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目的了解乐山市沙湾区居民死因登记报告工作漏报情况,以准确评估沙湾区人群死亡水平。方法采样整群随机抽样的方法,在全区所有死因监测点抽取3个乡镇的9个行政村,在死因监测系统以外的多渠道收集抽样点2013-2014年全部户籍人口信息,开展死亡病例漏报调查,分性别、地区对漏报率进行评估,并对漏报率调整前后的死亡率进行比较。结果乐山市沙湾区人群总死亡漏报率为44.32%(78/176);男性漏报率为40.54%,女性漏报率为50.57%;不同地区漏报率,葫芦镇为56.52%,嘉农镇为38.16%,踏水镇为42.59%。结论乐山市沙湾区人群死因监测报告存在明显漏报,且存在性别和地区差异。应切实加强死因监测报告工作质量,提高报告数据完整性,以客观真实的评价沙湾区居民死亡水平。
Objective To understand the omission of registering the cause of death of residents in Shawan District of Leshan City so as to accurately assess the death rate of the residents in Shawan District. Methods A cluster sampling method was adopted to collect 9 administrative villages in 3 villages and townships at all the monitoring sites for all causes of death and collect all the sample population information from 2013 to 2014 in multiple channels except for the cause monitoring system to carry out death cases Reported investigation, by gender, the region to assess the rate of omission, and the omission rate before and after adjustment for mortality compared. Results The total death rate in Shawan District of Leshan was 44.32% (78/176). The rate of omission in male was 40.54% and that in female was 50.57%. The rate of omission in different regions was 56.52% in Gourou, 38.16% of towns and 42.59% of towns in Tashui. Conclusion There is a significant omission in the monitoring report on the cause of death in Shawan District of Leshan City, with gender and regional differences. The quality of the work of monitoring the cause of death should be strengthened and the data integrity of the report should be enhanced so as to objectively and truthfully evaluate the death rate of residents in Shawan.