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死亡时无家可归身份的错误分类,俄勒冈州莫尔特诺马县,2023年
Jaime Walters1, Emily Mosites1, Eric Hall2
1Community Epidemiology Services, Public Health Division, Multnomah County Health Department, Portland, OR, USA.
Public health reports (Washington, D.C. : 1974)
|December 13, 2025
概括
死亡证明可能不准确地列出无家可归者的地址,特别是年轻人的地址. 这种错误分类凸显了需要改善死亡时无家可归者的数据收集.
科学领域:
- 公共卫生 公共卫生
- 死亡率统计 死亡率统计
- 健康的社会决定因素
背景情况:
- 在美国,无家可归是一个重要的公共卫生问题,与增加的健康风险和过早死亡率有关.
- 准确地对无家可归身份进行分类对于了解其影响至关重要,但也带来了数据收集的挑战.
- 使用死亡证明来确定无家可归者的有效性需要仔细检查.
研究的目的:
- 评估死亡证明上无家可归身份确定的准确性.
- 为了比较医疗法官数据的无家可归分类与生命记录数据.
- 确定无家可归者在死亡证明上的错误分类的潜在原因.
主要方法:
- 从2023年开始的Multnomah县法医数据 (黄金标准) 与生命记录 (死亡证明) 数据的无家可归状态的定量比较.
- 描述在法医数据中被列为无家可归的个人,但不在重要记录中.
- 对错误分类的潜在原因的分析.
主要成果:
- 根据法医人员的数据,在394名被归类为无家可归的死者中,有171人 (43%) 在他们的死亡证明上列出了地址.
- 死亡证明上有地址但被归类为无家可归的死者比与死亡记录一致的死者 (46岁) 年轻 (42岁).
结论:
- 死亡证明上的地址并不排除死亡时的无家可归,尤其对年轻人来说.
- 司法管辖区应评估其无家可归分类数据在死亡证明上的准确性.
- 需要进一步的研究来量化无家可归者在死亡率数据中的错误分类程度.
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