2012年北京市东城区居民死亡漏报调查

Under-reporting investigation of death residents in Dongcheng district,Beijing 2012

目的了解北京市东城区居民死因监测的漏报情况,为今后监测工作提出建议。方法采用随机整群抽样方法,随机选取辖区10个街道的12个居委会作为此次漏报调查的调查对象;通过入户调查、多部门数据核对补充等方法,获得样本居委会在2012年期间所发生的死亡信息,与常规医学死亡登记系统电子数据库核对,统计漏报率。结果2012年东城区居民死因监测总漏报率为7.2%;男性漏报率为8.8%,女性漏报率为5.1%,男性与女性的死亡漏报率比较差异无统计学意义;不同年龄组的死亡漏报率比较差异有统计学意义,65岁及以上年龄组死亡漏报率,男性高于女性;死因监测漏报数据主要来源于居委会,占总漏报人数的53.6%。结论东城区居民死因监测存在漏报情况,今后应倡导卫生、公安等多部门沟通合作,探讨科学的研究方法,以提高死因监测数据的质量。

Objective To study the under-reporting status of mortality surveillance among Dongcheng District residents in Beijing and provide suggestions for the future surveillance work. Methods 12 neighborhood committees among the 10 street areas had been selected as the under-reporting investigation objects by random cluster sampling methods. Mortality information of neighborhood committees in 2012 served as samples got by household survey. Multisectoral data check and supplement and other methods were used to collect data. It was proofread with electronic database of conventional medical death registration system.The under-reporting rate was calculated. Results The total under-reporting rate of mortality surveillance among Dongcheng district residents in 2012 was 7. 2%. The under-reporting rate of male was 8. 8% while that of the female was 5. 1% and no significant statistical difference was found between different genders. There was significant statistical difference among different ages. The under-reporting of mortality surveillance on male was higher than that of the female above the 65 years old. The underreporting of mortality surveillance was mainly got from neighborhood committees,which was accounted for 53. 6% of total underreporting people. Conclusion The under-reporting of mortality surveillance among Dongcheng district residents was evidenced.The data quality of mortality surveillance should be improved by cooperation of different departments and discussion on scientific research methods.