cdn Idm sdng va cdc yiu td nguy ca d trd dudi 5 tudi dwgc chin dOin viem phdi ndng nhdp vien Bdnh vi$n Nhi ddng Cin Tha, lugn vdn tot nghigp Bdc sT da khoa.
Dgi hpc Y duyc Can Thu.
6, Li/ Thj Chi Mai, Hu^nh Thanh Liem (20111, Nghidn cdu tinh hinh mic bdnh nhiim khuin hd hip cap tinh vd mqt s6 yiu rf lien quan d trd em dudi 5 tudi tai huydn Chdu Thanh, tinh Tra Vinh.
^ 7. Nguyin Thj Thanh Nhdn (2012), Nghien cuu dgc diem t i n thudng X quang phli giua cdc nhom vi§m phoi epng ding tgi thdi dilm nhdp vign d tre t u 2 - 59 thang tgi khoa hd h i p bdnh vidn Nhi ding I, Tdp san nghien cuu khoa hpc trudng Dgi hpc Y Duyc C i n Thu, so 7
8. UNICEF (2006), Pneumonia The forgotten killer of children. New York, the United Nations Children's Fund.
TY SO GlOn TiNH KHI SINH VA M O T SO YEU TO LIEN QUAN TAI HUYEN TIEN LANG, THANH PHO HAI PHONG TRONG 5 NAM (2007-2011)
T R A N TH] KifM - Bdnh vi^n Bfich Mai TOM T A T :
Myc tidu: Xdc dinh tj' sd gidi tinh khi sinh vi md td mdt sd yiu td lidn quan t^i huydn Tidn Ldng. TP.
Hii Phdng tmng 5 ndm (2007-2011) Ddi twqmg vd phwang phdp: Nghidn cdu md ti hdi cdu; dOng bing miu nghidn cdu thiit ki sin thdng kd cdc dd lidu thdng tin tai Tmng tdm Ddn sd - KHHGD, gdm todn bd si tri sinh ra vd sd gia dinh tai huydn Tidn Ling. TP Hdi Phdng tmng 5 nim (2007 - 2011). Kit qud va bdn lu$n: Tj? s6 gidi tinh (TSGT) cdc ct,im- 112.92. Cd 6 cum kinh ti cOa huydn Tidn Lang diu cd sw mit cdn bdng gidi tinh. tiAit cdn bing gidi tinh die bidt ting cao d cijm 4 -ddn si tmng binh khi cao, noi tip tmng nhiiu ddng bdo cdng gido. Xu hwdng TSGT khi sinh cua huydn Ttdn Lang lidn ttjc tmng tinh tr^ng mit cdn bing vi khdng ddng diu. Ty sd mit cdn bdng gidi tinh khi sinh cao nhit (ndm 2(p9) li 120.3 vi thip nhit (ndm 2011) Id 108,4. Ty sd gldi tinh d nhdm tritwO-6 tudi tmng huydn dao ddng tw 106.8% din 107,7% vi khdng thay ddi tmng vdng 5 ndm qua. Mdi lidn h$ giwa sd con, thw tw sinh vd TSGT thi hidn: lin sinh diu tidn, TSGT cOa trd (^u d mdc binli thwdng (92,9 - 108,6%); a cdc gia dinh sinh con thw 3 mdt bi gdi. TSGT tdng cao (tw 142.8% (nim 2007) ldn 248,2% (nim 2011) TSGT ddi vdi con thd 3 trd Idn nhdm nguydn nhan niy c6 chiiu hwdng tdng cd y nghia thdng kd vdi p = 0,073.
Nhdm cip vg chdng cd con bi dj tdt hodc mdc bdnh hiim nghdo khdc: moi nim chi cd tw 2 - 5 trwdng hgp, khdng dO phdn dnh tinh tr^ng mit cdn bdng gidi tinh khi sinh. Kit ludn: Tj? sti gidi tinh khi sinh gida 1 trd em nam/ nd khi sinh ra cdn sdng (01/01/2007 - I 31/12/2011) d ddi tirgng tri em tw 0 - 6 tuoi chung ' cho todn huydn li 112,9, vwc^ ngwdng binh thwdng 103 -105. Tj sd gidt tinh cd sw khdc nhau ddi vdi thw 1 tw sinh con vd sd lin sinh: tri Id con diu Idng Id
101.2% -101,4%; nhdm trd Id con thdhai li 104,8% - 1108.4%; nhdm tri Id con thd ba trd ldn cd TSGT tw 1175.8% -190%. Cd mdi lidn quan vdi nhau glQa thd S tw s6 con. sd iin sinh vi mit cdn bing gldi tinh.
