Frias Paulo Germano de, Szwarcwald Célia Landmann, Morais Otaliba Libânio de, Leal Maria do Carmo, Cortez-Escalante Juan José, Souza Paulo Roberto Borges de, Almeida Wanessa da Silva de, Silva Jarbas Barbosa da
Instituto de Medicina Integral Prof. Fernando Figueira, Recife, Brasil.
Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Cad Saude Publica. 2017 Apr 3;33(3):e00206015. doi: 10.1590/0102-311X00206015.
The article addresses Brazil's historical development in the use of vital data, incorporating procedures for the evaluation of such data and research with active search of births and deaths, resulting in the proposal of methods for calculating birth and mortality indicators through the use of continuous records. In addition to research to capture vital events from the years 2000 and 2008, the article presents procedures for the correction of events reported to the information systems and the paradigm shift in the method for calculating mortality indicators, resulting from such initiatives. The study also features advances in the adequacy of information on deaths and live births in Brazil, changes in the estimates on infant mortality resulting from the proposed methods, and the challenge of estimating the indicator for subnational geographic areas with lower population contingents, mostly consisting of municipalities (counties) with low and irregular data coverage.
本文论述了巴西在生命统计数据使用方面的历史发展，纳入了此类数据的评估程序以及通过积极搜索出生和死亡信息进行的研究，进而提出了利用连续记录计算出生和死亡率指标的方法。除了对2000年和2008年生命事件的研究外，本文还介绍了对信息系统报告事件进行校正的程序，以及这些举措导致的死亡率指标计算方法的范式转变。该研究还介绍了巴西在死亡和活产信息完备性方面取得的进展、所提议方法导致的婴儿死亡率估计变化，以及估计人口较少的次国家级地理区域（主要是数据覆盖低且不规律的市/县）指标所面临的挑战。
