| 王黎君,费立鹏,黄正京,张艳萍,赵云霞,杨功焕.中国人群自杀死亡报告准确性评估[J].Chinese journal of Epidemiology,2003,24(10):889-892 |
| 中国人群自杀死亡报告准确性评估 |
| Evaluation on the accuracy of reported suicides in the Chinese population |
| Received:February 25, 2003 |
| DOI： |
| KeyWord: 自杀率 错报 漏报 |
| English Key Word: Suicide rate I naccurate death reports Missing deaths |
| FundProject:福特基金会资助;儿童救助基金会资助和国际救助中心资助项目 |
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| Abstract: |
| 目的评估中国现有死因报告系统中自杀死亡报告的准确性,计算更准确的自杀率。方法选择中国现有死因报告系统之一的全国疾病监测点系统的23个监测点,收集1995年8月至2000年8月死因为“伤害”或“精神病”的死亡案例,从中抽取1932例欲进行入户死因核查,最终1653例进入分析。将死亡医学证明书上记录的原始上报死因与详细入户调查后判断的死因进行比较,然后用此结果调整自杀率。结果原始上报死因为自杀的857例中有16例(1.87%)通过调查后判断为其他伤害死亡;上报为其他伤害死亡的721例中有39例(5.41%)判断为自杀;上报为伤害死亡原因不明的35例中有17例(48.57%)判断为自杀;上报为精神疾病的40例中有6例(15.00%)判断为自杀。经错报漏报调整后,将粗自杀率从13.6510万调整到了22.9910万(95%CI:21.7810万～24.2510万)。结论经准确性评估后,中国的实际自杀率高于公布的报告数据,自杀问题在国内公共卫生方面的重要性日趋突出 |
| English Abstract: |
| Objective To evaluate the accuracy of repor ts of suicide in the national death registry systems and to estimate a more accurate suicide rate.Methods Twenty-three sites from the Disease Surveillance Points Netwo rk-one of the national death registry sy stems-were selected and 1 932 of the deaths that occur red at these sites from Aug ust 1995 through Aug ust 2000 in which the official cause was
classified as “ accidental” or “ mental illness” were selected for detailed household surveys focusing on reassessing the cause of death.Valid interviews were completed in 1 653 of these cases.The original cause of death recorded on the death certificate was compared with the finding of the de tailed househo ld survey and the result was used to adjust the suicide rate.Results After detailed investigation, 16 of the 857 (1.87 %)deaths repor ted on the death cer tificate as suicide were considered accidental deaths, 39 of the
721(5.41 %) accidental deaths were considered suicide, 17 of the 35 (48.57%) cases reported as undetermined accidents were considered suicide, and 6 of the 40(15.00 %)cases in which mental illness was the recorded cause of death were considered suicide.After adjustments for erro rs in the repo rted cause of death and fo r missing deaths, the reported crude suicide r ate of 13.65 100 000 in China was adjusted to 22.99 100 000(95 %CI :21.78 100 000-24.25 100 000).Conclusion Af ter adjustments the actual suicide rate for China was higher than the reported rate indicating that suicide was an increasingly important public health problem for China. |
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