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Adult non-communicable disease mortality in Africa and Asia : evidence from INDEPTH Health and Demographic Surveillance System sites

Streatfield, P. Kim and Khan, Wasif A. and Bhuiya, Abbas and Hanifi, Syed M. A. and Alam, Nurul and Bagagnan, Cheik H. and Sié, Ali and Zabré, Pascal and Lankoandé, Bruno and Rossier, Clementine and Soura, Abdramane B. and Bonfoh, Bassirou and Kone, Siaka and Ngoran, Eliezer K. and Utzinger, Juerg and Haile, Fisaha and Melaku, Yohannes A. and Weldearegawi, Berhe and Gomez, Pierre and Jasseh, Momodou and Ansah, Patrick and Debpuur, Cornelius and Oduro, Abraham and Wak, George and Adjei, Alexander and Gyapong, Margaret and Sarpong, Doris and Kant, Shashi and Misra, Puneet and Rai, Sanjay K. and Juvekar, Sanjay and Lele, Pallavi and Bauni, Evasius and Mochamah, George and Ndila, Carolyne and Williams, Thomas N. and Laserson, Kayla F. and Nyaguara, Amek and Odhiambo, Frank O. and Phillips-Howard, Penelope and Ezeh, Alex and Kyobutungi, Catherine and Oti, Samuel and Crampin, Amelia and Nyirenda, Moffat and Price, Alison and Delaunay, Valérie and Diallo, Aldiouma and Douillot, Laetitia and Sokhna, Cheikh and Gómez-Olivé, F. Xavier and Kahn, Kathleen and Tollman, Stephen M. and Herbst, Kobus and Mossong, Joël and Chuc, Nguyen T. K. and Bangha, Martin and Sankoh, Osman A. and Byass, Peter. (2014) Adult non-communicable disease mortality in Africa and Asia : evidence from INDEPTH Health and Demographic Surveillance System sites. Global health action, Vol. 7 , 25365.

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Official URL: http://edoc.unibas.ch/dok/A6319282

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Abstract

Mortality from non-communicable diseases (NCDs) is a major global issue, as other categories of mortality have diminished and life expectancy has increased. The World Health Organization's Member States have called for a 25% reduction in premature NCD mortality by 2025, which can only be achieved by substantial reductions in risk factors and improvements in the management of chronic conditions. A high burden of NCD mortality among much older people, who have survived other hazards, is inevitable. The INDEPTH Network collects detailed individual data within defined Health and Demographic Surveillance sites. By registering deaths and carrying out verbal autopsies to determine cause of death across many such sites, using standardised methods, the Network seeks to generate population-based mortality statistics that are not otherwise available.; To describe patterns of adult NCD mortality from INDEPTH Network sites across Africa and Asia, according to the WHO 2012 verbal autopsy (VA) cause categories, with separate consideration of premature (15-64 years) and older (65+ years) NCD mortality.; All adult deaths at INDEPTH sites are routinely registered and followed up with VA interviews. For this study, VA archives were transformed into the WHO 2012 VA standard format and processed using the InterVA-4 model to assign cause of death. Routine surveillance data also provide person-time denominators for mortality rates.; A total of 80,726 adult (over 15 years) deaths were documented over 7,423,497 person-years of observation. NCDs were attributed as the cause for 35.6% of these deaths. Slightly less than half of adult NCD deaths occurred in the 15-64 age group. Detailed results are presented by age and sex for leading causes of NCD mortality. Per-site rates of NCD mortality were significantly correlated with rates of HIV/AIDS-related mortality.; These findings present important evidence on the distribution of NCD mortality across a wide range of African and Asian setting This comes against a background of global concern about the burden of NCD mortality, especially among adults aged under 70, and provides an important baseline for future work.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Former Units within Swiss TPH > Health Impact Assessment (Utzinger)
UniBasel Contributors:Utzinger, Jürg
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:Co-Action Publishing]
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:04 Sep 2015 14:32
Deposited On:09 Jan 2015 09:24

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