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Cause-Specific Mortality Fraction (CSMF) of adult mortality in Butajira, South Central Ethiopia

Cause- and context-specific mortality data are imperative to understand the extent of health problems in low-income settings, where national death registration and cause of death identification systems are at a rudimentary stage. Aiming to estimate cause-specific mortality fractions, adult (15+ year...

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Autores principales: Aleme, Hailelule, Mekonnen, Wubegzier, Worku, Alemayehu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021511/
https://www.ncbi.nlm.nih.gov/pubmed/36962958
http://dx.doi.org/10.1371/journal.pgph.0000415
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author Aleme, Hailelule
Mekonnen, Wubegzier
Worku, Alemayehu
author_facet Aleme, Hailelule
Mekonnen, Wubegzier
Worku, Alemayehu
author_sort Aleme, Hailelule
collection PubMed
description Cause- and context-specific mortality data are imperative to understand the extent of health problems in low-income settings, where national death registration and cause of death identification systems are at a rudimentary stage. Aiming to estimate cause-specific mortality fractions, adult (15+ years) deaths between January 2008 and April 2020 were extracted from the Butajira health and demographic surveillance system electronic database. The physician review and a computerized algorithm, InterVA (Interpreting Verbal Autopsy), methods were used to assign the likely causes of death from January 2008 to April 2017 (the first) and May 2017 to April 2020 (the second) phase of the surveillance period, respectively. Initially, adult mortality rates per 1000py across sex and age were summarized. A total of 1,625 deaths were captured in 280, 461 person-years, with an overall mortality rate of 5.8 (95%CI: 5.5, 6.0) per 1000py. Principally, mortality fractions for each specific cause of death were estimated, and for 1,571 deaths, specific causes were determined. During the first phase, the leading cause of death was tuberculosis (13.6%), followed by hypertension (6.6%) and chronic liver disease (5.9%). During the second phase, digestive neoplasms (17.3%), tuberculosis (12.1%), and stroke (9.4%) were the leading causes of death, respectively. Moreover, tuberculosis was higher among persons aged 50+ (15.0%), males (13.8%), and in rural areas (14.1%) during the first phase. Hypertensive diseases were higher among females (7.9%) and in urbanities. In the second phase, digestive neoplasms were higher in the age group of 50–64 years (25.4%) and females (19.0%), and stroke was higher in older adults (65+) (10%) and marginally higher among males (9.7%). Our results showed that tuberculosis and digestive neoplasms were the most common causes of death. Hence, prevention, early detection, and management of cases at all levels of the existing healthcare system should be prioritized to avert premature mortality.
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spelling pubmed-100215112023-03-17 Cause-Specific Mortality Fraction (CSMF) of adult mortality in Butajira, South Central Ethiopia Aleme, Hailelule Mekonnen, Wubegzier Worku, Alemayehu PLOS Glob Public Health Research Article Cause- and context-specific mortality data are imperative to understand the extent of health problems in low-income settings, where national death registration and cause of death identification systems are at a rudimentary stage. Aiming to estimate cause-specific mortality fractions, adult (15+ years) deaths between January 2008 and April 2020 were extracted from the Butajira health and demographic surveillance system electronic database. The physician review and a computerized algorithm, InterVA (Interpreting Verbal Autopsy), methods were used to assign the likely causes of death from January 2008 to April 2017 (the first) and May 2017 to April 2020 (the second) phase of the surveillance period, respectively. Initially, adult mortality rates per 1000py across sex and age were summarized. A total of 1,625 deaths were captured in 280, 461 person-years, with an overall mortality rate of 5.8 (95%CI: 5.5, 6.0) per 1000py. Principally, mortality fractions for each specific cause of death were estimated, and for 1,571 deaths, specific causes were determined. During the first phase, the leading cause of death was tuberculosis (13.6%), followed by hypertension (6.6%) and chronic liver disease (5.9%). During the second phase, digestive neoplasms (17.3%), tuberculosis (12.1%), and stroke (9.4%) were the leading causes of death, respectively. Moreover, tuberculosis was higher among persons aged 50+ (15.0%), males (13.8%), and in rural areas (14.1%) during the first phase. Hypertensive diseases were higher among females (7.9%) and in urbanities. In the second phase, digestive neoplasms were higher in the age group of 50–64 years (25.4%) and females (19.0%), and stroke was higher in older adults (65+) (10%) and marginally higher among males (9.7%). Our results showed that tuberculosis and digestive neoplasms were the most common causes of death. Hence, prevention, early detection, and management of cases at all levels of the existing healthcare system should be prioritized to avert premature mortality. Public Library of Science 2023-03-13 /pmc/articles/PMC10021511/ /pubmed/36962958 http://dx.doi.org/10.1371/journal.pgph.0000415 Text en © 2023 Aleme et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Aleme, Hailelule
Mekonnen, Wubegzier
Worku, Alemayehu
Cause-Specific Mortality Fraction (CSMF) of adult mortality in Butajira, South Central Ethiopia
title Cause-Specific Mortality Fraction (CSMF) of adult mortality in Butajira, South Central Ethiopia
title_full Cause-Specific Mortality Fraction (CSMF) of adult mortality in Butajira, South Central Ethiopia
title_fullStr Cause-Specific Mortality Fraction (CSMF) of adult mortality in Butajira, South Central Ethiopia
title_full_unstemmed Cause-Specific Mortality Fraction (CSMF) of adult mortality in Butajira, South Central Ethiopia
title_short Cause-Specific Mortality Fraction (CSMF) of adult mortality in Butajira, South Central Ethiopia
title_sort cause-specific mortality fraction (csmf) of adult mortality in butajira, south central ethiopia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021511/
https://www.ncbi.nlm.nih.gov/pubmed/36962958
http://dx.doi.org/10.1371/journal.pgph.0000415
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