Mô hình bệnh tật và một số bệnh lưu hành tại bốn xã thuộc tỉnh Hà Tây cũ năm 2008-2009

TCNCYH Phil truang 70 (5) -2010

interviews, using the WHO standard questionnaire, were conducted with close relatives of the 6798

deaths identified in the 2007 population change survey in Vietnam. The Preston - Coale method

assessed the level of completeness of mortality reporting from the population change survey. The

number of deaths in each age - sex grouping is inflated according to the estimate of completeness to

produce an adjusted number of deaths. Results: Completeness of mortality reporting was 69% for

males and 54% for females with substantial regional variation. The use of VA has resulted in 10% of

deaths being classified to ill - defined among males, and 1 5% among females. The most cause of dead

for both male and female was Cerebrovascular diseases. The next most causes were different between

male and female. However, cancer and non communicable diseases were dominant eases for both

male and female groups. Conclusion: Verbal autopsy can be a viable tool to identify cause of death in

Vietnam though logistical challenges limit its use in conjunction with sample surveys.

Keywords: mortality pattern

MO HINH BENH TAT VA MOT SO BENH DICH Ll/U HANH TAI • • • • • •

BON XA THUOC TINH HA TAY CU NAM 2008 - 2009

Dao Thj Minh An, Nguyen Van Huy

TrUdng Dai hgc Y Ha Ndi

Muc tieu: md ta md hinh benh tat va tinh hinh mic mdt so benh djch lUu hinh tai mgt so diem cd

nguy cd cao tai tinh Ha Tay. Ddi ttfgng va Phtfang phap nghien cffu: hoi cdu so lieu tieu chay cap, viem

dudng hd ha'p cip va sd't xua't huyet dua tren so lieu ghi nhan tai y te xa va phdng van 4000 chii hg gia

dinh sif dung ky thuat "verbal autopsy" vi tlnb hlnb mic benh 2 tuin va trong nam qua theo 2 mua (He,

Ddng) tai 4 xa thudc tinh Ha Tay. Ke't qua: 5 van di sdc khoe mic benh cao nhai la hd hap, tieu hoa,

thin kinh va benh man tinh vdi cic ti le mic trong 2 tuin qua d 2 nam 2008 va 2009 tuang dng la

44.4%, 6,8%,14,9%, 8,9%o va 67,8%o,7,6%,5,8%, 1,4%o; md hinh benh tat lien quan trUc tie'p tdi ye'u td

thien tai va cic benh dich luu hanh trong cdng dong; cd sU chuyen dich td md hinh cac benh nhiem

triing sang md hinh kit hgp (nhiim trung va benh khdng nhiim triing); ngUdi trong do tuoi lao dgng cd

xu hudng mic cic benh man tinh; benh tieu chay, viem dUdng hd ha'p, sd't xuat huye't cd xu budng luu

hanh d thanh thi hdn khu vUc ndng thdn. Khuyen nghj: tang cUdng cdng tic phdng chdng dich benb

trudc mdi miia bao kit, giai quyet van di d nhiim moi trUdng Hen quan den benh man tinh trong cdng

dong, truyen thong, tU van vi nang cao sdc khoe cho ngUdi dan dac biet d lifa tuoi lao dgng va hoan

thien he thd'ng ghi nhan tai tram y te xa la nhifng van di cin sdm giai quyet.

Td khoa: Mo hinh benh tat, benh dich. Ha Tay

^ ,./ ,i

I. DAT VAN D E trien cho khu vdc, nhdng ddng thdi eung dat ra

Ha Tay 11 mdt tinh thudc Ddng Bang Sdng hing loat ele van dl , ma ndi len hdn c l la van

Hdng vdi dan sd khoing 2,5 trieu. Nam 2008, de v l ve sitih mdi trddng va van d l sdc khoe

Qud'c Hdi da sat nhap Ha Tay vao thanh phd benh t|t eua H I Tay ndi rieng va nhan dan Thu

H I Ndi (Nghj Quyet so 15/ 2008 ed hieu ldc thi dd ndi ehung vi Ha Tay nl m d cda ngd phfa

hanh ngay 01/08/2008). Viec md rdng dja gidi Tay cua Ha Ndi. Trong nhdng nam qua, tieu

hanh chinh thu dd md ra cd hdi rat ldn de phlt chl y cap, cum gia el m da xl y ra tren dja ban

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