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目的了解河南省死因监测系统死亡病例报告工作的漏报情况,为今后死因监测工作提出建议。方法采用多阶段随机整群抽样的方法,对全省死因监测系统的47个行政村(居委会),收集其2006-2008年内户籍人口资料,开展死亡病例漏报调查,覆盖人口299 565人。分年龄、性别和地区对漏报率进行估计。结果调查地区3年共死亡1 649例,校正后年平均死亡率5.50‰,漏报个案238例,总漏报率为14.43%;城市漏报率18.95%高于农村10.91%,年龄以占全部漏报病例65.13%的65岁及以上老年组为主;0~4岁组漏报率最高36.00%。结论河南省死因监测系统死亡漏报情况不容忽视,在今后死因监测中应加强常规工作质量管理,同时提高相关工作人员的报告意识和责任心,提高死因数据报告质量。
Objective To understand the omission of reporting cases of deaths caused by Henan cause-of-death monitoring system and make recommendations for the future work of monitoring causes of death. Methods A total of 47 565 administrative villages (neighborhood committees) of the cause-of-health monitoring system in the province were recruited to collect data of their registered permanent residents in 2006-2008 and to carry out the underreported investigation of deaths, covering a population of 299 565. The rate of underreporting is estimated by age, gender and region. Results In the surveyed area, there were 1 649 deaths in a total of 3 years. The average annual death rate after correction was 5.50 ‰. There were 238 cases of omission and the total false negative rate was 14.43%. The urban false negative rate was 18.95% higher than that of rural areas, 10.91% Lack of reported cases of 65.13% 65 years old and above dominated; 0 to 4 years old group, the highest false negative rate of 36.00%. Conclusion The omission of death caused by the monitoring system of death causes in Henan Province should not be neglected. In the future, the quality of routine work should be strengthened in the monitoring of cause of death and the reporting awareness and sense of responsibility of relevant staff should be improved to improve the quality of the data of causes of death.