Understanding Misclassification between Neonatal Deaths and Stillbirths: Empirical Evidence from Malawi

Understanding Misclassification between Neonatal Deaths and Stillbirths: Empirical Evidence from Malawi
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DOI:
10.1371/journal.pone.0168743
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发表时间:
2016-12-28
期刊:
影响因子:
3.7
通讯作者:
Black, Robert E.
Black, Robert E.
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Liu, Li;Kalter, Henry D.;Black, Robert E.

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改进对死产和新生儿死亡的统计,对于跟踪可持续发展目标3.2和改进低收入和中等收入国家的生命统计具有重要意义。然而,调查中自我报告的死产和新生儿死亡的有效性往往受到两个出生结果之间的错误分类错误的威胁。我们通过比较马拉维最近进行的两项相关人口调查来评估死产被错误归类为新生儿死亡的程度和相关性,其中一项是完整的生育史(FBH)调查,另一项是后续的口头/社会尸检(VASA)调查。我们发现,在FBH调查中确定的365例新生儿死亡中,有五分之一在VASA调查中被归类为死产。新生儿死亡在分娩前最后几天有运动迹象的报告不太可能被错误分类为死产(OR=0.08,p
Improving the counting of stillbirths and neonatal deaths is important to tracking Sustainable Development Goal 3.2 and improving vital statistics in low-and middle-income countries (LMICs). However, the validity of self-reported stillbirths and neonatal deaths in surveys is often threatened by misclassification errors between the two birth outcomes. We assessed the extent and correlates of stillbirths being misclassified as neonatal deaths by comparing two recent and linked population surveys conducted in Malawi, one being a full birth history (FBH) survey, and the other a follow-up verbal/social autopsy (VASA) survey. We found that one-fifth of 365 neonatal deaths identified in the FBH survey were classified as stillbirths in the VASA survey. Neonatal deaths with signs of movements in the last few days before delivery reported were less likely to be misclassified stillbirths (OR = 0.08, p