Underregistration of neonatal deaths: an empirical study of the accuracy of infantile vital statistics in Taiwan
Underregistration of neonatal deaths: an empirical study of the accuracy of infantile vital statistics in Taiwan
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DOI：
10.1136/jech.52.5.289
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发表时间：
1998-05-01
影响因子：
6.3
通讯作者：
Lee, WC
中科院分区：
文献类型：
--
作者：
Chen, LM;Sun, CA;Lee, WC
研究目的——台湾婴儿死亡官方统计数据的准确性受到质疑。本研究旨在调查全国范围内的婴儿死亡情况，测量相关的生命统计数据，并将其与官方统计数据进行比较，以评估准确性。 设计和参与者——在为期三天的研究期间（1989年5月15日至17日）对所有妊娠20周以上发生的妊娠结局进行了全国性调查，采用两阶段数据收集程序收集了全国23个县市的数据。 主要结果——调查得出的婴儿死亡率为9.72% 1000 名活产婴儿，高于官方统计的每 1000 名活产婴儿 5.71 名。对婴儿死亡数据进行更详细的检查表明，估计的新生儿死亡率为每 1000 例活产 6.68 例（95% 置信区间：3.33、每 1000 例活产 11.96 例），显着高于已公布的官方统计数据每 1000 例活产 1.94 例，而新生儿后期死亡率为每 1000 例活产 3.04 例，与报告的统计数据相当。每 1000 名活产婴儿中有 3.37 人死亡。结论 - 这项研究根据经验记录了台湾婴儿死亡登记不足的情况，特别是出生后 27 天内发生的婴儿死亡。
Study objective-The accuracy of the official statistic on infant deaths in Taiwan has been questioned. This study aimed to survey infant deaths nationwide, to measure associated vital statistics, and compare them with the official statistics to assess accuracy.Design and participants-A nationwide survey of all gestational outcomes occurring at greater than or equal to 20 weeks' gestation over a three day study period (15-17 May 1989) was conducted to collect data from 23 counties and cities nationwide using a two stage data collection procedure.Main results-The survey derived infant death rate was 9.72 per 1000 Live births, which was higher than the reported official statistic of 5.71 per 1000 live births. A more detailed examination of data on infant deaths showed that the estimated neonatal death rate of 6.68 per 1000 live births (95% confidence intervals: 3.33, 11.96 per 1000 live births) was significantly higher than the published official statistic of 1.94 per 1000 live births, while the postneonatal mortality of 3.04 per 1000 live births was comparable to the reported statistic of 3.37 per 1000 live births.Conclusions-This study empirically documented the underregistration of infant deaths in Taiwan, particularly those occurring during the first 27 days of life.