ArticleGlobal health action2014
Disease-specific mortality burdens in a rural Gambian population using verbal autopsy, 1998-2007.
Article in Global health action, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Cardiovascular disease mortality based on verbal autopsy in low- and middle-income countries: a systematic review.Bulletin of the World Health Organization · 2023Pooled it
- Prevalence of Cardiovascular Disease Risk Factors in the Gambia: A Systematic Review.Global heart · 2020Pooled it
- Burden and causes of pregnancy-related mortality in The Gambia: evidence from census and health and demographic surveillance data.BMJ public health · 2023Article
- Causes and trends of adult mortality in southern Ethiopia: an eight-year follow up database study.BMC infectious diseases · 2023Article
- Cause-Specific Mortality Fraction (CSMF) of adult mortality in Butajira, South Central Ethiopia.PLOS global public health · 2023Article
- Dry season prevalence of Plasmodium falciparum in asymptomatic gambian children, with a comparative evaluation of diagnostic methods.Malaria journal · 2022Article
- Risk factors of infant mortality in rural The Gambia: a retrospective cohort study.BMJ paediatrics open · 2021Article
- Pattern of all-causes and cause-specific mortality in an area with progressively declining malaria burden in Korogwe district, north-eastern Tanzania.Malaria journal · 2018Article
- Effect of maternal death on child survival in rural West Africa: 25 years of prospective surveillance data in The Gambia.PloS one · 2017Article
- Article
- Meteorological Factors Related to Emergency Admission of Elderly Stroke Patients in Shanghai: Analysis with a Multilayer Perceptron Neural Network.Medical science monitor : international medical journal of experimental and clinical research · 2015Article
- Cause-specific mortality in Africa and Asia: evidence from INDEPTH health and demographic surveillance system sites.Global health action · 2014Article
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9 authors at 3 institutions in 3 countries.
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Abstract
objectiveTo estimate and evaluate the cause-of-death structure and disease-specific mortality rates in a rural area of The Gambia as determined using the InterVA-4 model.
designDeaths and person-years of observation were determined by age group for the population of the Farafenni Health and Demographic Surveillance area from January 1998 to December 2007. Causes of death were determined by verbal autopsy (VA) using the InterVA-4 model and ICD-10 disease classification. Assigned causes of death were classified into six broad groups: infectious and parasitic diseases; cancers; other non-communicable diseases; neonatal; maternal; and external causes. Poisson regression was used to estimate age and disease-specific mortality rates, and likelihood ratio tests were used to determine statistical significance.
resultsA total of 3,203 deaths were recorded and VA administered for 2,275 (71%). All-age mortality declined from 15 per 1,000 person-years in 1998-2001 to 8 per 1,000 person-years in 2005-2007. Children aged 1-4 years registered the most marked (74%) decline from 27 to 7 per 1,000 person-years. Communicable diseases accounted for half (49.9%) of the deaths in all age groups, dominated by acute respiratory infections (ARI) (13.7%), malaria (12.9%) and pulmonary tuberculosis (10.2%). The leading causes of death among infants were ARI (5.59 per 1,000 person-years [95% CI: 4.38-7.15]) and malaria (4.11 per 1,000 person-years [95% CI: 3.09-5.47]). Mortality rates in children aged 1-4 years were 3.06 per 1,000 person-years (95% CI: 2.58-3.63) for malaria, and 1.05 per 1,000 person-years (95% CI: 0.79-1.41) for ARI. The HIV-related mortality rate in this age group was 1.17 per 1,000 person-years (95% CI: 0.89-1.54). Pulmonary tuberculosis and communicable diseases other than malaria, HIV/AIDS and ARI were the main killers of adults aged 15 years and over. Stroke-related mortality increased to become the leading cause of death among the elderly aged 60 years or more in 2005-2007.
conclusionsMortality in the Farafenni HDSS area was dominated by communicable diseases. Malaria and ARI were the leading causes of death in the general population. In addition to these, diarrhoeal disease was a particularly important cause of death among children under 5 years of age, as was pulmonary tuberculosis among adults aged 15 years and above.
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