Estimating cause of adult (15+ years) death using InterVA-4 in a rural district of southern Ghana
Identifieur interne : 000493 ( Main/Exploration ); précédent : 000492; suivant : 000494Estimating cause of adult (15+ years) death using InterVA-4 in a rural district of southern Ghana
Auteurs : Elizabeth Awini [Ghana] ; Doris Sarpong [Ghana] ; Alexander Adjei [Ghana] ; Alfred Kwesi Manyeh [Ghana] ; Alberta Amu [Ghana] ; Patricia Akweongo [Ghana] ; Philip Adongo [Ghana] ; Vida Kukula [Ghana] ; Gabriel Odonkor [Ghana] ; Solomon Narh [Ghana] ; Margaret Gyapong [Ghana]Source :
- Global Health Action [ 1654-9716 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
- tendances : Mortalité.
- épidémiologie : Ghana.
- Adolescent, Adulte, Adulte d'âge moyen, Autopsie, Cause de décès, Collecte de données, Femelle, Humains, Logiciel, Mâle, Population rurale, Sujet âgé, Surveillance de la population.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Ghana.
- methods : Data Collection.
- trends : Mortality.
- Adolescent, Adult, Aged, Autopsy, Cause of Death, Female, Humans, Male, Middle Aged, Population Surveillance, Rural Population, Software.
Abstract
Data needed to estimate causes of death and the pattern of these deaths are scarce in sub-Saharan Africa. Such data are very important for targeting, monitoring, and evaluating health interventions.
To estimate the mortality rate and determine causes of death among adults (aged 15 years and older) in a rural district of southern Ghana, using the InterVA-4 model.
Data used were generated from verbal autopsies conducted for registered adult members of the Dodowa Health and Demographic Surveillance System who died between 2006 and 2010. The InterVA-4 model was used to assign the cause of death.
Overall, the mortality rate for the period under review was 7.5/1,000 person-years (py) for the general population and 10.4/1,000 py for those aged 15 and older. The leading cause of death was communicable diseases (CDs), with a malaria-specific mortality rate of 1.06/1,000 py. Pulmonary tuberculosis (TB)-specific mortality rate was the next highest (1.01/1,000 py). HIV/AIDS attributed deaths were lower among males than females. Non-communicable diseases (NCDs) contributed to 28.3% of the deaths with cause-specific mortality rate of 2.93/1,000 py. Stroke topped the list with cause-specific mortality rate of 0.69/1,000 py. As expected, young males (15–49 years) contributed to more road traffic accident (RTA) deaths; they had a lower RTA cause-specific mortality rate than older males (50–64 years).
Data indicate that CDs (e.g. malaria and TB) remain the major cause of death with NCDs (e.g. stroke) following closely behind. Verbal autopsy data can provide the causes of mortality in poorly resourced settings where access to timely and accurate data is scarce.
