在墨西哥，五岁以下儿童的死亡登记情况有所改善，但尚未消除低报现象。

IF 0.6 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI:10.24875/GMM.M24000919

Rafael Lozano, Itzuri Castillo, María J Ríos-Blancas, Christian Razo, Juan J González

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引用次数: 0

摘要

背景：人口动态统计的少报给信息质量带来了问题。为了解决漏报问题，墨西哥于2002年实施了“故意查找儿童死亡情况”。目的：分析1992 - 2022年全国和各邦新生儿和5岁以下儿童（U5）死亡漏报的趋势。材料和方法：将国家统计地理研究所（INEGI）和卫生计量与评估研究所（IHME）的记录与其他五个独立数据源进行比较后，选择为金标准进行比较分析。该分析考虑边缘化来描述少报的程度。结果：从2001年到2022年，在全国范围内，5岁以下儿童的低报差距从38.2%下降到9.0%，新生儿年龄的低报差距从30.7%下降到5.5%，各州的结果不尽相同。结论：死亡登记情况有所改善；然而，确定需要进一步调查和干预以缩小婴儿死亡率漏报差距的州是至关重要的。

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Registration of deaths in children under five years of age has improved in Mexico, however, the underreporting has not yet been eliminated.

Background: The underreporting of vital statistics poses a problem for the quality of information. To address underreporting, Mexico implemented the "Intentional Search for Children Deaths" in 2002.

Objective: To analyze trends in the underreporting of deaths in neonates and children under 5 years of age (U5) from 1992 to 2022 at the national level and by state.

Material and methods: A comparative analysis was conducted between the records of the National Institute of Statistics and Geography (INEGI) and the Institute for Health Metrics and Evaluation (IHME) chosen as the gold standard after comparison with five other independent data sources. The analysis considers marginalization to describe the magnitude of underreporting.

Results: From 2001 to 2022, at the national level, the underreporting gap decreased from 38.2% to 9.0% among children U5 and from 30.7% to 5.5% in the neonatal age, with heterogeneous results across states.

Conclusions: The registration of deaths has improved; however, it is crucial to identify states needing further investigation and intervention to reduce the underreporting gap in infant mortality.

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来源期刊

Gaceta medica de Mexico 医学-医学：内科

CiteScore

1.00

自引率

0.00%

发文量

216

审稿时长

6-12 weeks

期刊介绍： Gaceta Médica de México México is the official scientific journal of the Academia Nacional de Medicina de México, A.C. Its goal is to contribute to health professionals by publishing the most relevant progress both in research and clinical practice. Gaceta Médica de México is a bimonthly peer reviewed journal, published both in paper and online in open access, both in Spanish and English. It has a brilliant editorial board formed by national and international experts.