2015—2017年甘肃省疾病监测点死因漏报调查

目的评估2015-2017年甘肃省疾病监测点死因数据完整性。方法抽取代表监测点县(市、区)人口水平、经济水平、死亡水平的1个乡(镇、街道),此乡(镇、街道)中所有的家庭成员均为调查对象,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比较,计算漏报率,并以卡方检验比较差异。结果 2015-2017年甘肃省疾病监测点漏报率为18.36%,农村地区漏报率高于城市地区,差异有统计学意义(χ^2=192.049,P<0.05);0~岁和25~岁组漏报率高于其他年龄组,差异有统计学意义(χ^2=16.787,P<0.05);各年漏报率不同,2015年漏报率高于2016年和2017年,漏报率在不同性别、不同死亡原因之间无明显差异。结论甘肃省疾病监测点数据完整性较差,特别是农村地区漏报较严重,提示农村地区与婴幼儿死亡漏报是影响该地区死因数据完整性的主要原因,应加强乡(镇)医疗机构死因监测数据上报情况,同时监测点应与妇幼保健部门加强协作,减少婴幼儿死亡漏报,提高数据完整性。

Investigation on missing report of cause of death in disease surveillance points in Gansu from 2015 to 2017

Objective To evaluate the data integrity of cause of death in disease surveillance points in Gansu province from2015 to 2017. Methods One township(street) with representation of population level, economic level and death level for the whole county(district, city) was randomly selected in the surveillance point. All family members in the township(street)were selected as the investigation subjects, and their death conditions were surveyed for comparing with the data from the population death information reporting management system and calculating the missing report rate. The difference in rates was calculated by Chi-square test. Results The missing report rate was 18.36% in the disease surveillance points in Gansu province during 2015 to 2017, and the rate was higher in rural area than in urban area with statistical difference(χ^2=192.049,P<0.05). The missing report rates were higher in the age group of 0 years-and 25 years-than in the other age groups, with statistical difference(χ^2=16.787, P<0.05). The missing report rate was different for each year, and was higher in 2015 than in2016 and 2017. There were no obvious differences in missing report rates between genders, and among different causes of death. Conclusions The data integrity from disease surveillance sites in Gansu province is relatively poor, especially in rural area. The missing report of the infants is the main reason for influencing the data integrity in rural area. The report on surveillance data of death in the townships should be reinforced. Meanwhile, the cooperation of surveillance point with the department of maternal and child health care should be strengthened to reduce the missing report of the infant death and improve the data integrity.