安徽省全国疾病监测点2013—2014年死因监测漏报调查  

Under-reporting of mortalities in areas of Anhui province covered by national disease surveillance system,2013-2014

作　　者：邢秀雅[1] 陈叶纪[1] 刘志荣[1] 贺琴[1] 李蕊[1] 

机构地区：[1]安徽省疾病预防控制中心慢性非传染性疾病防治科,合肥230601

出　　处：《中国公共卫生》2017年第7期1101-1104,共4页Chinese Journal of Public Health

摘　　要：目的了解2013—2014年安徽省全国疾病监测点死亡漏报情况,评估死因监测系统的完整性。方法采用多阶段整群随机抽样方法,从粗死亡率与所在县(区、市)平均死亡率相近的乡镇(街道)中,随机抽取3个乡镇(街道),再从每个抽中的乡镇(街道)随机抽取3个行政村(居委会),从死因监测系统之外的多种渠道收集2013—2014年间抽样点常住居民死亡数据,通过与抽中村(居委会)同期常规网络报告系统数据进行比较,标记重复个案,计算漏报率。结果 2013—2014年安徽省23个国家死因监测点合计漏报率为8.26%,各监测点漏报率在1.43%~25.60%;不同年龄组的漏报率分别为≤14岁(26.61%)、15~44岁(11.45%)、45~64岁(6.23%)、≥65岁(8.13%),差异有统计学意义(χ~2=69.05,P<0.001);城市(10.25%)漏报率高于农村(5.66%),差异有统计学意义(χ~2=59.99,P<0.001)。结论安徽省全国疾病监测点死因监测数据完整性总体较好,但漏报率在不同县区、城乡、年龄组间存在不平衡现象,仍需用漏报调查来调整人群死亡水平。应切实加强常规死因监测系统报告和管理,不断完善死亡登记制度。Objective To examine the under-reporting of death cases in national disease surveillance points （DSPs） of Anhui province from 2013 to 2014 and to evaluate the completeness of the death surveillance system.Methods Using multi-stage cluster random sampling,we carried out a field survey in all DSPs of Anhui province to collect under-reported death cases during 2013-2014.Three townships or communities with crude death rate similar to the average level of a county or a district were selected randomly.Then three villages or neighborhood committees were selected randomly from each of the township or community.All the death cases in the survey areas were collected from all information sources beyond the disease surveillance system and checked with those registered in the disease surveillance system by an automatic computer checking and a thorough manual verification to identify the under-reported of death cases.Results The overall under-reporting rate for all the 23 DSPs was 8.26%,ranging from 1.43% to 25.60%.There was a significant between age group difference in the under-reporting rate （χ2=69.05,P〈0.001）,with the under-reporting rates of 26.61%,11.45%,6.23%,and 8.13% for the age groups of 0-14,15-44,45-64 and ≥ 65 years,respectively.The under-reporting rate in the urban areas （10.25%） was significantly higher than that in the rural areas （5.66%） （χ2=59.99,P〈0.001）.Conclusion The mortality data of DSPs in Anhui province was good in integrity;however,there were significant regional and between age group differences in mortality under-reporting rate among the DSPs,suggesting that surveys on mortality under-reporting need to be conducted to adjust the national disease surveillance-based mortality rate and the death registration of the DSPs should be improved.

关 键 词：死亡率 监测 漏报 疾病监测系统 

分 类 号：R181.8[医药卫生—流行病学]