The unfolding counter-transition in rural South Africa: mortality and cause of death, 1994-2009.
Identifieur interne : 000427 ( Main/Exploration ); précédent : 000426; suivant : 000428The unfolding counter-transition in rural South Africa: mortality and cause of death, 1994-2009.
Auteurs : Brian Houle [États-Unis] ; Samuel J. Clark [Royaume-Uni] ; F Xavier G Mez-Olivé [Ghana] ; Kathleen Kahn [Ghana] ; Stephen M. Tollman [Ghana]Source :
- PloS one [ 1932-6203 ] ; 2014.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Cause de décès, Enfant, Facteurs de risque, Femelle, Histoire du 20ème siècle, Histoire du 21ème siècle, Humains, Infections à VIH (histoire), Infections à VIH (épidémiologie), Jeune adulte, Mâle, Population rurale, République d'Afrique du Sud (épidémiologie), Surveillance de la santé publique.
- MESH :
- histoire : Infections à VIH.
- épidémiologie : Infections à VIH, République d'Afrique du Sud.
- Adolescent, Adulte, Adulte d'âge moyen, Cause de décès, Enfant, Facteurs de risque, Femelle, Histoire du 20ème siècle, Histoire du 21ème siècle, Humains, Jeune adulte, Mâle, Population rurale, Surveillance de la santé publique.
- Wicri :
- geographic : Afrique du Sud.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : South Africa.
- epidemiology : HIV Infections.
- history : HIV Infections.
- Adolescent, Adult, Cause of Death, Child, Female, History, 20th Century, History, 21st Century, Humans, Male, Middle Aged, Public Health Surveillance, Risk Factors, Rural Population, Young Adult.
Abstract
The HIV pandemic has led to dramatic increases and inequalities in adult mortality, and the diffusion of antiretroviral treatment, together with demographic and socioeconomic shifts in sub-Saharan Africa, has further changed mortality patterns. We describe all-cause and cause-specific mortality patterns in rural South Africa, analyzing data from the Agincourt health and socio-demographic surveillance system from 1994 to 2009 for those aged 5 years and older. Mortality increased during that period, particularly after 2002 for ages 30-69. HIV/AIDS and TB deaths increased and recently plateaued at high levels in people under age 60. Noncommunicable disease deaths increased among those under 60, and recently also increased among those over 60. There was an inverse gradient between mortality and household SES, particularly for deaths due to HIV/AIDS and TB and noncommunicable diseases. A smaller and less consistent gradient emerged for deaths due to other communicable diseases. Deaths due to injuries remained an important mortality risk for males but did not vary by SES. Rural South Africa continues to have a high burden of HIV/AIDS and TB mortality while deaths from noncommunicable diseases have increased, and both of these cause-categories show social inequalities in mortality.
DOI: 10.1371/journal.pone.0100420
PubMed: 24959714
Affiliations:
- Ghana, Royaume-Uni, États-Unis
- Angleterre, Colorado, Grand Londres, Région du Grand Accra
- Accra, Londres, Seattle
- Université de Washington, Université du Witwatersrand
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Le document en format XML
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Clark</name><affiliation wicri:level="4"><nlm:affiliation>Department of Sociology, University of Washington, Seattle, Washington, United States of America; Institute of Behavioral Science (IBS), University of Colorado at Boulder, Boulder, Colorado, United States of America; MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; INDEPTH Network, Accra, Ghana; ALPHA Network, London, United Kingdom.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Sociology, University of Washington, Seattle, Washington, United States of America; Institute of Behavioral Science (IBS), University of Colorado at Boulder, Boulder, Colorado, United States of America; MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; INDEPTH Network, Accra, Ghana; ALPHA Network, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><orgName type="university">Université de Washington</orgName></affiliation></author><author><name sortKey="G Mez Olive, F Xavier" sort="G Mez Olive, F Xavier" uniqKey="G Mez Olive F" first="F Xavier" last="G Mez-Olivé">F Xavier G Mez-Olivé</name><affiliation wicri:level="4"><nlm:affiliation>MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; INDEPTH Network, Accra, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; INDEPTH Network, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Witwatersrand</orgName></affiliation></author><author><name sortKey="Kahn, Kathleen" sort="Kahn, Kathleen" uniqKey="Kahn K" first="Kathleen" last="Kahn">Kathleen Kahn</name><affiliation wicri:level="3"><nlm:affiliation>Institute of Behavioral Science (IBS), University of Colorado at Boulder, Boulder, Colorado, United States of America; MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Centre for Global Health Research, Umeå University, Umeå, Sweden; INDEPTH Network, Accra, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Institute of Behavioral Science (IBS), University of Colorado at Boulder, Boulder, Colorado, United States of America; MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Centre for Global Health Research, Umeå University, Umeå, Sweden; INDEPTH Network, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Tollman, Stephen M" sort="Tollman, Stephen