Tie khda: Tj sd gidi tinh khi sinh, Din sd ki
• hoach hda gia dinh, can bing gidi tinh.
• SUMMARY:
Objective: Determine the sex ratio at birth and
describes some of the factors involved in Tien Lang distnct. Haiphong city waste m 5 years (2007-2011).
Subjects and Methods: Retmspective descriptive study; use the sample table designs available statistical data infonnation on population and family planning centers. Includes whole number of births and the number of households in Tien Lang district, Haiphong city in 5 years (fmm 2007 to 2011).
Results and discussion: The sex mtio of the 6 clusters: 112.92. Both the 6 clusters of Tien Lang district economic have an imbalances sex.
Imbalances in the special high avemge cluster 4 relatively high concentration of ethnic Catholics.
Tmnds in the sex ratio at birth of Tien Lang district in a state of constant imbalance and uneven Sex ratio imbalance at birth in 2009 was the highest and the lowest 120.3, in 2011 was 108.4. The sex ratio in the 0-6 age gmup children in this district ranged fmm 106.8% to 107.7%, It did not change in the last 5 years in children 0-6 years of age group. Relationship between the number of children, which birth order and sex ratio: in the first birth, the sex ratio ofchildmn were within the normal range fmm 92 9 to 108.6%. In the 3rd child families a giris high sex mtio increases from 142.8% in 2007 to 248.2% in 2011. Sex mtio for children 3 th. causes this group tends to incmase with a statistical significance (p = 0.073). Team couples have childmn with deformities or suffering fmm some other senous diseases each year only 2-5 cases, not enough to mflect the imbalance in the sex ratio at birth Conclusions: The sex ratio at birth dehveen boys/giris being bom alive 01/01/2007 at 31/12/2011 in mspect of children fmm 0-6 years of age for the whole district is 112 9, beyond the normal range 103- 105. This ratio can vary the order of birth and the birth, the firstborn child is 101.2% - 101.4%, is the second group of childmn. a third child mtio corresponding to 104.8% - 108.4% and 175.8% to 190% Between order of child, birth order and gender imbalance may be associated with each.
Keyword: the sex ratio at birth, population and family planning, gender balance.
OAT V A N o e
Ty s6 gidi tinh Id mdt chi s l nhdn khau hoc phan
,Y Hpc THV'C HANH (872) - SO 6/2013
anh ca c l u gidi llnh cOa mdt q u i n I h l dan s l , Ty s l gidi tinh khi sinh duyc xdc djnh b i n g s l trd em trai duuc sinh ra trdn mdt trdm trd em qdl. Ty s6 ndy thdng thudng la 104-106/100, Theo sd l i | u ciia T i n g d i l u tra dan s l 2009, ty s6 nay da v u y t md'c smh hpe binh thudng va dang d ngudng ddng bdo ddng Id 110,5 Ire em trai trdn 100 trd em gdi [5]. Mdt s l phdn tich da dua ra chi t i l t v l xu hudng va qud trinh t i l n triln eua chl s l nhan k h i u hpe nay, d i n g thdi chi ra tinh trgng m i t can b i n g gidi tinh khi sinh d Vi$t Nam.
Tuy nhidn, cho tdl nay vSn chua cd mdt nghidn eO-u ndo duyc t i l n hanh dya trdn cac s6 li|u thudc h | thing bao cao tir edc tuyin ca sd va tuyin huydn n h i m dua ra cdc b i n g chi>ng thyc t l trong Idp k l hogch, tham muu ehinh sach, djnh hudng can thi0p vd truyin thdng tgi dja phuung.
