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

Global Health Action

Siaka Kone¹  F. Xavier Gómez-Olivé¹  Valérie Delaunay¹  Yohannes A. Melaku¹  Pallavi Lele¹  Martin Bangha¹  Cornelius Debpuur¹  Laetitia Douillot¹  Patrick Ansah¹  Sanjay K. Rai¹  Doris Sarpong¹  Frank O. Odhiambo¹  Abbas Bhuiya¹  Amek Nyaguara¹  Catherine Kyobutungi¹  Osman A. Sankoh¹  Juerg Utzinger¹  Thomas N. Williams¹  Nurul Alam¹  Ali Sié¹  Alex Ezeh¹  Margaret Gyapong¹  Abdramane B. Soura¹  Pascal Zabré¹  George Mochamah¹  Joël Mossong¹  Clementine Rossier¹  Berhe Weldearegawi¹  Penelope Phillips-Howard¹  Amelia Crampin¹  Cheik H. Bagagnan¹  Bassirou Bonfoh¹  Kathleen Kahn¹  Bruno Lankoandé¹  Momodou Jasseh¹  Aldiouma Diallo¹  Pierre Gomez¹  Alison Price¹  Fisaha Haile¹  Stephen M. Tollman¹  Peter Byass¹  George Wak¹  Nguyen T.K. Chuc¹  Moffat Nyirenda¹  Kobus Herbst¹  Cheikh Sokhna¹  Alexander Adjei¹  Syed M.A. Hanifi¹  Sanjay Juvekar¹  Eliezer K. Ngoran¹  Carolyne Ndila¹  Samuel Oti¹  Puneet Misra¹  Abraham Oduro¹  Kayla F. Laserson¹  Shashi Kant¹  Evasius Bauni¹  Wasif A. Khan²  P. Kim Streatfield³ 

[1] INDEPTH Network, Accra, Ghana;International Centre for Diarrhoeal Disease Research, Bangladesh;Matlab HDSS, Bangladesh;

关键词: adults;    non-communicable disease;    Africa;    Asia;    mortality;    INDEPTH Network;    verbal autopsy;    InterVA;   

DOI  :  10.3402/gha.v7.25365

来源: DOAJ

【 摘 要 】

Background: 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. Objective: 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. Design: 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. Results: 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. Conclusions: These findings present important evidence on the distribution of NCD mortality across a wide range of African and Asian settings. 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.

【 授权许可】

Unknown