Paes Neir Antunes
Departamento de Estatística, Centro de Ciências Exatas e da Natureza, Universidade Federal da Paraíba, João Pessoa, PB, Brasil.
Rev Saude Publica. 2007 Jun;41(3):436-45. doi: 10.1590/s0034-89102007000300016.
To evaluate the quality of reported adult deaths by unknown causes and to explore their relationships with some indicators.
There were evaluated adult deaths by unknown causes for all Brazilian federal units from 1990 to 2000. Criteria were established to categorize the overall proportion of deaths by quality into four groups. The age patterns of ill-defined causes were represented by typical states and correlation coefficients between these causes and other indicators were estimated, such as external causes and urbanization level.
"Good" quality data was found in the South-Southeast regions and "fair" quality in the North-Northeast regions. Improvement on reported deaths was seen in half of the states, especially for women. The proportion of ill-defined deaths increased with age and a strong association with death coverage, urbanization level and external causes was verified.
Although lowered quality of reported deaths by basic causes was seen in several Brazilian states, the overall quality can be considered at least as satisfactory. This means the explanatory power of death statistics by defined causes can be recovered.
评估不明原因成人死亡报告的质量,并探讨其与一些指标的关系。
对1990年至2000年巴西所有联邦单位的不明原因成人死亡情况进行评估。制定了将死亡总体质量比例分为四组的标准。用典型状态表示死因不明的年龄模式,并估计这些死因与其他指标(如外部死因和城市化水平)之间的相关系数。
在南部-东南部地区发现了“良好”质量的数据,在北部-东北部地区发现了“中等”质量的数据。半数州的死亡报告有所改善,尤其是女性。死因不明的死亡比例随年龄增长而增加,并且证实与死亡覆盖率、城市化水平和外部死因密切相关。
尽管在巴西几个州发现基本死因的死亡报告质量有所下降,但总体质量至少可以认为是令人满意的。这意味着可以恢复按明确死因进行的死亡统计的解释力。