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首页> 外文期刊>Population health metrics >Assessing the repeatability of verbal autopsy for determining cause of death: two case studies among women of reproductive age in Burkina Faso and Indonesia
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Assessing the repeatability of verbal autopsy for determining cause of death: two case studies among women of reproductive age in Burkina Faso and Indonesia

机译：评估口头尸检以确定死亡原因的可重复性：布基纳法索和印度尼西亚育龄妇女的两个案例研究

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Background Verbal autopsy (VA) is an established tool for assessing cause-specific mortality patterns in communities where deaths are not routinely medically certified, and is an important source of data on deaths among the poorer half of the world's population. However, the repeatability of the VA process has never been investigated, even though it is an important factor in its overall validity. This study analyses repeatability in terms of the overall VA process (from interview to cause-specific mortality fractions (CSMF)), as well as specifically for interview material and individual causes of death, using data from Burkina Faso and Indonesia. Methods Two series of repeated VA interviews relating to women of reproductive age in Burkina Faso (n = 91) and Indonesia (n = 116) were analysed for repeatability in terms of interview material, individual causes of death and CSMFs. All the VA data were interpreted using the InterVA-M model, which provides 100% intrinsic repeatability for interpretation, and thus eliminated the need to consider variations or repeatability in physician coding. Results The repeatability of the overall VA process from interview to CSMFs was good in both countries. Repeatability was moderate in the interview material, and lower in terms of individual causes of death. Burkinabé data were less repeatable than Indonesian, and repeatability also declined with longer recall periods between the death and interview, particularly after two years. Conclusion While these analyses do not address the validity of the VA process in absolute terms, repeatability is a prerequisite for intrinsic validity. This study thus adds new understanding to the quest for reliable cause of death assessment in communities lacking routine medical certification of deaths, and confirms the status of VA as an important and reliable tool at the community level, but perhaps less so at the individual level.
机译：背景技术口头尸检（VA）是一种评估死因的方法，该方法用于评估没有常规医学证明死亡的社区中的死因，并且是世界上最贫穷的一半人口中死亡数据的重要来源。但是，尽管VA过程的可重复性是其整体有效性的重要因素，但从未对其进行过研究。这项研究使用来自布基纳法索和印度尼西亚的数据，从整个VA过程（从访谈到特定原因的死亡率（CSMF）），以及访谈材料和个人死亡原因方面分析了重复性。方法在布基纳法索（n = 91）和印度尼西亚（n = 116）的两个与育龄妇女有关的重复性VA访谈中，对访谈材料，个别死亡原因和CSMF进行了重复性分析。所有的VA数据均使用InterVA-M模型进行解释，该模型可提供100％的固有重复性，从而消除了在医生编码中考虑变异或重复性的需要。结果从访谈到CSMF，整个VA过程的可重复性在两个国家都很好。访谈材料的可重复性中等，而个人死亡原因的重复性较低。 Burkinabé数据的可重复性不及印度尼西亚，重复性也随着死亡和访谈之间的召回时间延长而下降，尤其是在两年后。结论虽然这些分析不能绝对地解决VA过程的有效性，但是重复性是固有有效性的前提。因此，这项研究为缺乏常规死亡医学证明的社区寻求可靠的死因评估提供了新的认识，并确认了VA在社区一级作为重要而可靠的工具的地位，但在个人层面上却不那么重要。

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