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Socio-Demographic Determinants of Mortality from Chronic Noncommunicable Diseases in Women of Reproductive Age in the Republic of Georgia: Evidence from the National Reproductive Age Mortality Study (2014)
PURPOSE: Worldwide, noncommunicable diseases (NCDs) are the leading cause of premature death of women, taking the highest toll in developing countries. This study aimed to identify key socio-demographic determinants of NCD mortality in reproductive-aged women (15–49 years) in Georgia. MATERIALS AND...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7051896/ https://www.ncbi.nlm.nih.gov/pubmed/32161506 http://dx.doi.org/10.2147/IJWH.S235755 |
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author | Lomia, Nino Berdzuli, Nino Pestvenidze, Ekaterine Sturua, Lela Sharashidze, Nino Kereselidze, Maia Topuridze, Marina Antelava, Tamar Stray-Pedersen, Babill Stray-Pedersen, Arne |
author_facet | Lomia, Nino Berdzuli, Nino Pestvenidze, Ekaterine Sturua, Lela Sharashidze, Nino Kereselidze, Maia Topuridze, Marina Antelava, Tamar Stray-Pedersen, Babill Stray-Pedersen, Arne |
author_sort | Lomia, Nino |
collection | PubMed |
description | PURPOSE: Worldwide, noncommunicable diseases (NCDs) are the leading cause of premature death of women, taking the highest toll in developing countries. This study aimed to identify key socio-demographic determinants of NCD mortality in reproductive-aged women (15–49 years) in Georgia. MATERIALS AND METHODS: The study employed the verbal autopsy data from the second National Reproductive Age Mortality Survey 2014. Univariate and multivariate logistic regression models were fitted to explore the association between each risk factor and NCD mortality, measured by crude and adjusted odds ratio (AOR) with respective 95% confidence intervals (95% CI). RESULTS: In the final sample of 843 women, 586 (69.5%) deaths were attributed to NCDs, the majority of which occurred outside a hospital (72.7%) and among women aged 45–49 years (46.8%), ethnic Georgians (85.2%), urban residents (60.1%), those being married (60.6%), unemployed (75.1%) or having secondary and higher education (69.5%), but with nearly equal distribution across the wealth quintiles. After multivariate adjustment, the odds of dying from NCDs were significantly higher in women aged 45–49 years (AOR=17.69, 95% CI= 9.35 to 33.50), those being least educated (AOR=1.55, 95% CI= 1.01 to 2.37) and unemployed (AOR=1.47, 95% CI= 1.01 to 2.14) compared, respectively, to their youngest (15–24 years), more educated and employed counterparts. Strikingly, the adjusted odds were significantly lower in “other” ethnic minorities (AOR=0.29, 95% CI= 0.14 to 0.61) relative to ethnic Georgians. Contrariwise, there were no significant associations between NCD mortality and women’s marital or wealth status, place of residence (rural/urban) or place of death. CONCLUSION: Age, ethnicity, education, and employment were found to be strong independent predictors of young women’s NCD mortality in Georgia. Further research on root causes of inequalities in mortality across the socioeconomic spectrum is warranted to inform equity- and life course-based multisectoral, integrated policy responses that would be conducive to enhancing women’s survival during and beyond reproduction. |
format | Online Article Text |
id | pubmed-7051896 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-70518962020-03-11 Socio-Demographic Determinants of Mortality from Chronic Noncommunicable Diseases in Women of Reproductive Age in the Republic of Georgia: Evidence from the National Reproductive Age Mortality Study (2014) Lomia, Nino Berdzuli, Nino Pestvenidze, Ekaterine Sturua, Lela Sharashidze, Nino Kereselidze, Maia Topuridze, Marina Antelava, Tamar Stray-Pedersen, Babill Stray-Pedersen, Arne Int J Womens Health Original Research PURPOSE: Worldwide, noncommunicable diseases (NCDs) are the leading cause of premature death of women, taking the highest toll in developing countries. This study aimed