Tldn Lang Id huydn ngogi thdnh n i m phia Tdy Nam thdnh p h i H l i Phdng. Mdc dCi t^ Id phdt triln ddn s l ty nhidn d mye I n djnh dudi 1%, mirc sinh thay I h l dd I n dmh, song v i n d l m i t cdn b i n g gidi tinh khi sinh giua tre em nam/nu cdn t i n tgi[8] Chlnh
vi ly do nay, chiing tdi t i l n hdnh d l tai nghiin ctru hbi ci^u v l xu hudng "7y s6 gldi tfnh khi sinh vd m^t s6 yiu td lidn quan tai huy^n Tidn Ldng. TP. Hii Phdng trong 5 ndm tu- 2007 - 2011' vdi hai muc tllu cy thi:
1- xac djnh ty s6 gidi tinh khi sinh tgi huy^n Ti6n Lang, TP. Hdi Phdng,
2- Md ta mdt so y l u t l lidn quan d i n tf s l gidi tinh tgi huydn T i l n LSng trong 5 nam qua.
0 6 i TU'P'NG VA PHU'ONG P H A P NGHIEN CLfU - Nghiin ciru mo td h6\ ciPu. Diing bdng m§u thu thdp s6 l i l u thii' d p theo tO-ng ndm thilt k l sin thu thdp cac thdng tin tuu trO- cOa cac bao cdo tit tuyin ca sd vd s l lidu iuu trong s l sach tgi hg thing d& lidu t h i n g k l cua Tmng tam Ddn s6- K l hogch hda gia dinh (KHHGD) huydn Tidn Ldng trong 5 ndm (2005-2011), g i m loan bO trd em vd ede gia dinh sinh con trong thdi gian 5 nam (2007-2011). Udc lu'png 6,000 m l u nghidn ciru.
- Xii' iy vd phdn tich s6 ii^u: s u dyng phin mim thing kd Stata 9.0 (StataCorp USA).
K^T QUA
1. Ty s d gid'i tinh khi sinh trd* Idn huy^n Tidn Ldng (2007-2011)
Bang 1. Ddn sd, ty s l gidi tinh khi sinh theo ede eym xa trong 5 ndm (2007-2011) STT
1 2 3 4 5 6
TSn cum Cum 1 Gym 2 Gym 3 Gym 4 Cum 5 Cyme Tdnq cOnq
DSn so tmng binh 05 nSm 17240 32214 30061 23702 21169 21558 150942
So sinh todn huy^n Tdnq so
1334 2483 2192 1883 1472 1534 10898
Sd tre Nu 637 1150 1070 846 696 718 5117
Tys6 gidi ttnh (%)
109,76 116 02 104 87 122 91 11198 113 69 112 92 Nhdn xdt: Ca 6 cym kinh t l cua huydn Tidn Ldng d l u cd s y m i l can b i n g gidi tinh. M i t cdn bing gidi tinh dac biet tdng eao u cym s6 4 - cym cd ddn sd trung binh kha cao va Id nai tap tmng nhilu d i n g bao edng gido
Bang 2, Xu hudng ty s6 gidi tinh khi sinh loan huydn 2007-2011 STT
1 2 3 4
Dien qiai Dan s6 S6 tre smh ra tronq nSm
So tre smh ra Id ND' Ty s6 gidi tinh khi sinh
Dun vj Ngydi Chdu Ghdu
%
NSm 2007 149944
1961 933 110,2
N5m 2008 150750
2061 976 111,2
NSm 2009 151055
2309 1048 120,3
Ndm 2010 151624
2285 1065 114,6
Ndm 2011 151341
2282 1095 108,4 p = 0,635 (Test x2 ddnh q\d xu hydnq - Chi2 for trend)
Nhdn xdt. Q u a s l li#u t h i n g k d iidn t y c 5 ndm tir ndm 2007 - 2 0 1 1 , T S G T khi s m h eua huydn T i l n Lang hen tue trong tinh trgng m i l cdn bdng gidi tinh va khdng d i n g d l u , Ty s6 m i t cdn b i n g gidi tinh khi sinh cao nhat ndm 2009 Id 120,3 va t h l p n h l l 2011 la 108,4, Tuy nhidn, t h i n g k d d a n h gia xu h u d n g khdng chothSy chieu h u d n g tdng giam theo thdi gian (p>0,05).
