1農村型保健所管内地域の乳児死亡とその社会医学的分折

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  • 鶴田 丞次
    慶応義塾大学医学部衛生学・公衆衛生学教授室

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  • Infant mortality in a rural health center district and its socio-economical analysis
  • 1 ノウソンガタ ホケンジョ カンナイ チイキ ノ ニュウジ シボウ ト ソノ シャカイ イガクテキ ブンセキ

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In a rural health center district belonging to Yamanashi Prefecture, where infant mortality has constantly shown a lower level compared to the national average figure, a socio-economical analysis was made on the infant mortality over a period of nearly a decade from 1948 to 1956.<br>The leading cause of infant deaths in this area during the period mentioned above was the infections which reached as high as 55.9% and were most important from the standpoint of infant care.<br>Among the socio-economical factors the occupational construction of a community had a keen relationship to infant mortality; the areas which were composed with more proportion of farmers showed higher infant mortalities compared to the other areas having less proportion of farmers.<br>When analysed topographically, dividing the whole district into three sections, i.e. hilly, flat and medium, the last indicated the highest infant mortality. The reason is most likely due to the fact that the mothers in this section engaged in out-door labour for longer hours and cared after their children for shorter hours in daily life as compared the other two.

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