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Mortality and life expectancy in Kiribati based on analysis of reported deaths

BACKGROUND: Kiribati is an atoll country of 103,058 (2010 Census) situated in the central Pacific. Previous mortality estimates have been derived from demographic analyses of census data. This is the first mortality analysis based on reported deaths. METHODS: Recorded deaths were from the Ministry o...

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Autores principales: Carter, Karen L., Baiteke, Tibwataake, Teea, Tiensi, Tabunga, Teanibuaka, Itienang, Mantarae, Rao, Chalapati, Lopez, Alan D., Taylor, Richard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4772294/
https://www.ncbi.nlm.nih.gov/pubmed/26933387
http://dx.doi.org/10.1186/s12963-016-0072-6
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author Carter, Karen L.
Baiteke, Tibwataake
Teea, Tiensi
Tabunga, Teanibuaka
Itienang, Mantarae
Rao, Chalapati
Lopez, Alan D.
Taylor, Richard
author_facet Carter, Karen L.
Baiteke, Tibwataake
Teea, Tiensi
Tabunga, Teanibuaka
Itienang, Mantarae
Rao, Chalapati
Lopez, Alan D.
Taylor, Richard
author_sort Carter, Karen L.
collection PubMed
description BACKGROUND: Kiribati is an atoll country of 103,058 (2010 Census) situated in the central Pacific. Previous mortality estimates have been derived from demographic analyses of census data. This is the first mortality analysis based on reported deaths. METHODS: Recorded deaths were from the Ministry of Health and the Civil Registration Office for 2000–2009; populations were from the 2000, 2005, and 2010 censuses. Duplicate death records were removed by matching deaths within and between data sources using a combination of names, date of death, age, sex, island of residence, and cause of death. Probability of dying <5 years ((5)q(0)) and 15–59 years ((45)q(15)), and life expectancy (LE) at birth, were computed with 95 % confidence intervals. These data were compared with previous census analyses. RESULTS: There were 8,681 unique deaths reported over the decade 2000–2009 in Kiribati. The reconciled mortality data indicate (5)q(0) for both sexes of 64 per 1,000 live births in 2000–2004, and 51 for 2005–2009 (assuming no under-enumeration), compared with 69 and 59 for comparable periods from the 2005 and 2010 census analyses (children ever-born/children surviving method). Based on reconciled deaths, LE at birth (e(0)) for males was 54 years for 2000–2004 and 55 years in 2005–2009, five years lower than the 2005 and 2010 census estimates for comparable periods of 59 and 58 years. Female LE was 62 years for 2000–2004 and 63 years for 2005–2009, two-three years less than estimates for comparable periods of 63 and 66 years from the 2005 and 2010 census analyses. Adult mortality ((45)q(15)) was 47-48 % in males and 27-28 % in females from reconciled mortality over 2000–2009, higher than census estimates of 34-38 % in males and 21-26 % in females for the same periods. The reconciled data are very likely to be incomplete and actual mortality higher and life expectancy lower than reported here. CONCLUSION: This analysis indicates higher mortality than indirect demographic methods from the 2005 and 2010 Censuses. Reported deaths are most likely under-reported; especially (5)q(0), as many early neonatal deaths are probably classified as stillbirths. These analyses suggest that the health situation in Kiribati is more serious and urgent than previously appreciated. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12963-016-0072-6) contains supplementary material, which is available to authorized users.
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spelling pubmed-47722942016-03-02 Mortality and life expectancy in Kiribati based on analysis of reported deaths Carter, Karen L. Baiteke, Tibwataake Teea, Tiensi Tabunga, Teanibuaka Itienang, Mantarae Rao, Chalapati Lopez, Alan D. Taylor, Richard Popul Health Metr Research BACKGROUND: Kiribati is an atoll country of 103,058 (2010 Census) situated in the central Pacific. Previous mortality estimates have been derived from demographic analyses of census data. This is the first mortality analysis based on reported deaths. METHODS: Recorded deaths were from the Ministry of Health and the Civil Registration Office for 2000–2009; populations were from the 2000, 2005, and 2010 censuses. Duplicate death records were removed by matching deaths within and between data sources using a combination of names, date of death, age, sex, island of residence, and cause of death. Probability of dying <5 years ((5)q(0)) and 15–59 years ((45)q(15)), and life expectancy (LE) at birth, were computed with 95 % confidence intervals. These data were compared with previous census analyses. RESULTS: There were 8,681 unique deaths reported over the decade 2000–2009 in Kiribati. The reconciled mortality data indicate (5)q(0) for both sexes of 64 per 1,000 live births in 2000–2004, and 51 for 2005–2009 (assuming no under-enumeration), compared with 69 and 59 for comparable periods from the 2005 and 2010 census analyses (children ever-born/children surviving method). Based on reconciled deaths, LE at birth (e(0)) for males was 54 years for 2000–2004 and 55 years in 2005–2009, five years lower than the 2005 and 2010 census estimates for comparable periods of 59 and 58 years. Female LE was 62 years for 2000–2004 and 63 years for 2005–2009, two-three years less than estimates for comparable periods of 63 and 66 years from the 2005 and 2010 census analyses. Adult mortality ((45)q(15)) was 47-48 % in males and 27-28 % in females from reconciled mortality over 2000–2009, higher than census estimates of 34-38 % in males and 21-26 % in females for the same periods. The reconciled data are very likely to be incomplete and actual mortality higher and life expectancy lower than reported here. CONCLUSION: This analysis indicates higher mortality than indirect demographic methods from the 2005 and 2010 Censuses. Reported deaths are most likely under-reported; especially (5)q(0), as many early neonatal deaths are probably classified as stillbirths. These analyses suggest that the health situation in Kiribati is more serious and urgent than previously appreciated. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12963-016-0072-6) contains supplementary material, which is available to authorized users. BioMed Central 2016-02-29 /pmc/articles/PMC4772294/ /pubmed/26933387 http://dx.doi.org/10.1186/s12963-016-0072-6 Text en © Carter et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Carter, Karen L.
Baiteke, Tibwataake
Teea, Tiensi
Tabunga, Teanibuaka
Itienang, Mantarae
Rao, Chalapati
Lopez, Alan D.
Taylor, Richard
Mortality and life expectancy in Kiribati based on analysis of reported deaths
title Mortality and life expectancy in Kiribati based on analysis of reported deaths
title_full Mortality and life expectancy in Kiribati based on analysis of reported deaths
title_fullStr Mortality and life expectancy in Kiribati based on analysis of reported deaths
title_full_unstemmed Mortality and life expectancy in Kiribati based on analysis of reported deaths
title_short Mortality and life expectancy in Kiribati based on analysis of reported deaths
title_sort mortality and life expectancy in kiribati based on analysis of reported deaths
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4772294/
https://www.ncbi.nlm.nih.gov/pubmed/26933387
http://dx.doi.org/10.1186/s12963-016-0072-6
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