Mô hình tử vong ở Việt Nam: kết quả từ nghiên cứu điều tra nguyên nhân tử vong bằng phương pháp phỏng vấn

TCNCYH Phil truang 70 (5) -2010

in comparison to the national once, double burden of disease was revealed with highest proportion of

infectious/paratologieal diseases (Group I) together high proportion of NCDs. (2) The difference in

disease patterns among was fond only at the hospitals. Children hospitalized with infectious/

parsitologieal diseases while adult patients often with cardiovascular diseases in compare to Group I

(14.7% and 12% respectively). Both children and adults came to The CHSs mostly with respiratory

symptoms but children with that condition more often than adults (76% and 48.8% respectively).

Keywords: disease patents

MO HINH TU" VONG 0 VIET NAM:

KET QUA TL/ NGHIEN CLfU DIEU TRA NGUYEN NHAN TLf VONG

BANG PHUONG PHAP PHONG VAN

Nguyen Thj Kim Chuc\ Nguyen Hoang Long^

^TrUdng Dai hgc Y Hi Ngi; ^Bg Y te

Sd lieu thd'ng ke vi tif vong ndi chung cung nhU nguyen nhin td vong ndi chung d Viet Nam hien

nay chUa day du, nghien cdu nay nham cac muc tieu: (1) Xac djnh mifc do day du cua sd lieu td vong

hien cd va (2) xic djnh nguyen nhan td vong (tren toan qud'c) bang phUdng phap phong van. Ddi ttfgng

va phtfang pbap nghien cffu: phdng van 6798 ngUdi cd quan he gin gul vdl ngUdI da mat bing bg cau

hoi chuan cua WHO. Danh sach cac trUdng hgp td vong dugc lay td diiu tra bien dgng dan sd nam

2007 ciia Tong cue Thd'ng ke. Ap dung phuang phap Preston - Coale de danh gia mde do diy du cua sd

lieu tif vong tif diiu tra bien dgng dan so. So lieu td vong ciia moi nhdm tudi va gidi deu dugc hieu

chinh de tinh toan do day du ciia so lieu. Ket qua: do diy dii ciia so lieu td vong la 69% ddi vdi nam

gidi va 54% dd'i vdi nif. T'y le nay thay doi theo vung dja I'y. Cd 10% so td vong (dd'i vdi nam) va 15%

(ddi vdi ntf) khdng xac dinh dugc nguyen nhan td vong bing phUdng phap phdng van. Nguyen nhan

chinh gay td vong d ca nam va nO la cic benh tim mach. Cac nguyen nhan til vong tiep theo khac nhau

ddi vdi nam va nO. Tuy nhien, ung thU va cac benh khdng lay nhiim vin la cic nguyen nhan ndi troi

dd'i vdi ca nam va nd. Ket luan: cd the ip dung phuang phip xic dinh nguyen nhan td vong bing

phuong phap phdng van d Viet Nam mac dii viec sd dung so lieu td vong td cac cugc diiu tra cung co

nhtfng ban che.

Td khoa: nguyen nhan td vong, mo hinh tiif vong

I. DAT VA N D E trong nhdng yeu to' gilm sit sd ehuyen ddi nay

Viet Nam dang trong giai doan ehuyen djeh va gdp phin vao viee hoach djnh chinh sach

nhan khau hoc, vdi viec gil m ty le sinh va hai dda vao bang chdng nham han che nhdng

thap ky qua, tang ding ke sdtre em sd'ng sdt [1, trddng hc3p td vong cd the trlnh dddc dd'i vdi

2]. Xu the ve nhan khau hoc da eho tha'y sd ngddi Idn. Tuy nhien ngudn sd' lieu thd'ng ke

ngddi ed tudi ngly cang tang ddng thdi ginh ehinh thdc v l tdng cac trddng hpp td vdng cung

nang benh tat dang djeh chuyen td d e benh nhd d e nguyen nhan td vong hien nay d Viet

lay truyin sang d c benh khdng lay truyin [3]. Nam chda cd [4]. Sd lieu v l td vong cung nhd

Sd lieu chinh xlc ve md hinh td vong se la mdt nguyen nhan td vong chi dddc tha'y d mot sd

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