Department of Public Health and Mortality Studies, International Institute for Population Sciences, Mumbai, India.
School of Social Sciences, Jawaharlal Nehru University, New Mehrauli Road, New Delhi-110067, India.
Bull World Health Organ. 2023 Feb 1;101(2):102-110. doi: 10.2471/BLT.22.288889. Epub 2022 Nov 25.
To investigate coverage and factors associated with death registration in India.
We used data from the Indian National Family Health Survey 2019-2021. Based on responses of eligible household members, we estimated death registration in 84 390 deaths in all age groups across the country. We used multilevel logistic regression analysis to determine sociodemographic variables associated with death registration at state, district and individual levels.
Nationally, 70.8% (59 748/84 390) of deaths were registered. Of 707 districts in our study period, 122 and 53 districts had death registration levels less than 40% in females and males, respectively. The likelihood of death registration was significantly lower for females than males (adjusted odds ratios, aOR: 0.61; 95% confidence interval, CI: 0.59-0.64). Death registration increased significantly with age of the deceased person, with the highest odds in 35-49-year-olds (aOR: 5.05; 95% CI: 4.58-5.57) compared with 0-4-year-olds. Death registration was less likely among rural households, disadvantaged castes, the poorest wealth quintile, Muslims and households without a below poverty level card. Higher education was associated with higher death registration with the greatest likelihood of registration in households with a member with post-secondary school education (aOR: 1.54; 95% CI: 1.42-1.66). District-level factors were not significantly associated with death registration.
Sociodemographic characteristics of the deceased person were significantly associated with death registration. Strategies to raise awareness of death registration procedures among disadvantaged population groups and the introduction of a mobile telephone application for death registration are recommended to improve death registration in India.
调查印度的死亡登记覆盖情况及其影响因素。
我们使用了 2019-2021 年印度国家家庭健康调查的数据。根据符合条件的家庭成员的回答，我们估计了全国所有年龄段的 84390 例死亡。我们使用多水平逻辑回归分析确定了与州、区和个人层面死亡登记相关的社会人口学变量。
全国范围内，70.8%（59748/84390）的死亡进行了登记。在所研究期间的 707 个区中，分别有 122 个和 53 个区的女性和男性死亡登记率低于 40%。女性的死亡登记可能性明显低于男性（调整后的优势比，aOR：0.61；95%置信区间，CI：0.59-0.64）。死亡登记随着死者年龄的增长而显著增加，35-49 岁人群的登记率最高（aOR：5.05；95%CI：4.58-5.57），与 0-4 岁人群相比。农村家庭、劣势种姓、最贫穷的财富五分位数、穆斯林和没有贫困水平以下卡的家庭，死亡登记的可能性较低。较高的教育程度与较高的死亡登记率相关，具有中学后教育成员的家庭登记的可能性最大（aOR：1.54；95%CI：1.42-1.66）。区一级的因素与死亡登记没有显著关联。
死者的社会人口学特征与死亡登记显著相关。建议提高弱势群体对死亡登记程序的认识，并推出移动电话死亡登记应用程序，以提高印度的死亡登记率。
