우리나라 농촌지역의 영아사망에 관한연구

Abstract

The study on the infant deaths in Korean rural area was carried out during the three months from November 1959 to January 1960 for the purpose of grasping the reliable picture of the infant mortality as well as the various factors influencing the mortality. Ninety-one trained and qualified persons visited 13,643 households involving 85,017 individuals, and open-ended questionaire form and dichotomous questionaire form were applied on the items of infant deaths by province, sex, months of age, of year, family size, educational levels of parents, farming scale, birth order, maternal age at birth, leading causes of deaths, and antemortem medical cares during the period of September 1954 through August 1959. As the results of this study following conclusions were obtained. 1. Weighted average infant mortality rate as a whole was 82.9 per 1, 000 live births. In comparing the rate in each province the lowest rate was observed in Gyeonggi-do with 71.5 per .1, 000 live births, while the highest was observed in Ieju-do with 93.O. In general higher infant mortality rates were shown in Gangweon-do,[eonla-bug-do,jeonla-nam-do, Gyeongsang- bug-do, Gyeongsang-nam-do and [eju-do than in the rest provinces. 2. Sex difference in infant mortality rates was recognized; 85.7 in male and 79. 7 in female, indicating that the rate in male was higher than that in female. 3. The tendency was observed that the younger the months of age, the higher the mortality rate, particularly 43.1% of whole infant deaths were occured within 28 days after the births. 4. As to the seasonal changes in infant mortality, lower infant mortality rate was observed in summer season than in cool and cold seasons. 5. Although no remarkable increasing tendency was observed as family size was increasing, infant mortality rate was rather higher in smaller sized fa. milies. 6. Mother's educational level seemed to offer more significant influences on reducing the infant mortality rate, rather than the father's. 7. It was found that the smaller the faming scale, the higher the infant mortality rate with few exceptions. 8. It was found that infant mortality rate was relatively higher in the first born infant and the second born had the best survival chances. Also it was observed that the infant mortality rates were getting higher as the number of birth order was increasing. 9. The lowest infant mortality rate was observed in infants whose mother's ages were 25-29 at deliveries. 10 The most frequent cause of infant deaths was convulsion and the second gastroententis, the third pneumonia and bronchitis, measles, nutritional disturbance, whooping cough, accident, meningitis and so on were following in sequence. 11. It was observed that 44.2% out of whole infants who were dead had never received any kind of medical cares before deaths. The rest of them had been medicated or treated as follows; 21.6% at hospitals, 15.3% with drugs, 12. 1% by herb doctors, 4. 9% with plant drugs and 1.9% superstitious methods.