Laurenti R, Buchalla C M, de Lólio C A, Santo A H, Jorge M H
Departamento de Epidemiologia da Faculdade de Saúde Pública da Universidade de São Paulo, Brasil.
Rev Saude Publica. 1990 Apr;24(2):128-33. doi: 10.1590/s0034-89101990000200008.
The purpose of this study was to evaluate the accuracy of the death certificates of a sample of a quarter of all deaths in women of reproductive age (10-49 years) resident in the Municipality of S. Paulo, SP, Brazil, in 1986. For each death, further data were gathered by means of household interviews and from medical records and autopsy information where available. Nine hundred and fifty-three deaths were analysed, for whom there were good quality death certificates except with regard to maternal deaths an terminal respiratory diseases, the former being greatly under-reported. The official maternal mortality rate was 44.5 per 100,000 live births but the true rate was 99.6 per 100,000 live births. The three main causes of death were cardiovascular diseases, neoplasms and external causes. A great proportion of smokers was found among the deceased women (40.4%). Eleven percent of the deceased consumed large amounts of alcoholic beverages regularly.
本研究的目的是评估1986年居住在巴西圣保罗市的四分之一育龄妇女（10 - 49岁）死亡样本的死亡证明的准确性。对于每一例死亡，通过家庭访谈以及在可获取的情况下从医疗记录和尸检信息中收集更多数据。分析了953例死亡病例，除了孕产妇死亡和终末期呼吸系统疾病外，这些病例都有质量良好的死亡证明，而孕产妇死亡被严重漏报。官方公布的孕产妇死亡率为每10万活产44.5例，但实际死亡率为每10万活产99.6例。三大主要死因是心血管疾病、肿瘤和外部原因。在已故女性中发现很大一部分人吸烟（40.4%）。11%的死者经常大量饮酒。