to identify key socio-demographic determinants of NCD mortality in reproductive-aged women (15–49 years) in Georgia. MATERIALS AND METHODS: The study employed the verbal autopsy data from the second National Reproductive Age Mortality Survey 2014. Univariate and multivariate logistic regression models were fitted to explore the association between each risk factor and NCD mortality, measured by crude and adjusted odds ratio (AOR) with respective 95% confidence intervals (95% CI). RESULTS: In the final sample of 843 women, 586 (69.5%) deaths were attributed to NCDs, the majority of which occurred outside a hospital (72.7%) and among women aged 45–49 years (46.8%), ethnic Georgians (85.2%), urban residents (60.1%), those being married (60.6%), unemployed (75.1%) or having secondary and higher education (69.5%), but with nearly equal distribution across the wealth quintiles. After multivariate adjustment, the odds of dying from NCDs were significantly higher in women aged 45–49 years (AOR=17.69, 95% CI= 9.35 to 33.50), those being least educated (AOR=1.55, 95% CI= 1.01 to 2.37) and unemployed (AOR=1.47, 95% CI= 1.01 to 2.14) compared, respectively, to their youngest (15–24 years), more educated and employed counterparts. Strikingly, the adjusted odds were significantly lower in “other” ethnic minorities (AOR=0.29, 95% CI= 0.14 to 0.61) relative to ethnic Georgians. Contrariwise, there were no significant associations between NCD mortality and women’s marital or wealth status, place of residence (rural/urban) or place of death. CONCLUSION: Age, ethnicity, education, and employment were found to be strong independent predictors of young women’s NCD mortality in Georgia. Further research on root causes of inequalities in mortality across the socioeconomic spectrum is warranted to inform equity- and life course-based multisectoral, integrated policy responses that would be conducive to enhancing women’s survival during and beyond reproduction. Dove 2020-02-27 /pmc/articles/PMC7051896/ /pubmed/32161506 http://dx.doi.org/10.2147/IJWH.S235755 Text en © 2020 Lomia et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Lomia, Nino Berdzuli, Nino Pestvenidze, Ekaterine Sturua, Lela Sharashidze, Nino Kereselidze, Maia Topuridze, Marina Antelava, Tamar Stray-Pedersen, Babill Stray-Pedersen, Arne Socio-Demographic Determinants of Mortality from Chronic Noncommunicable Diseases in Women of Reproductive Age in the Republic of Georgia: Evidence from the National Reproductive Age Mortality Study (2014) |
title | Socio-Demographic Determinants of Mortality from Chronic Noncommunicable Diseases in Women of Reproductive Age in the Republic of Georgia: Evidence from the National Reproductive Age Mortality Study (2014) |
title_full | Socio-Demographic Determinants of Mortality from Chronic Noncommunicable Diseases in Women of Reproductive Age in the Republic of Georgia: Evidence from the National Reproductive Age Mortality Study (2014) |
title_fullStr | Socio-Demographic Determinants of Mortality from Chronic Noncommunicable Diseases in Women of Reproductive Age in the Republic of Georgia: Evidence from the National Reproductive Age Mortality Study (2014) |
title_full_unstemmed | Socio-Demographic Determinants of Mortality from Chronic Noncommunicable Diseases in Women of Reproductive Age in the Republic of Georgia: Evidence from the National Reproductive Age Mortality Study (2014) |
title_short | Socio-Demographic Determinants of Mortality from Chronic Noncommunicable Diseases in Women of Reproductive Age in the Republic of Georgia: Evidence from the National Reproductive Age Mortality Study (2014) |
title_sort | socio-demographic determinants of mortality from chronic noncommunicable diseases in women of reproductive age in the republic of georgia: evidence from the national reproductive age mortality study (2014) |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7051896/ https://www.ncbi.nlm.nih.gov/pubmed/32161506 http://dx.doi.org/10.2147/IJWH.S235755 |
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