Bang 3, X u h u d n g T S G T Ire em t u 0 - 6 tudi trong huydn (2007-2011) STT
1 2 3 4
Dans6 S6 tre 0-6 tu6i S6 tre 0-6 tu6i Id n&
T S G T tre e m P =
D o n VI tinh Nqi^6l
ChSu C h d u
%
N d m 2007 149944
11800 5705 106,8 },721 (Test x 2 ddnh aid xu h
N d m 2 0 0 8 150750 12479
6 0 1 8 107,3
N d m 2 0 0 9 1 5 1 0 5 5
12992 6 2 7 5 107 u 6 n q - Chl 2 for trend)
N d m 2 0 1 0 151624
13678 6 5 8 6 107,7
Ndm 2011_
151341 14260_
6S98 106,7.
itiiaii Aci. .JU luuiiy uc cm ii Ul ly riuy^ii loi ly lU" I I OUU UldU Vnam ^UUI) leP 14..:DU CRaU ^Ham ^U I l/i liu"»
khi s6 tre na tSng tir 5.705 tre (nam 2007) len 6 898 tre ( n i m 2011). K^t qua nSy cho thSy TSGT ft nhSm Iri 0- 6 tuoi tai huy?n dao Song tif 106,8% den 107,7% v4 I-hong thay Sii trong v6ng 5 nam qua a nhbm t r i 0-6 tuoi voi p = 0,721.
Y HQC THV'C HANH (872) - s 6 MOB
2. M6i lien h§ giO'a s 6 c o n , thO t v sinh v i ty sA gli>i tinh t^l huy#n T i i n U n g (2007-2011).
Bang 4. T } s6 gi*i tinh khi sinh con aku Ibng trong huy^n (2007-2011) STT
1 2 3 4
Di^n qiai Ddn so Tre smh dlu Idnq So tre sinh ra 1^ NCr
TSGTKS
Dun vi Ngu'di Chdu Chdu
%
Nam 2007 149944
988 483 104,5
Nam 2008 150750
1007 522 92,9
Nam 2009 151055
1093 550 98,7
Nam 2010 151624
1206 578 108,6
Nam 2011 151341
1197 596 100,8 p = 0,071 (Test x2 3&nh gid xu hu'dng - Chi2 for trend)
Nhan xet. Cy l l n sinh d l u tidn, tinh tr^ng mat cSn b i n g gidi tinh
= 0,071),
Bang 5, Ty s6 gldi llnh t r i em (0-6 tuli) d l u Idng trong huySn (2007-2011)
, TSGT khi sinh cua tre d l u d mCrc binh thudng t u 92.9% -108,6%, chua cd khi sinh d trd d l u Idng. Khdng cd chilu hudng tang giam TSGT theo nam (p
STT 1 2 3 4
Di^n qiai Dansd Tre 6ku ldng 0-6 tuli
So tre 0-6 tuli la nCr Tv s6 qidi tinh tre em
Dun vi tinh Ngudi
Chau Chau
%
Nam 2007 149944
5896 2928 101.3
Nam 2008 150750
6157 3058 101,3
Nam 2009 151055
6503 3231 101.2
Nam 2010 151624
6839 3399 101.2
Nam 2011 151341
7115 3537 101,1 p = 0,824 (Test x2 aanh gii xu hu'dng - Chi2 for trend)
Nhan xdt' K i t q u i trdn cho t h l y ty s6 gidi tinh tre em (0-6 tuii) vdi tre la con d l u Idng a mCrc I n dinh khoang 101%-101,3% Khdng cd chieu hudng tang giam TSGT khi sinh theo nam (p>0,05).
sang 6 TJ s l gidi tinh khi sinh cua con thu ba trd len trong huy$n (2007-2011) do nguyen nhan con mdt be (ba gai)
STT 1 2 3 4
Di^n qidi DSns6 Tre sinh IS con thir >2 Trong db s6 con Id n&
Ty so qibi tinh khi sinh Don VI tinh
Nqu-bi Ch^u Ch4u p= 0,073 (Test x2
%
Nam 2007 149944
119 49 142,8
Ndm 2008 150750
115 38 202,6
Ndm 2009 151065
107 35 205,7 danh qid xu hu'bnq - Chi2 for trend)
Ndm2010 151624
95 28 239,2
Ndm2011 151341
101 29 248,2
Nhan xat. 0 cac gia dinh sinh con thi> 3 mpt b l gai thi TSGT khi sinh tang r l t cao, T u 142,8% nam 2007 len 248,2% nam 2011. TSGT d l i vdi con thO* 3 trd ifin nhdm nguydn nhan nay cd chilu hudng tang mdt each cd y nghTa thdng kd (p = 0.0 73)
Bang 7. Ty s6 gidi tinh khi sinh cua con thu ba trd ISn toan huy^n (2007-2011) do nguyen nhan con tan tat.
