Adult mortality in sub‐Saharan Africa: Cross‐sectional study of causes of death in Zambia

16036 10 88195 4 251721 document 88195 TMIH-D-19-00162_Manuscript.pdf application/pdf 35ac0ebe97c26174dc6c009ea498f654 MD5 1947535 2019-08-21 09:22:21 https://pure.iiasa.ac.at/id/eprint/16036/1/TMIH-D-19-00162_Manuscript.pdf 16036 1 1 application/pdf text en public cc_by_nc_4

TMIH-D-19-00162_Manuscript.pdf

submitted 88196 2 251725 document 88196 lightbox.jpg image/png df33a9663aab1e3d6f00fbef58f665b0 MD5 16706 2019-08-21 09:32:55 https://pure.iiasa.ac.at/id/eprint/16036/2/lightbox.jpg 16036 2 2 image/png other Thumbnails conversion from text to thumbnail_lightbox en staffonly

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http://eprints.org/relation/isVersionOf https://pure.iiasa.ac.at/id/document/88195 http://eprints.org/relation/isVolatileVersionOf https://pure.iiasa.ac.at/id/document/88195 http://eprints.org/relation/isIndexCodesVersionOf https://pure.iiasa.ac.at/id/document/88195 archive 2 disk0/00/01/60/36 2019-08-21 06:29:14 2021-08-27 17:32:02 2019-08-21 06:29:14 article show Chisumpa V.H. Odimegwu C.O. Saikia N. 2182 0000-0001-6735-6157 Adult mortality in sub‐Saharan Africa: Cross‐sectional study of causes of death in Zambia pub prog_pop Cause of death; adult mortality; verbal autopsy; HIV/AIDS; cause‐deleted life table; Zambia Objective To describe the age‐sex pattern and socioeconomic differentials in causes of death among adults between the ages of 15 and 59 years in Zambia. Methods Using data from the 2010‐2012 Zambia sample vital registration with verbal autopsy survey, we calculated the percentage share of causes of death, the age‐sex cause‐specific death ratio, and cause‐eliminated life expectancy at age 15. Results HIV/AIDS was the leading cause of death across all socioeconomic subgroups contributing 40.7% of total deaths during the study period. This was followed by deaths due to injury and accidents (11.2%). Cause‐specific death ratios due to HIV/AIDS increased by age and peaked in the 35‐to‐39 age group, and were higher among females than males. The second leading cause of death was injuries and accidents for females and tuberculosis for males. The third leading cause of death was cardiovascular diseases for females and tuberculosis for males. Cause of death patterns varied notably by socioeconomic characteristics. Deaths attributable to non‐communicable diseases were more evident in adults aged 45 to 59 years. Eliminating HIV/AIDS in Zambia as a cause of death could raise life expectancy at age 15 by 5.77 years for males and by 6.40 years for females. Conclusion HIV/AIDS‐related health programmes and interventions should be further supported and strengthened, as they would significantly contribute to the reduction of adult mortality in Zambia. 2019-08-17 published 10.1111/tmi.13302 2968 public Tropical Medicine & International Health 24 10 1208-1220 TRUE 1360-2276 FALSE info:eu-repo/semantics/article