دورية أكاديمية

Adult mortality in sub-Saharan Africa: cross-sectional study of causes of death in Zambia.

التفاصيل البيبلوغرافية
العنوان: Adult mortality in sub-Saharan Africa: cross-sectional study of causes of death in Zambia.
المؤلفون: Chisumpa VH; Demography and Population Studies Programme, Schools of Public Health and Social Sciences, University of the Witwatersrand, Johannesburg, South Africa.; Department of Population Studies, School of Humanities and Social Sciences, University of Zambia, Lusaka, Zambia., Odimegwu CO; Demography and Population Studies Programme, Schools of Public Health and Social Sciences, University of the Witwatersrand, Johannesburg, South Africa., Saikia N; School of Social Sciences, Centre for the Study of Regional Development, Jawaharlal Nehru University, New Delhi, India.; International Institute for Applied Systems Analysis, Laxenburg, Austria.
المصدر: Tropical medicine & international health : TM & IH [Trop Med Int Health] 2019 Oct; Vol. 24 (10), pp. 1208-1220. Date of Electronic Publication: 2019 Sep 11.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 9610576 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-3156 (Electronic) Linking ISSN: 13602276 NLM ISO Abbreviation: Trop Med Int Health Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford : Blackwell Scientific Publications
Original Publication: Oxford, UK : Blackwell Science Ltd, c1996-
مواضيع طبية MeSH: Cause of Death*, Accidents/*mortality , Acute Disease/*mortality , Chronic Disease/*mortality , Wounds and Injuries/*mortality, Adolescent ; Adult ; Age Factors ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Sex Factors ; Socioeconomic Factors ; Young Adult ; Zambia/epidemiology
مستخلص: Objective: To describe the age-sex pattern and socio-economic differentials in causes of death among adults between the ages of 15 and 59 years in Zambia.
Methods: Using data from the 2010-2012 Zambia sample vital registration with verbal autopsy survey, we calculated the percentage share of causes of death, the age-/sex cause-specific death ratio and cause-eliminated life expectancy at age 15.
Results: HIV/AIDS was the leading cause of death across all socio-economic subgroups contributing 40.7% of total deaths during the study period. This was followed by deaths due to injury and accidents (11.2%). Cause-specific death ratios due to HIV/AIDS increased by age and peaked in the 35-39 age group and were higher among females than males. The second-leading cause of death was injuries and accidents for males and tuberculosis for females. The third-leading cause of death was cardiovascular diseases for females and tuberculosis for males. Cause of death patterns varied notably by socio-economic characteristics. Deaths attributable to non-communicable diseases were more evident in adults aged 45-59 years. Eliminating HIV/AIDS in Zambia as a cause of death could raise life expectancy at age 15 by 5.7 years for males and by 6.4 years for females.
Conclusion: HIV/AIDS-related health programmes and interventions should be further supported and strengthened, as they would significantly contribute to the reduction in adult mortality in Zambia.
(© 2019 John Wiley & Sons Ltd.)
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فهرسة مساهمة: Keywords: HIV/AIDS; VIH/SIDA; Zambia; Zambie; adult mortality; autopsie verbale; cause de décès; cause of death; cause-deleted life table; mortalité d'adultes; table de mortalité en l'absence d'une cause; verbal autopsy
Local Abstract: [Publisher, French] Décrire les profilsselon l’âge et le sexe, et les différences socioéconomiques dans les causes de décès chez les adultes âgés de 15 à 59 ans en Zambie. MÉTHODES: En utilisant les données de l'enregistrement de l’état civil d'un échantillon de la Zambie de 2010 à 2012 avec l'enquête sur l'autopsie verbale, nous avons calculé la part en pourcentage des causes de décès, le taux de mortalité selon l’âge et le sexe et l'espérance de vie éliminée à 15 ans. RÉSULTATS: Le VIH/SIDA était la principale cause de décès dans tous les sous-groupes socioéconomiques, contribuant à 40,7% du nombre total de décès au cours de la période de l’étude. Viennent ensuite les décès par blessures et accidents (11,2%). Les taux de mortalité par cause dus au VIH/SIDA ont augmenté avec l’âge et ont culminé dans le groupe d’âge des 35 à 39 ans et étaient plus élevés chez les femmes que chez les hommes. La deuxième cause de décès était les blessures et les accidents chez les femmes et la tuberculose chez les hommes. Latroisième cause de décès était les maladies cardiovasculaires chez les femmes et la tuberculose chez les hommes. Les causes de décès variaient notamment en fonction des caractéristiques socioéconomiques. Les décès imputables aux maladies non transmissibles étaient plus évidents chez les adultes âgés de 45 à 59 ans. L’élimination du VIH/SIDA en Zambie en tant que cause de décès pourrait augmenter l'espérance de vie à 15 ans de 5,77 ans pour les hommes et de 6,40 ans pour les femmes. [Publisher, French] Les programmes et interventions de santé liés au VIH/SIDA devraient être davantage soutenus et renforcés, car ils contribueraient de manière significative à la réduction de la mortalité des adultes en Zambie.
تواريخ الأحداث: Date Created: 20190818 Date Completed: 20200601 Latest Revision: 20200601
رمز التحديث: 20240628
DOI: 10.1111/tmi.13302
PMID: 31420929
قاعدة البيانات: MEDLINE
الوصف
تدمد:1365-3156
DOI:10.1111/tmi.13302