STT 1 2 3 4
DiSn giai Dan so Tre sinh la con thtr >2 Trong do so tre sinh la nd
Tyso qidi tinh khi sinh Dun vi tinh
Ngudi Chau Chau
%
Nam 2007 149944
3 1 200
Nam 2008 150750
4 2
Nam 2009 151055
2 1 100 1 100
Nam 2010 151624
5 3 66,6
NSm 2011 151341
0 0 0 P= 0,21 l(Test x2 ddnh gid xu hudng - Chi2 for trend)
Nhan xet: Cf nhdm cap v u chong da cd du s6 con nhung nhCrng dCra con dd bi dj tat hoSc m i c bdnh hiem nghdo khac da duuc cu quan chiJc nang xac nhan vdi so luung khdng nhilu (mdi n§m chi cd ti> 2- 5 trudng hup), do dd nd khdng du p h i n anh linh trang mat can b i n g gidi tinh khi sinh d nhdm d l i lup'ng nay.
BAN LUAN
1. T^ s 6 gid'i tinh khi sinh d* huygn Tien LSng (2007-2011)
T i t c l so t r i em sinh ra t u 01/01/2007 d i n 31/12/2011, bao g i m hun 14000 tre em trong dd l u l l t u 0-6 t u l i . Ty s l gldi tinh khi sinh a nhdm dd l u l l nay la 112.92. K i t qua nay g i n tuung duung vdi TSGT cua TP. Hai Phdng va ca nudc [2], K i t qua cudc T i n g dieu tra Dan so va nha a, d i l u tra b i l n ddng Dan s l - KHHGD ngay 01 thang 4 hang nam do T i n g eye Thing kS tien hanh cho thly, TSGT chung
a Viet Nam t u 1979 trd ve trude la t h l p (s6 nam it hon s l nO") do hau qua chiln tranh; song \u nam 1979 d i n nay TSGT ehung u Vi$t Nam cd xu hudng tang cham: nSm 1979 (94,2). nam 1989 (94,7), nam 1999 (96,7), nam 2009 (98,1). Tuy nhien, TSGT khi sinh cd hi$n lup'ng tang b i t thudng, dac biet la ti>
sau cudc dieu tra dSn so nam 1999 d i n nay, Tren pham vl ea nudc, TSGT kht sinh hang nam duuc thong kd: nam 1999 la 107, d i n nam 2006 la 110, nam 2007 la 111,6 (NhOng biin ddi gin diy vi TSGT khi sinh d Vidt Nam: UNFPA, Hi Ndi, thing 8 nam 2009). NSm 2008 da Idn tdi muc 112 vd theo du bao trong thdi gian tdi TSGT khi sinh d nudc ta tiep tuc tang [16], Binh thudng, TSGT khi sinh dao ddng t u 103 den 108. Ty so gidi tinh khi sinh cua mdt qudc gia, mdt vung hoac mpt tinh/thanh pho tCr 109-110 la ti^m can m i l can bing gidi tinh khi sinh; tir 110 trd ldn la b i l u hidn si,r m i l can b i n g gidi tinh khi sinh.
