使用回忆信息可能会低估死产和早期新生儿死亡率:人口监测方法的比较
Andreas Møller Jensen1,2, Sanne Marie Thysen3, Oides Furtado2
1Bandim Health Project, Research Unit Open, Department of Clinical Research, University of Southern Denmark and Odense University Hospital, Odense, Denmark.
Tropical medicine & international health : TM & IH
|June 3, 2023
概括
与前性方法相比,完全信息方法低估了死产和早期新生儿死亡率的估计. 准确的死亡率监测需要考虑报告不足的死胎和新生儿早期死亡.
科学领域:
- 人口统计学 人口统计学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 儿童死亡率和死产率 (SBR) 在低收入国家很高.
- 追溯的怀孕/分娩史可能会低估这些率,因为报告不完整.
- 准确的估计对于有效的公共卫生干预至关重要.
研究的目的:
- 用两种方法比较死胎和死亡率估计:假设全部信息的方法和前性方法.
- 评估报告完整性对低收入环境中死亡率估计的影响.
主要方法:
- 利用了2012-2020年班迪姆健康项目的健康和人口监测系统 (HDSS) 的数据.
- 早期新生儿死亡率 (ENMR),新生儿死亡率 (NMR),婴儿死亡率 (IMR) 和SBR估计的比较.
- 采用卡普兰-梅尔估计器和通用线性模型,比较从出生计算的风险时间与第一次观察日期.
主要成果:
- 与前性方法相比,假设全部信息的方法低估了SBR和ENMR.
- ENMR估计每1000个活产婴儿中有24.5与25.8个 (RR=0.96);SBR估计每1000个活产婴儿中有53.5与58.6个 (RR=0.91).
- 低估在家庭访问较少 (每6个月一次) 的地区更为明显.
结论:
- 这种假设全部信息的方法导致低估了死产和新生儿早期死亡率.
- 为准确的死亡率估计,对遗漏的死胎和新生儿早期死亡的核算至关重要.
- 提高准确性提高了在低收入国家有效监测儿童死亡率的能力.
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