Research into health, population and social transitions in rural South Africa: Data and methods of the Agincourt Health and Demographic Surveillance System1

Research into health, population and social transitions in rural South Africa: Data and methods of the Agincourt Health and Demographic Surveillance System1
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南非农村地区的健康、人口和社会转型研究:阿金库尔健康和人口监测系统的数据和方法1

DOI:
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发表时间:
2007
期刊:
Scandinavian journal of public health. Supplement
影响因子:
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通讯作者:
M. Garenne
M. Garenne
中科院分区:
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文献类型:
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作者:
K. Kahn;S. Tollman;M. Collinson;S. Clark;R. Twine;Benjamin D. Clark;Mildred Shabangu;F. Gómez;O. Mokoena;M. Garenne

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研究理由:在保健和发展问题最为紧迫的基础设施薄弱地区,一般缺乏人口动态登记。卫生和人口监测是对缺乏有效信息库的一种回应,这种信息库可以提供关于人口动态、卫生和社会变化的高质量纵向数据,为政策和做法提供信息。设计和测量程序:对整个按地域划分的人口进行持续的人口监测,包括进行多轮前瞻性社区研究,每年记录所有生命事件(出生、死亡、移徙)。现状观察和特殊模块增加了特定研究领域的价值。对每起死亡事件都进行口头尸检,以确定其可能的原因。地理监测系统支持空间分析,并加强实地管理。人口和抽样规模的考虑:卫生和人口监测覆盖了位于南非东北部农村的阿金库尔分区人口,约有70 000人(近三分之一是莫桑比克移民),分布在21个村庄和11 700个家庭。所列举的数据与国家资料来源一致或更详细;已采取战略改进不完整的数据,如围产期死亡人数,并产生了积极的效果。基本特征:在过去12年里,记录了一个重大的健康和人口结构转变,人口结构发生了显著变化,死亡率上升,生育率下降,临时移民人数增加,特别是妇女。在艾滋病毒/艾滋病急剧发展的背景下,存在着传染病和非传染性疾病的双重负担。潜在问题和研究问题:健康和人口监测网站-INDEPTH网络的基础-从经验数据中产生研究问题和假设,突出健康、社会和人口优先事项,为各种研究设计提供成本效益高的支持,并跟踪人口变化和干预措施的长期影响。
Rationale for study: Vital registration is generally lacking in infrastructurally weak areas where health and development problems are most pressing. Health and demographic surveillance is a response to the lack of a valid information base that can provide high-quality longitudinal data on population dynamics, health, and social change to inform policy and practice. Design and measurement procedures: Continuous demographic monitoring of an entire geographically defined population involves a multi-round, prospective community study, with annual recording of all vital events (births, deaths, migrations). Status observations and special modules add value to particular research areas. A verbal autopsy is conducted on every death to determine its probable cause. A geographic surveillance system supports spatial analyses, and strengthens field management. Population and sample size considerations: Health and demographic surveillance covers the Agincourt sub-district population, sited in rural north-eastern South Africa, of some 70,000 people (nearly a third are Mozambican immigrants) in 21 villages and 11,700 households. Data enumerated are consistent or more detailed when compared with national sources; strategies to improve incomplete data, such as counts of perinatal deaths, have been introduced with positive effect. Basic characteristics: A major health and demographic transition was documented over a 12-year period with marked changes in population structure, escalating mortality, declining fertility, and high levels of temporary migration increasing particularly amongst women. A dual burden of infectious and non-communicable disease exists against a background of dramatically progressing HIV/AIDS. Potential and research questions: Health and demographic surveillance sites — fundamental to the INDEPTH Network — generate research questions and hypotheses from empirical data, highlight health, social and population priorities, provide cost-effective support for diverse study designs, and track population change and the impact of interventions over time.
迈向具有明确精度的统一时间戳。
DOI: 10.4054/demres.2005.12.6
发表时间: 2005
影响因子: 2.1
作者:
Benzler,Justus;Clark,SamuelJ
通讯作者: Clark,SamuelJ