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국내 5세 미만 주요 사망 원인 중 신경계 질환의 높은 비율; OECD 14개 국가와 비교분석(2005-2010)

High Proportion of Nervous System Disease among Major Cause of Under-Five Death in Korea; Compared with OECD 14 Nations (2005-2010)

고신대학교 의과대학 학술지 2014년 29권 1호 p.37 ~ 45
서현석, 최석원, 김지성, 최재용, 김철암, 손병희, 이균우, 고광욱,
소속 상세정보
서현석 ( Seo Hyun-Seok ) - 대동병원 소아청소년과
최석원 ( Choi Seok-Won ) - 대동병원 소아청소년과
김지성 ( Kim Ji-Sung ) - 대동병원 소아청소년과
최재용 ( Choi Jae-Yong ) - 대동병원 소아청소년과
김철암 ( Kim Cheol-Am ) - 대동병원 소아청소년과
손병희 ( Son Byeong-Hee ) - 대동병원 소아청소년과
이균우 ( Lee Kyun-Woo ) - 대동병원 소아청소년과
고광욱 ( Koh Kwang-Wook ) - 고신대학교 의과대학 예방의학교실

Abstract


Objectives: To compare the mortality rate of children under ages five from different countries by their causes and to explore the cause of death that is relatively higher in South Korea and came up with measures for resolution.

Methods: The statistics were based from section ICD(International Classification of Diseases)-10 of WHO(World Health Organization) Mortality Database. Among the OECD(Organization for Economic Cooperation and Development) countries, 15 countries with higher GDP(Gross Domestic Product) than South Korea were studied by the mortality rate from 2005 to 2010 sorted into two groups: 0 year group and 1-4 years group. Then the cause of death investigated in detail.

Results: Among the 15 countries, average mortality of 0 year group in Korea ranked 8th and the average mortality of 1-4 years group ranked 4th out of 15. There were no significance in the mortality of 0 year group caused by any specific disease, but unnatural death was ranked 2nd after the United States. The natural death of 1-4 years group was ranked 6th, and the unnatural death was ranked 2nd after the Unites States. Among the natural deaths of 1-4 years group, the cause of death significantly higher was found to be disease G(nervous system disease). Among the subgroups of disease G, the orders went epilepsy, cerebral palsy, paralysis, and inflammatory disease.

Conclusions: We have identified major causes of death of children under age 5. The highest proportion of cause of death in 1-4 years group was nervous system disease and we have proposed resolution. Henceforth, this data will be used as a foundational data for formulating policies relation to the Mother-Child Health.

키워드

Cause of death; Child mortality; Death

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