Le SIDA en Afrique subsaharienne (serveur d'exploration)

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<title xml:lang="en">Time series analysis of maternal mortality in Africa from 1990 to 2005</title>
<author>
<name sortKey="Dersarkissian, Maral" sort="Dersarkissian, Maral" uniqKey="Dersarkissian M" first="Maral" last="Dersarkissian">Maral Dersarkissian</name>
<affiliation>
<nlm:aff id="A1">Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, California, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Thompson, Caroline A" sort="Thompson, Caroline A" uniqKey="Thompson C" first="Caroline A" last="Thompson">Caroline A. Thompson</name>
<affiliation>
<nlm:aff id="A1">Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, California, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Arah, Onyebuchi A" sort="Arah, Onyebuchi A" uniqKey="Arah O" first="Onyebuchi A" last="Arah">Onyebuchi A. Arah</name>
<affiliation>
<nlm:aff id="A1">Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, California, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">Center for Global and Immigrant Health, UCLA Fielding School of Public Health, Los Angeles, California, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">Center for Health Policy Research, UCLA Fielding School of Public Health, Los Angeles, California, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4">California Center for Population Research, UCLA, Los Angeles, California, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A5">Department of Public Health, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands</nlm:aff>
</affiliation>
</author>
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<idno type="wicri:source">PMC</idno>
<idno type="pmid">23851148</idno>
<idno type="pmc">4689199</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4689199</idno>
<idno type="RBID">PMC:4689199</idno>
<idno type="doi">10.1136/jech-2013-202565</idno>
<date when="2013">2013</date>
<idno type="wicri:Area/Pmc/Corpus">001C25</idno>
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<title xml:lang="en" level="a" type="main">Time series analysis of maternal mortality in Africa from 1990 to 2005</title>
<author>
<name sortKey="Dersarkissian, Maral" sort="Dersarkissian, Maral" uniqKey="Dersarkissian M" first="Maral" last="Dersarkissian">Maral Dersarkissian</name>
<affiliation>
<nlm:aff id="A1">Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, California, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Thompson, Caroline A" sort="Thompson, Caroline A" uniqKey="Thompson C" first="Caroline A" last="Thompson">Caroline A. Thompson</name>
<affiliation>
<nlm:aff id="A1">Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, California, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Arah, Onyebuchi A" sort="Arah, Onyebuchi A" uniqKey="Arah O" first="Onyebuchi A" last="Arah">Onyebuchi A. Arah</name>
<affiliation>
<nlm:aff id="A1">Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, California, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">Center for Global and Immigrant Health, UCLA Fielding School of Public Health, Los Angeles, California, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">Center for Health Policy Research, UCLA Fielding School of Public Health, Los Angeles, California, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4">California Center for Population Research, UCLA, Los Angeles, California, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A5">Department of Public Health, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Journal of epidemiology and community health</title>
<idno type="ISSN">0143-005X</idno>
<idno type="eISSN">1470-2738</idno>
<imprint>
<date when="2013">2013</date>
</imprint>
</series>
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<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Objectives</title>
<p id="P1">Most global maternal deaths occur in Africa and Asia. In response, the Millennium Development Goal (MDG-5) calls for a 75% reduction in maternal mortality from 1990 to 2015. To assess the potential for progress in MDG-5 in Africa, we examined the cross-sectional and longitudinal associations of socioeconomic, demographic and population-health factors with maternal mortality rates in Africa.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">We used data from global agencies and the published literature to identify socioeconomic, demographic and population-health explanatory factors that could be correlated with maternal mortality in 49 countries of Africa for the years 1990, 1995, 2000 and 2005. We used correlation, negative binomial and mixed Poisson regression models to investigate whether there exist associations between potential explanatory factors and maternal mortality.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Some African countries have made substantial progress towards achieving MDG-5 while others have fallen behind. Lower gross domestic product (GDP) and female enrolment in primary schools, but higher HIV prevalence, neonatal mortality rate and total fertility rate, were associated with higher maternal mortality.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Maternal mortality rates in African countries appear to be declining. The mean maternal mortality ratios in Africa decreased from 695.82 in 1990 to 562.18 in 2005. Yet some countries are more likely than others to achieve MDG-5. Better socioeconomic, demographic and population health development appear to be conducive to better maternal health in Africa. Sustained efforts on all these fronts will be needed to close the gap in maternal survival and achieve MDG-5 in Africa.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-journal-id">7909766</journal-id>
