Home > Publications . Search All . Browse All . Country . Browse PSC Pubs . PSC Report Series

PSC In The News

RSS Feed icon

Buchmueller says employee wages are hit harder than corporate profits by rising health insurance costs

Davis-Kean et al. link children's self-perceptions to their math and reading achievement

Yang and Mahajan examine how hurricanes impact migration to the US

More News

Highlights

Pamela Smock elected to PAA Committee on Publications

Viewing the eclipse from ISR-Thompson

Paula Fomby to succeed Jennifer Barber as Associate Director of PSC

PSC community celebrates Violet Elder's retirement from PSC

More Highlights

Next Brown Bag

Mon, Sept 11, 2017, noon:
Welcoming of Postdoctoral Fellows: Angela Bruns, Karra Greenberg, Sarah Seelye and Emily Treleaven

Quality of cause-of-death statements and its impact on infant mortality statistics in Hermosillo, Mexico

Publication Abstract

Alvarez, G., Sioban D. Harlow, C. Denman, and M.J. Hofmeister. 2009. "Quality of cause-of-death statements and its impact on infant mortality statistics in Hermosillo, Mexico." Revista Panamericana de Salud Publica, 25(2): 120-127.

Objectives. This study evaluates the quality (completeness and accuracy) of cause-of-death (COD) statements in infant death certificates as entered into a vital records system and assesses its impact on infant mortality statistics in Hermosillo, Sonora, Mexico. Methods. COD statements in a systematic random sample of 200 infant death certificates were compared to their corresponding medical charts. The underlying CODs (UCODs) originally recorded in each death certificate were contrasted with those assigned by an expert reviewer. Coding for the original and "new" UCODs was based on the three-digit category of the International Classification of Diseases, 10th Revision. Measurements of agreement between the two sets of UCODs were calculated and logistic regression was performed to determine factors associated with agreement. Results. Overall agreement between the original and new UCODs was 52%. Agreement was excellent for the group of deaths due to congenital malformations, deformations, and chromosomal abnormalities (kappa = 0.77); substantial for conditions originating in the perinatal period (kappa = 0.74); and poor for certain infectious and parasitic diseases, and respiratory diseases (kappa = 0.35). Overestimation (false-positive reporting) was highest (13%) for perinatal conditions, while underestimation (false-negative reporting) was highest (71%) for certain infectious and parasitic diseases, and respiratory diseases. Agreement was associated with type of UCOD (endogenous versus exogenous) and time of death. Conclusion. More than half (53%) of COD statements in infant death certificates in Hermosillo were inaccurately completed, which may lead to inaccurate interpretation of causes of infant mortality. Systematic assessments of the quality of COD statements may improve the quality of mortality statistics.

Country of focus: Mexico.

Browse | Search : All Pubs | Next