Y HQC THVC HANH (872) - SO 6/2013
Nhu vSy, Vi$t Nam dang d giai dogn d l u cua tinh trgng nay D i l u dang luu y la nam 2006 chl ed 19 trong 64 tinh, thanh p h i cd TSGT khi sinh ti> 110 trd idn tht nam 2007 tang ISn 35 tinh, thanh phd cd TSGT nay, Nhilu llnh, thanh p h i cd TSGT khi sinh r l t cao va nam 2007 nhu sau: Hung Y6n la 12; B l e Ninh, Thanh Hda la 122; H l i Duung la 120; Ki6n Giang, B i c Giang la 118; Hi\ Phdng la 116 (Nguin: d i l u tra b i l n ddng dan s l KHHGD eOa T i n g eye T h i n g kfi nam 2007) [6], Nhu vay, TSGT khi sinh d huy|n Ti6n Lang, TP. Hai Phdng ludn cd xu hudng tang nhanh trong thdi gian qua, dac bl$t la nam 2009 cd t^ s l ian d i n 120,3, ty s6 nay t h l p n h i t la 108,4 (nam 2011).
va, tinh trgng nay cd xu hudng t i l p tyc tSng cao, n l u khdng cd bl$n phap, giai phap can thl$p kip thdi thi sg tac ddng d i n nhdm dan s6 nay khi budc vao dO t u l i lap gia dinh (khodng ndm 2030).
2. IVldi lien h^ giO'a s d con, thir t y sinh va ty s 6 g i d i tinh t^l huy$n T i l n Lang (2007-2011)
- Khi cd phuung phap lua chpn gidi trude khi sinh cd c h i t lupng thi TSGT khi sinh ludn ludn cd sy b i l n d l l r l t idn theo sy k i t hp'p gi&a thCr t y sinh va gidi tinh. Trdn t h i gidi' tgi r l t nhilu khu vyc eua Trung Quic va An Dd. d l l vdi l l n sinh d l u tidn thi ty \% giO'a bd trai va bd gai kha edn b i n g , trong khi dd TSGT khi sinh d eae l l n sinh sau Ihudng bj m i t can b i n g D i l u nay b i t ngudn ICr mong m u l n cua cha me mucin d t l u chinh c u c l u gidi tinh cua gia dinh, cy t h i hun hp muln mdt dua con trai nhung hp chl cd con gai nSn hp cd gang can thl$p vao gldl tinh cOa d&a tre t i l p theo. Sy tac ddng qua lai giO'a TSGT khi sinh va gidi tinh cua edc thanh vien trong gia dinh ed xu hudng phCrc tgp va r l t khac nhau tCiy theo cdng ey k i l m soat sinh san dupc cac cap vu ching sii' dyng. Cd t h i xac djnh duuc ba tinh hudng khac nhau.
+ Thd nhit li, theo boi c i n h truyin thing thi vi$c sinh de va TSGT khi sinh n i m ngoSi s u k i l m soat cOa cac ca nhan do thilu eae bi$n phap tranh thai (BPTT) va lya chpn gidi tinh. K i t qua la TSGT khi sinh v i n n i m d ty s l binh thudng, Tuy nhiSn, cha mg cd the bd rui hoSc g i l t con minh n l u gidi tinh dua t r i khdng nhu hg mong m u l n . G i n day, BPTT eho ph6p phy nO- tranh mang thai ngoSi y mudn khi hp da cd diJ s6 con va gidi tinh nhu mong m u l n
+ Thd hai Id, phy nu" cd t h i quylt 6\nh ed hay khdng ed thdm con, nhung hp khdng cd each nao tac ddng d i n gidi tinh cua con,
+ Thd ba Id, a cac nui cd t h i t i l p c^n k? thuat lya chpn gidi llnh va phy nu- cd thai cd t h i pha nhu-ng thai nhi cd gidi tinh khdng nhu mong m u l n ,
- Ty so gidi tinh khi stnh (tre 0-6 l u l l ) d l u Idng trong huy^n (2007-2011): K i t qua nghidn cCru eho thly, doi tuung tre em sinh ra la con d l u Idng t u nam 2007-2011 trong huy$n Tign Lang va TSGT khi sinh trong cae nam nhu sau: nam 2007 la 5896 chau (101,2%). nam 2008 la 6157 chau (101,3%), nam 2009 la 6503 chau (101,3%), nam 2010 la 6339 chau (101,2%). nam 2011 la 7115 chau (101,2%) Nhu vay, d Ire sinh ra la con d l u Idng lidn tyc 5 nam
(2007-2011) TSGT ehua cd s y c h l n h ISch ldn, ph hpp vdi k i t q u i sinh d l t y nhidn [1; 3].