<journal-id journal-id-type="pubmed-jr-id">4717</journal-id>
<journal-id journal-id-type="nlm-ta">J Epidemiol Community Health</journal-id>
<journal-id journal-id-type="iso-abbrev">J Epidemiol Community Health</journal-id>
<journal-title-group>
<journal-title>Journal of epidemiology and community health</journal-title>
</journal-title-group>
<issn pub-type="ppub">0143-005X</issn>
<issn pub-type="epub">1470-2738</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">23851148</article-id>
<article-id pub-id-type="pmc">4689199</article-id>
<article-id pub-id-type="doi">10.1136/jech-2013-202565</article-id>
<article-id pub-id-type="manuscript">NIHMS744568</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Time series analysis of maternal mortality in Africa from 1990 to 2005</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>DerSarkissian</surname>
<given-names>Maral</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Thompson</surname>
<given-names>Caroline A</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Arah</surname>
<given-names>Onyebuchi A</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
<xref ref-type="aff" rid="A4">4</xref>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, California, USA</aff>
<aff id="A2">
<label>2</label>
Center for Global and Immigrant Health, UCLA Fielding School of Public Health, Los Angeles, California, USA</aff>
<aff id="A3">
<label>3</label>
Center for Health Policy Research, UCLA Fielding School of Public Health, Los Angeles, California, USA</aff>
<aff id="A4">
<label>4</label>
California Center for Population Research, UCLA, Los Angeles, California, USA</aff>
<aff id="A5">
<label>5</label>
Department of Public Health, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands</aff>
<author-notes>
<corresp id="FN1">
<bold>Correspondence to</bold>
Maral DerSarkissian, Department of Epidemiology, UCLA Fielding School of Public Health, 5416 La Crescenta Ave. La Crescenta, Los Angeles, CA 91214, USA;
<email>mdersarkissian@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>16</day>
<month>12</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>13</day>
<month>7</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="ppub">
<day>1</day>
<month>12</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>23</day>
<month>12</month>
<year>2015</year>
</pub-date>
<volume>67</volume>
<issue>12</issue>
<fpage>992</fpage>
<lpage>998</lpage>
<pmc-comment>elocation-id from pubmed: 10.1136/jech-2013-202565</pmc-comment>
<abstract>
<sec id="S1">
<title>Objectives</title>
<p id="P1">Most global maternal deaths occur in Africa and Asia. In response, the Millennium Development Goal (MDG-5) calls for a 75% reduction in maternal mortality from 1990 to 2015. To assess the potential for progress in MDG-5 in Africa, we examined the cross-sectional and longitudinal associations of socioeconomic, demographic and population-health factors with maternal mortality rates in Africa.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">We used data from global agencies and the published literature to identify socioeconomic, demographic and population-health explanatory factors that could be correlated with maternal mortality in 49 countries of Africa for the years 1990, 1995, 2000 and 2005. We used correlation, negative binomial and mixed Poisson regression models to investigate whether there exist associations between potential explanatory factors and maternal mortality.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Some African countries have made substantial progress towards achieving MDG-5 while others have fallen behind. Lower gross domestic product (GDP) and female enrolment in primary schools, but higher HIV prevalence, neonatal mortality rate and total fertility rate, were associated with higher maternal mortality.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Maternal mortality rates in African countries appear to be declining. The mean maternal mortality ratios in Africa decreased from 695.82 in 1990 to 562.18 in 2005. Yet some countries are more likely than others to achieve MDG-5. Better socioeconomic, demographic and population health development appear to be conducive to better maternal health in Africa. Sustained efforts on all these fronts will be needed to close the gap in maternal survival and achieve MDG-5 in Africa.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
</record>

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