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目的了解2008—2009年珠海市户籍居民死因登记漏报情况。方法在全市范围内,采用多阶段整群随机抽样的方法抽取5个街道(乡镇)的户籍居民,从珠海市死因监测系统之外的渠道收集2008—2009年间抽样点居民死亡数据,与死因监测系统死亡报告数据进行比较,调查2008—2009年户籍居民死亡漏报情况,计算漏报率。结果本次漏报调查共调查了2008—2009年珠海市5个街道(乡镇)居民410 693人,死亡2 020例,漏报38例,死亡漏报率为1.88%。城市地区死亡漏报率为3.04%(25/822),农村地区为1.09%(13/1 198),城市地区的死亡漏报率高于农村(P<0.01)。不同年龄组户籍居民死亡漏报率差异有统计学意义(P<0.01),其中以0～4岁组漏报率最高,为26.32%(10/38)。结论珠海市居民死亡登记存在漏报现象,其中低年龄组的漏报率较高,应加强死因监测质量控制。
Objective To understand the omission of registration of the cause of death of Zhuhai resident in Zhuhai from 2008 to 2009. Methods Throughout the city, residents of 5 townships (townships) were sampled by multistage cluster random sampling method to collect the residents’ death data of sampling points from 2008 to 2009 from sources other than the cause of death monitoring system in Zhuhai City, System death report data were compared to investigate the omission of domiciliary of registered permanent residents in 2008-2009 to calculate the omission rate. Results The underreporting survey investigated 410 693 residents of 5 streets (townships) in Zhuhai from 2008 to 2009, with 2,020 deaths, 38 missed reports, and the missing rate of death was 1.88%. The omission rate of death was 3.04% (25/822) in urban areas and 1.09% (13/1 198) in rural areas, while the false negative rate of death in urban areas was higher than that in rural areas (P <0.01). There was a significant difference in the rate of death and underestimation of dwellers among different age groups (P <0.01), of which the false negative rate was the highest in 0 ~ 4 age group (26.32%, 10/38). Conclusion Zhuhai residents death registration is not reported, among them, the rate of false negatives in the lower age group is higher, and the quality control of the cause of death monitoring should be strengthened.