M" uniqKey="Tollman S" first="Stephen M" last="Tollman">Stephen M. Tollman</name><affiliation wicri:level="3"><nlm:affiliation>Institute of Behavioral Science (IBS), University of Colorado at Boulder, Boulder, Colorado, United States of America; MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Centre for Global Health Research, Umeå University, Umeå, Sweden; INDEPTH Network, Accra, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Institute of Behavioral Science (IBS), University of Colorado at Boulder, Boulder, Colorado, United States of America; MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Centre for Global Health Research, Umeå University, Umeå, Sweden; INDEPTH Network, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author></analytic><series><title level="j">PloS one</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Cause of Death</term><term>Child</term><term>Female</term><term>HIV Infections (epidemiology)</term><term>HIV Infections (history)</term><term>History, 20th Century</term><term>History, 21st Century</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Public Health Surveillance</term><term>Risk Factors</term><term>Rural Population</term><term>South Africa (epidemiology)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Cause de décès</term><term>Enfant</term><term>Facteurs de risque</term><term>Femelle</term><term>Histoire du 20ème siècle</term><term>Histoire du 21ème siècle</term><term>Humains</term><term>Infections à VIH (histoire)</term><term>Infections à VIH (épidémiologie)</term><term>Jeune adulte</term><term>Mâle</term><term>Population rurale</term><term>République d'Afrique du Sud (épidémiologie)</term><term>Surveillance de la santé publique</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>South Africa</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="histoire" xml:lang="fr"><term>Infections à VIH</term></keywords><keywords scheme="MESH" qualifier="history" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à VIH</term><term>République d'Afrique du Sud</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Cause of Death</term><term>Child</term><term>Female</term><term>History, 20th Century</term><term>History, 21st Century</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Public Health Surveillance</term><term>Risk Factors</term><term>Rural Population</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Cause de décès</term><term>Enfant</term><term>Facteurs de risque</term><term>Femelle</term><term>Histoire du 20ème siècle</term><term>Histoire du 21ème siècle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Population rurale</term><term>Surveillance de la santé publique</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Afrique du Sud</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The HIV pandemic has led to dramatic increases and inequalities in adult mortality, and the diffusion of antiretroviral treatment, together with demographic and socioeconomic shifts in sub-Saharan Africa, has further changed mortality patterns. We describe all-cause and cause-specific mortality patterns in rural South Africa, analyzing data from the Agincourt health and socio-demographic surveillance system from 1994 to 2009 for those aged 5 years and older. Mortality increased during that period, particularly after 2002 for ages 30-69. HIV/AIDS and TB deaths increased and recently plateaued at high levels in people under age 60. Noncommunicable disease deaths increased among those under 60, and recently also increased among those over 60. There was an inverse gradient between mortality and household SES, particularly for deaths due to HIV/AIDS and TB and noncommunicable diseases. A smaller and less consistent gradient emerged for deaths due to other communicable diseases. Deaths due to injuries remained an important mortality risk for males but did not vary by SES. Rural South Africa continues to have a high burden of HIV/AIDS and TB mortality while deaths from noncommunicable diseases have increased, and both of these cause-categories show social inequalities in mortality.</div></front></TEI><affiliations><list><country><li>Ghana</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Colorado</li><li>Grand Londres</li><li>Région du Grand Accra</li></region><settlement><li>Accra</li><li>Londres</li><li>Seattle</li></settlement><orgName><li>Université de Washington</li><li>Université du Witwatersrand</li></orgName></list><tree><country name="États-Unis"><region name="Colorado"><name sortKey="Houle, Brian" sort="Houle, Brian" uniqKey="Houle B" first="Brian" last="Houle">Brian Houle</name></region></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Clark, Samuel J" sort="Clark, Samuel J" uniqKey="Clark S" first="Samuel J" last="Clark">Samuel J. Clark</name></region></country><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="G Mez Olive, F Xavier" sort="G Mez Olive, F Xavier" uniqKey="G Mez Olive F" first="F Xavier" last="G Mez-Olivé">F Xavier G Mez-Olivé</name></region><name sortKey="Kahn, Kathleen" sort="Kahn, Kathleen" uniqKey="Kahn K" first="Kathleen" last="Kahn">Kathleen Kahn</name><name sortKey="Tollman, Stephen M" sort="Tollman, Stephen M" uniqKey="Tollman S" first="Stephen M" last="Tollman">Stephen M. Tollman</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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