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目的了解北京市怀柔区居民死因登记工作的漏报情况。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6个镇乡/街道共22个行政村/居委会作为调查点,以2007—2009年怀柔区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,了解漏报发生的主要原因。结果 2007—2009年怀柔区调查点实际死亡人数为574人,漏报人数为66人,总漏报率为11.50%;不同乡镇比较,喇叭沟门乡漏报率最高为26.73%,怀北镇漏报率最低为2.20%;因意外死亡漏报率最高为32.61%;2007年漏报率最高为18.48%。结论怀柔区居民死亡漏报严重,应进一步采取相应的措施,提高死因报告的质量。
Objective To understand the omission of registration of the cause of death of residents in Huairou District of Beijing. Methods A multi-stage proportional cluster sampling method was used to determine the stratification principle. Hierarchical random sampling method was used to select a total of 22 administrative villages / neighborhood committees in 6 townships / sub-districts as survey sites. Based on the sample population of Huairou District in 2007-2009 The cause of death retrospective data was used as the actual death data, matched with the regular report data, and the unmatched records were omitted data. Calculate the omission rate and analyze its distribution in the population to understand the main reasons for the omission. Results The actual number of deaths from 2007 to 2009 in Huairou District was 574, with a total of 66 missing persons and a total false negative rate of 11.50%. The highest false negative rate was 26.73% in Labaoumen Township compared with other towns, The lowest rate of false negatives was 2.20%; the highest rate of false deaths was 32.61%; and the highest false negative rate was 18.48% in 2007. Conclusion Residents in Huairou District reported a serious death failure and should take further measures to improve the quality of the cause of death report.