ArticlePloS one2014
Deaths ascribed to non-communicable diseases among rural Kenyan adults are proportionately increasing: evidence from a health and demographic surveillance system, 2003-2010.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 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
- Setting priorities for ageing research in Africa: A systematic mapping review of 512 studies from sub-Saharan Africa.Journal of global health · 2021Pooled it
- All-cause and cause-specific mortality trends among people with and without HIV in the Siaya health and demographic surveillance system, Kenya, 2011-2018.Global health action · 2026Article
- A socio-ecological framework examination of drivers of blood pressure control among patients with comorbidities and on treatment in two Nairobi slums; a qualitative study.PLOS global public health · 2023Article
- All-cause and cause-specific mortality rates for Kisumu County: a comparison with Kenya, low-and middle-income countries.BMC public health · 2022Article
- Comparison of the Causes of Death Identified Using Automated Verbal Autopsy and Complete Autopsy among Brought-in-Dead Cases at a Tertiary Hospital in Sub-Sahara Africa.Applied clinical informatics · 2022Article
- Mapping Evidence on the Burden of Breast, Cervical, and Prostate Cancers in Sub-Saharan Africa: A Scoping Review.Frontiers in public health · 2022Article
- Foodscapes, finance, and faith: Multi-sectoral stakeholder perspectives on the local population health and wellbeing in an urbanizing area in Kenya.Frontiers in public health · 2022Article
- County Health Leadership Practices and Readiness for Noncommunicable Disease Services in Kenya.Annals of global health · 2022Article
- Coping with access barriers to non-communicable disease medicines: qualitative patient interviews in eight counties in Kenya.BMC health services research · 2021Article
- Integrated screening and treatment services for HIV, hypertension and diabetes in Kenya: assessing the epidemiological impact and cost-effectiveness from a national and regional perspective.Journal of the International AIDS Society · 2020Article
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- Epidemiological And Health Systems Implications Of Evolving HIV And Hypertension In South Africa And Kenya.Health affairs (Project Hope) · 2019Article
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- Predictors of cervical cancer screening among Kenyan women: results of a nested case-control study in a nationally representative survey.BMC public health · 2018Article
- Prevalence, awareness, treatment and control of hypertension and their determinants: results from a national survey in Kenya.BMC public health · 2018Article
- Non-communicable diseases surveillance: overview of magnitude and determinants in Kenya from STEPwise approach survey of 2015.BMC public health · 2018Article
- Validity of an FFQ to measure nutrient and food intakes in Tanzania.Public health nutrition · 2018Article
- Beyond menstrual hygiene: addressing vaginal bleeding throughout the life course in low and middle-income countries.BMJ global health · 2017Review
Corrections and comments
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Authors and funding
14 authors at 8 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNon-communicable diseases (NCDs) result in more deaths globally than other causes. Monitoring systems require strengthening to attribute the NCD burden and deaths in low and middle-income countries (LMICs). Data from health and demographic surveillance systems (HDSS) can contribute towards this goal. METHODS AND
findingsBetween 2003 and 2010, 15,228 deaths in adults aged 15 years (y) and older were identified retrospectively using the HDSS census and verbal autopsy in rural western Kenya, attributed into broad categories using InterVA-4 computer algorithms; 37% were ascribed to NCDs, 60% to communicable diseases (CDs), 3% to injuries, and <1% maternal causes. Median age at death for NCDs was 66y and 71y for females and males, respectively, with 43% (39% male, 48% female) of NCD deaths occurring prematurely among adults aged below 65y. NCD deaths were mainly attributed to cancers (35%) and cardio-vascular diseases (CVDs; 29%). The proportionate mortality from NCDs rose from 35% in 2003 to 45% in 2010 (χ2 linear trend 93.4; p<0.001). While overall annual mortality rates (MRs) for NCDs fell, cancer-specific MRs rose from 200 to 262 per 100,000 population, mainly due to increasing deaths in adults aged 65y and older, and to respiratory neoplasms in all age groups. The substantial fall in CD MRs resulted in similar MRs for CDs and NCDs among all adult females by 2010. NCD MRs for adults aged 15y to <65y fell from 409 to 183 per 100,000 among females and from 517 to 283 per 100,000 population among males. NCD MRs were higher among males than females aged both below, and at or above, 65y.
conclusionsNCDs constitute a significant proportion of deaths in rural western Kenya. Evidence of the increasing contribution of NCDs to overall mortality supports international recommendations to introduce or enhance prevention, screening, diagnosis and treatment programmes in LMICs.
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