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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Public Library of Science
2023
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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. |
format | Online Article Text |
id | pubmed-10021511 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
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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