title: [Factor analysis on trend of infant mortality and maternal health management in Henan province from 2000 to 2010].
abstract: OBJECTIVE
  To understand the trends and influential factors on infant mortality in Henan province from 2000 to 2010.
  
  
  METHODS
  Descriptive method, Cox-Stuart trend test and multiple linear regression were used to study the infant mortality trends and related influential factors in the regions with monitoring programs of Henan province, from 2000 to 2010.
  
  
  RESULTS
  The total urban and rural infant mortality rates dropped significantly, from 30.91 per thousand, 10.05 per thousand, 33.99 per thousand in 2000 to 7.12 per thousand, 5.51 per thousand, 8.03 per thousand in 2010, respectively. The average annual rates of decrease were 13.65 percent, 5.83 percent and 13.44 percent. The downward trends were statistically significant (P < 0.05). The infant mortality rates dropped more significantly in rural areas (25.96%) than in the urban areas (4.54%). Difference between urban and rural areas reduced from 23.49% to 2.52%. Rates on factors as setting up maternal record cards, carrying on postpartum visits, hospital delivery, or under help by new midwives and low birth weight rate etc. were remarkably influencing the rate on infant mortality (F = 229.738, P = 0.004). In order, the impact of strengths on those factors showed as: hospitalized delivery rate, low birth weight rate, the rate of 'clean' delivery, setting up record cards on postpartum visits.
  
  
  CONCLUSIONS
  Total provincial, urban and rural infant mortality rates all showed downward trends. The infant mortality rates dropped more significantly in rural areas than in urban areas. Difference between urban and rural areas was gradually getting small. Rates on setting up maternal record cards, carrying on postpartum visit, hospital delivery and under help by new midwives rate were important factors that significantly impacting the infant mortality rate. Work on setting up record cards and hospital delivery should be further strengthened.
authors.affiliation: Shangqiu Medical College, Henan 476100, China. sqyxzxy@126.com
authors.forename: Xin-yi
authors.initials: XY
authors.lastname: Zhu
authors.forename: Zuo-jun
authors.initials: ZJ
authors.lastname: Huang
authors.forename: Li-rong
authors.initials: LR
authors.lastname: Liu
authors.forename: Zhao-lin
authors.initials: ZL
authors.lastname: Cui
mesh_terms: D002681:China; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D007223:Infant; D007226:Infant Mortality / Q000639:trends*; D008427:Maternal Health Services; D008429:Maternal Welfare; D011247:Pregnancy; D012424:Rural Population; D014505:Urban Population