Url:
DOI: 10.3402/gha.v7.25543
PubMed: 25377337
PubMed Central: 4220134
Affiliations:
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Le document en format XML
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Health, University of Ghana, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation><affiliation wicri:level="3"><nlm:aff id="AF0003">INDEPTH Network, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>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="Sarpong, Doris" sort="Sarpong, Doris" uniqKey="Sarpong D" first="Doris" last="Sarpong">Doris Sarpong</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Dodowa Health Research Centre, Dodowa, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Dodowa Health Research Centre, Dodowa</wicri:regionArea><wicri:noRegion>Dodowa</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="AF0002">School of Public Health, University of Ghana, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>School of Public Health, University of Ghana, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation></author><author><name sortKey="Adjei, Alexander" sort="Adjei, Alexander" uniqKey="Adjei A" first="Alexander" last="Adjei">Alexander Adjei</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Dodowa Health Research Centre, Dodowa, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Dodowa Health Research Centre, Dodowa</wicri:regionArea><wicri:noRegion>Dodowa</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="AF0002">School of Public Health, University of Ghana, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>School of Public Health, 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of Ghana, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation><affiliation wicri:level="3"><nlm:aff id="AF0003">INDEPTH Network, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>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="Odonkor, Gabriel" sort="Odonkor, Gabriel" uniqKey="Odonkor G" first="Gabriel" last="Odonkor">Gabriel Odonkor</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Dodowa Health Research Centre, Dodowa, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Dodowa Health Research Centre, Dodowa</wicri:regionArea><wicri:noRegion>Dodowa</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="AF0002">School of Public Health, University of Ghana, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>School of Public Health, University of Ghana, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation></author><author><name sortKey="Narh, Solomon" sort="Narh, Solomon" uniqKey="Narh S" first="Solomon" last="Narh">Solomon Narh</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Dodowa Health Research Centre, Dodowa, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Dodowa Health Research Centre, Dodowa</wicri:regionArea><wicri:noRegion>Dodowa</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="AF0002">School of Public Health, University of Ghana, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>School of Public Health, University of Ghana, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation></author><author><name sortKey="Gyapong, Margaret" sort="Gyapong, Margaret" uniqKey="Gyapong M" first="Margaret" last="Gyapong">Margaret Gyapong</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Dodowa Health Research Centre, Dodowa, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Dodowa Health Research Centre, Dodowa</wicri:regionArea><wicri:noRegion>Dodowa</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="AF0002">School of Public Health, University of Ghana, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>School of Public Health, University of Ghana, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation></author></analytic><series><title level="j">Global Health Action</title><idno type="ISSN">1654-9716</idno><idno type="eISSN">1654-9880</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Autopsy</term><term>Cause of Death</term><term>Data Collection (methods)</term><term>Female</term><term>Ghana (epidemiology)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Mortality (trends)</term><term>Population Surveillance</term><term>Rural Population</term><term>Software</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Autopsie</term><term>Cause de décès</term><term>Collecte de données ()</term><term>Femelle</term><term>Ghana (épidémiologie)</term><term>Humains</term><term>Logiciel</term><term>Mortalité (tendances)</term><term>Mâle</term><term>Population rurale</term><term>Sujet âgé</term><term>Surveillance de la population</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Data Collection</term></keywords><keywords scheme="MESH" qualifier="tendances" xml:lang="fr"><term>Mortalité</term></keywords><keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Mortality</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Ghana</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Autopsy</term><term>Cause of Death</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Population Surveillance</term><term>Rural Population</term><term>Software</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Autopsie</term><term>Cause de décès</term><term>Collecte de données</term><term>Femelle</term><term>Humains</term><term>Logiciel</term><term>Mâle</term><term>Population rurale</term><term>Sujet âgé</term><term>Surveillance de la population</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background</title><p>Data needed to estimate causes of death and the pattern of these deaths are scarce in sub-Saharan Africa. Such data are very important for targeting, monitoring, and evaluating health interventions.