2010～2012年北京市延庆县死亡漏报调查

目的了解北京市延庆县居民死因登记工作的漏报情况及主要原因。方法采用多阶段按比例整群抽样的方法,确定分层原则,采用分层随机抽样方法抽取7个镇乡/街道共36个行政村/居委会作为调查点,以2010~2012年延庆县人口抽样死因回顾性调查数据作为实际死亡数据,将常规报告数据与之进行匹配,未匹配上的记录为漏报数据。计算漏报率并分析其在人群中的分布。结果 2010~2012年延庆县调查点实际死亡人数为456人,漏报人数为42人,总漏报率为9.21%;不同乡镇比较,珍珠泉乡漏报率最高,为22.08%,旧县镇无漏报;不同地区分类比较,非火化区漏报率最高;因脑血管病死亡漏报率最高为10.22%;2012年度漏报率最高为12.66%。结论延庆县居民死亡漏报现象仍较为严重,应进一步采取相应的措施,提高死因报告的质量。

Investigation and analysis of underreporting of deaths in Yanqing county, 2010-2012

Objective To understand the status and the reasons of failure to report death cases in mortality surveillance registration system. Methods Multi-stage cluster proportional sampling method was used to determine the stratified principle. 36 villages from 7 towns and streets were selected by stratified random sampling method. The information of mortality collected from the retrospective survey of Yanqing county from 2010 to 2012 was defined as the actual mortality data. Compared the regular reporting data in registration system with actual mortality information from survey, the mismatching data which was not included in registration system was considered as underreporting death. The underreporting rate and characters of distribution were analyzed. Results The actual number of death in the survey was 456 from 2010 to 2012. Total 42 deaths were missing reported and the underreporting rate was 9. 21%. The highest underreporting rate was 22.08% in Zhenzhaquan town among all villages and the lowest rate was 0% in Jiuxian town. The rate of underreporting in the non-cremation area was higher than that in cremation area. Failure to report death more easily occurred in cerebrovascular disease than others. The highest rate of missing reoort for eerebravaseular was 10. 22%The underreporting rate reached to 12.66% in 2012. Conclusion Underreporting of death was still a serious problem in Yanqing County. Appropriate measures should be taken in order to improve the quality of mortality surveillance.