因素，从这项综述研究中得出，目的是尽量减少可预防的儿童死亡，根据他们的年龄类别。
■进行了这项系统评价，以总结与三个年龄组儿童死亡率相关的所有因素；新生儿（0-28d），婴儿（28d-1岁）和儿童（<5岁），基于PRISMA准则。许多电子国际和国家数据库，除了手工搜索所选文章的参考之外，灰色文学，对正式和非正式报告和政府文件进行了筛选，以确定截至2022年1月的潜在记录。我们纳入了所有确定伊朗任何省份或整个国家儿童死亡率决定因素的研究，没有任何限制。
■总的来说，包括32项研究，在2000年至2022年之间出版，其中23个是横断面的，15个是以波斯语出版的。研究了几种危险因素（n=69）与儿童死亡率之间的关系。在确定的因素中，\'出生体重\',\'母亲\'s识字\',“社会经济地位”，\'传递类型\',\'胎龄\',\'怀孕间隔\',\'不成熟\',“营养类型”，和“死产”是伊朗儿童死亡率最重要的决定因素。
■应在伊朗制定和实施适当的干预措施和政策，解决已确定的主要相关因素，从这项综述研究中得出，目的是尽量减少可预防的儿童死亡，根据他们的年龄类别。
