2009—2011年湖北省疾病监测点死因漏报调查分析

Underreporting of death in disease surveillance system in Hubei,2009-2011

目的评估2009—2011年湖北省疾病监测点死因漏报情况。方法抽取能代表各监测点县(市、区)人口水平、经济水平、死亡水平的乡镇(街道)1个,这个乡镇(街道)中所有的家庭均为调查家庭。调查2009年1月1日至2011年12月31日期间,调查点内每户家庭常住人口的死亡情况,与死因监测系统网络报告数据进行比较,计算漏报率。结果湖北省疾病监测点中11个抽样点总死亡漏报率为8.59%。漏报率在不同性别、不同死亡原因、不同年度间无明显差异。但是,漏报率在城乡之间、不同年龄段、不同死亡地点之间的差异有统计学意义;农村死亡漏报高于城市,婴幼儿死亡漏报高于其他年龄段,由伤害导致的死于其他地点者的漏报高于医院、家中等场所。结论湖北省疾病监测点总体死因监测数据完整性较好。减少农村死亡漏报、婴幼儿死亡漏报、伤害死亡漏报是今后工作的重点。

Objective To understand the underreporting of death in disease surveillance system in Hubei province from 2009 to 2011.Methods Household survey about family member death was conducted at the selected communities/townships covered by the surveillance system in Hubei from January 1,2009 to December 31,2012,the results were compared with the data reported by the disease surveillance system.Results The overall underreporting rate of death at 11 communities/townships sampled was 8.59%.No gender,cause and year specific differences in underreporting of death were observed,but the area,age and site specific differences in underreporting of death were statistical significant.The underreporting rate was higher in rural area than in urban area and in infants/young children than in other age groups.The underreporting of injury death occurred at non specific place was higher than that in hospitals and homes.Conclusion The death cause surveillance data was with completeness in Hubei,but it is necessary to take measures to reduce the underreporting of death in rural area and in infants/young children and the underreporting of injury death.