- TJ s6 gid'i tinh khi sinh (tre 0-6 tuli) con thi>;
trong huy§n (2007-2011): K i t qui nghifin eii'u chi thly, nhdm d l l lup'ng tr6 em sinh ra la con thiJ 2 m 0-6 tuli) to- nam 2007-2011 trong huy^n va T S G T I sinh trong eae nam nhu sau: nam 2007 la 5344 <M (107,6%), nam 2008 la 5602 chau (107,2%), n i 2009 la 5879 chau (108,0%). nam 2010 la 6129 chii (108,4%), nam 2011 la 6445 chdu (104,8%). QUE nghidn eCru eho t h l y d nhdm d l i tug-ng la conSlSi Idng thi TSGT khi sinh 6i cd s y ehlnh l$ch d l r i n ^ dao ddng tCr 104,8% d i n 108,4%, tJ 1$ n i y d S W c i n vdl ngudng m i l can b i n g gidi tinh khi sinh [ < «
K t T LUAN • ™ 1. Ty s 6 gid'i tinh t^i huy$n Tign Lang tip 2007 • 2011
Ty s l gidi tinh khi sinh giO'a t r i em nam/nO' khi sinh ra cdn s i n g (tCr 01/01/2007 d i n 31/12/2011)6 ddi lup'ng tra t u 0 - 6 l u l l chung cho todn huy$n li 112,9, ty s l nay v u p l ngudng binh thudng 103 -105, va, ty s l nay ed s y khac nhau ddi vdi thir t y sinh con va sd l l n sinh: tre la con d l u Idng (101,2% -101,4%), nhdm t r i la con thCr hai (104,8% -108,4%). con thi>
ba trd ldn (175,8% -190%>
2. Mdi l i l n h$ giCra s 6 c o n thO tv sinh vd ty sJ g i d i tinh khi sinh
(y l l n sinh thir n h l l chua cd s y m i t can bSng gidi ttnh. nhung tCr l l n sinh thi> hai, thi> ba trd lanttii tinh trgng m i t can b i n g gidi tinh cang cao. Kit quS nay khing djnh giCi'a thu t y sd con, sd l l n sinh con vS mat can b i n g gidi tinh cd mdi lidn quan vdi nhau cang a l l n sinh sau thi TSGT khi sinh cang cd sv chanh 10eh ldn. c h i c e h l n cd s y lya chpn gldl tinh thai nhi eua cae cap vg ehdng trong dO tudi sinh de.
TAI LIEU THAM K H A O
1 Bo Y t l (2006). Bao cao cdng tac Y t l nSm, NhS xult ban Y hpc. Ha Ndi.
2. Chi eye Dan sd - KHHGD Hai Phdng (2010). Ket qua sa bp long dilu tra dan sd va nha d 01/4/2009, !^$i nghj Cong bd ket qua su bd Tdng d i l u tra dan s l vd i ^ d nam 2010, Hai PhPng.
3, Nguyen T i n Due (2011). D§n sd va KHHGfi vCing bien dao Quang NgSi. Tgp chi Dan sd & Phat trien, 8(125) 23-28.
4, Tong eye Dan sd va KHHGD (2009). W li?u Boi dudng nghidp vy DSn sd - KHHGD eho can bp capxi.
Ting eye Dan sd - KHHGD, Ha Npi. thdng 7/2009.
5. Tdng eye Thdng k6 (2001), Bao cao kit quiijl bao dan sd Vi0t Nam, 1999-2024, Nha xuat ban Thfing kg, Ha Npi,
6 Tdng eye Thdng ke (2007), Dieu tra bien 6i^
ddn so, n^uon lao ddng va KHHGD 2006 - NhO-ng ket qua chu yeu. Nha xult ban Thing ke, Ha Npi.
7. Tdng eye Thong kg (2011), Tdng <Tieu tra dan so va nha d Vi^t Nam 2009. Nha xuat ban Thing ke. Hi NOi.
8. Trung Tam Dan sd - KHHGD huygn TiSn LSna (2009, 2010, 2011), Bao cao tdng k i t cdng tac dan si KHHGD nam 2009,2010,2011.
Y H Q C THV'C HANH (872) - SO (Wfll^
