Sarkar Reena, Bassed Richard, Ozanne-Smith Joan
Department of Forensic Medicine, Monash University, Victoria, Australia.
Victorian Institute of Forensic Medicine, Victoria, Australia.
Int J Legal Med. 2025 May;139(3):1343-1352. doi: 10.1007/s00414-025-03419-z. Epub 2025 Jan 27.
Mortality data systems are upstream determinants of health, providing critical information on causes of death and population health trends and influencing health outcomes by shaping policies, research, and resource allocation. Moreover, the gender-related deaths of women and girls are significantly underrepresented or underrecognized in mortality data across many countries. This paper seeks to identify potential barriers and facilitators to improving the representation of femicide data. The primary barriers affecting data representation of femicide are related to definitions, data collection, coding, comparability, access, and systemic challenges. Key recommendations include establishing a nationwide consensus on the definition of femicide, updating training modules for medicolegal professionals, improving pathology reporting processes, ensuring quality assurance in documentation, refining coding practices, developing new analytic methods, and providing deidentified access to cases still under investigation.
死亡率数据系统是健康的上游决定因素,提供有关死亡原因和人口健康趋势的关键信息,并通过塑造政策、研究和资源分配来影响健康结果。此外,在许多国家的死亡率数据中,与性别相关的妇女和女孩死亡情况明显未得到充分体现或未得到充分认识。本文旨在确定改善杀害妇女数据代表性的潜在障碍和促进因素。影响杀害妇女数据代表性的主要障碍与定义、数据收集、编码、可比性、获取和系统性挑战有关。关键建议包括就杀害妇女的定义达成全国共识、更新法医学专业人员的培训模块、改进病理报告流程、确保文件的质量保证、完善编码做法、开发新的分析方法,以及提供对仍在调查的案件的去识别访问。