摘要
目的了解2018—2020年阿坝州死因监测点的死因漏报情况,为评价死因监测质量提供科学依据。方法在阿坝州的13个死因监测县的所有乡镇/街道,按照粗死亡率从高到低,每个县(市)3个乡镇/街道;经统一培训后的调查员从村或居委会、殡葬部门、医保部门等多种渠道收集2018—2020年所有常住人口的死亡情况,摸底后进行入户核实,并与常规监测数据库进行核对,描述漏报病例的特征。采用SPSS 25.0软件进行统计分析,率的比较采用χ^(2)检验,以P<0.05为差异有统计学意义。结果2018—2020年阿坝州的13个死因监测县共漏报1636例,总漏报率为44.03%。男性和女性漏报率依次为43.24%和45.10%,差异无统计学意义(χ^(2)=1.26,P=0.26);各年龄组漏报率差异有统计学意义(χ^(2)=31.38,P<0.001),0~4岁人群漏报率最高,45~64岁年龄组最低;各监测点间,金川县漏报率最高(84.82%),黑水县漏报率最低(2.08%),差异有统计学意义(χ^(2)=937.03,P<0.001)。结论阿坝州死因监测点死亡漏报率高,应规范死因报告管理,逐步提高死因监测数据质量。
Objective To understand the situation of missing report on cause-of-death at surveillance sites in Aba Prefecture and to provide the scientific basis for evaluating the quality of monitoring.Methods All town/streets in Aba Prefecture which were including 13 surveillance counties of causeof-death,from high to low in terms of crude mortality,3 towns/streets in each county(city);All deaths of the permanent population in 2018-2020 were collected from various channels such as village or neighborhood committee,funeral department,medical insurance department,etc.by trained investigators,after that we carried out home verification and checked with routine monitoring database to describe the characteristics of missing cases.SPSS 25.0 software was used for statistical analysis,rates of data were compared byχ^(2)test,the differences P<0.05 was considered to be statistically significant.Results There was a total of 1636 death cases were miss-reported in 13 cause-of-death surveillance counties in Aba Prefecture from 2018 to 2020,the total missing rate was 44.03%.The miss-reported rates between men and women were 43.24%and 45.10%,respectively,the difference was no statistically significant(χ^(2)=1.26,P=0.26).The difference of miss-reported rate of all age groups was statistically significant(χ^(2)=31.38,P<0.001),the highest rate of miss-reported was 0-4 age group,45-64 age group was the lowest.At monitoring sites,the miss-reported rate of Jinchuan county was the highest,which was 84.82%.Heishui county was the lowest which was 2.08%,the difference was statistically significant(χ^(2)=937.03,P<0.001).Conclusions The miss-reported rate of cause-of-death in surveillance sites of Aba Prefecture is high.We should regulate the death report management and improve the quality of death monitoring data.
作者
周燕
裴连美
董婷
李娅娜
程季
季奎
ZHOU Yan;PEI Lian-mei;Dong Ting;LI Ya-na;CHENG Ji;JI Kui(Aba Prefecture Center for Disease Control and Prevention,Aba Prefecture 624000,Sichuan Province,China;Sichuan Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province,China.)
出处
《职业卫生与病伤》
CAS
2022年第4期247-249,255,共4页
Occupational Health and Damage
关键词
死因监测
漏报率
调查
阿坝州
surveillance sites of cause-of-death
rate of missing report
investigation
Aba Prefecture