</p></sec><sec id="st2"><title>Objective</title><p>To estimate the mortality rate and determine causes of death among adults (aged 15 years and older) in a rural district of southern Ghana, using the InterVA-4 model.</p></sec><sec id="st3"><title>Design</title><p>Data used were generated from verbal autopsies conducted for registered adult members of the Dodowa Health and Demographic Surveillance System who died between 2006 and 2010. The InterVA-4 model was used to assign the cause of death.</p></sec><sec id="st4"><title>Results</title><p>Overall, the mortality rate for the period under review was 7.5/1,000 person-years (py) for the general population and 10.4/1,000 py for those aged 15 and older. The leading cause of death was communicable diseases (CDs), with a malaria-specific mortality rate of 1.06/1,000 py. Pulmonary tuberculosis (TB)-specific mortality rate was the next highest (1.01/1,000 py). HIV/AIDS attributed deaths were lower among males than females. Non-communicable diseases (NCDs) contributed to 28.3% of the deaths with cause-specific mortality rate of 2.93/1,000 py. Stroke topped the list with cause-specific mortality rate of 0.69/1,000 py. As expected, young males (15–49 years) contributed to more road traffic accident (RTA) deaths; they had a lower RTA cause-specific mortality rate than older males (50–64 years).</p></sec><sec id="st5"><title>Conclusions</title><p>Data indicate that CDs (e.g. malaria and TB) remain the major cause of death with NCDs (e.g. stroke) following closely behind. 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Patricia" sort="Akweongo, Patricia" uniqKey="Akweongo P" first="Patricia" last="Akweongo">Patricia Akweongo</name><name sortKey="Akweongo, Patricia" sort="Akweongo, Patricia" uniqKey="Akweongo P" first="Patricia" last="Akweongo">Patricia Akweongo</name><name sortKey="Amu, Alberta" sort="Amu, Alberta" uniqKey="Amu A" first="Alberta" last="Amu">Alberta Amu</name><name sortKey="Amu, Alberta" sort="Amu, Alberta" uniqKey="Amu A" first="Alberta" last="Amu">Alberta Amu</name><name sortKey="Awini, Elizabeth" sort="Awini, Elizabeth" uniqKey="Awini E" first="Elizabeth" last="Awini">Elizabeth Awini</name><name sortKey="Awini, Elizabeth" sort="Awini, Elizabeth" uniqKey="Awini E" first="Elizabeth" last="Awini">Elizabeth Awini</name><name sortKey="Gyapong, Margaret" sort="Gyapong, Margaret" uniqKey="Gyapong M" first="Margaret" last="Gyapong">Margaret Gyapong</name><name sortKey="Gyapong, Margaret" sort="Gyapong, Margaret" uniqKey="Gyapong M" first="Margaret" last="Gyapong">Margaret Gyapong</name><name sortKey="Kukula, Vida" sort="Kukula, Vida" uniqKey="Kukula V" first="Vida" last="Kukula">Vida Kukula</name><name sortKey="Kukula, Vida" sort="Kukula, Vida" uniqKey="Kukula V" first="Vida" last="Kukula">Vida Kukula</name><name sortKey="Kukula, Vida" sort="Kukula, Vida" uniqKey="Kukula V" first="Vida" last="Kukula">Vida Kukula</name><name sortKey="Manyeh, Alfred Kwesi" sort="Manyeh, Alfred Kwesi" uniqKey="Manyeh A" first="Alfred Kwesi" last="Manyeh">Alfred Kwesi Manyeh</name><name sortKey="Manyeh, Alfred Kwesi" sort="Manyeh, Alfred Kwesi" uniqKey="Manyeh A" first="Alfred Kwesi" last="Manyeh">Alfred Kwesi Manyeh</name><name sortKey="Narh, Solomon" sort="Narh, Solomon" uniqKey="Narh S" first="Solomon" last="Narh">Solomon Narh</name><name sortKey="Narh, Solomon" sort="Narh, Solomon" uniqKey="Narh S" first="Solomon" last="Narh">Solomon Narh</name><name sortKey="Odonkor, Gabriel" sort="Odonkor, Gabriel" uniqKey="Odonkor G" first="Gabriel" last="Odonkor">Gabriel Odonkor</name><name sortKey="Odonkor, Gabriel" sort="Odonkor, Gabriel" uniqKey="Odonkor G" first="Gabriel" last="Odonkor">Gabriel Odonkor</name><name sortKey="Sarpong, Doris" sort="Sarpong, Doris" uniqKey="Sarpong D" first="Doris" last="Sarpong">Doris Sarpong</name><name sortKey="Sarpong, Doris" sort="Sarpong, Doris" uniqKey="Sarpong D" first="Doris" last="Sarpong">Doris Sarpong</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|type= RBID
|clé= PMC:4220134
|texte= Estimating cause of adult (15+ years) death using InterVA-4 in a rural district of southern Ghana
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:25377337" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a SidaGhanaV1
| This area was generated with Dilib version V0.6.31. |  |