Evidence map›Paper›PMID 33986047›Full record

ArticleBMJ open2021

Disease and demography: a systems-dynamic cohort-component population model to assess the implications of disease-specific mortality targets.

Muhammad Jami Husain, Biplab Kumar Datta, Deliana Kostova

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Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Muhammad Jami HusainDivision of Global Health Protection, Centers for Disease Control and Prevention, Atlanta, Georgia, USA MHusain@cdc.gov.ORCID 0000-0001-6049-0505
Biplab Kumar DattaDivision of Global Health Protection, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Deliana KostovaDivision of Global Health Protection, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe 2015 Sustainable Development Goals include the objective of reducing premature mortality from major non-communicable diseases (NCDs) by one-third by 2030. Accomplishing this objective has demographic implications with relevance for countries' health systems and costs. However, evidence on the system-wide implications of NCD targets is limited.

methodsWe developed a cohort-component model to estimate demographic change based on user-defined disease-specific mortality trajectories. The model accounts for ageing over 101 annual age cohorts, disaggregated by sex and projects changes in the size and structure of the population. We applied this model to the context of Bangladesh, using the model to simulate demographic outlooks for Bangladesh for 2015-2030 using three mortality scenarios. The 'status quo' scenario entails that the disease-specific mortality profile observed in 2015 applies throughout 2015-2030. The 'trend' scenario adopts age-specific, sex-specific and disease-specific mortality rate trajectories projected by WHO for the region. The 'target' scenario entails a one-third reduction in the mortality rates of cardiovascular disease, cancer, diabetes and chronic respiratory diseases between age 30 and 70 by 2030.

resultsThe status quo, trend and target scenarios projected 178.9, 179.7 and 180.2 million population in 2030, respectively. The cumulative number of deaths during 2015-2030 was estimated at 17.4, 16.2 and 15.6 million for each scenario, respectively. During 2015-2030, the target scenario would avert a cumulative 1.73 million and 584 000 all-cause deaths compared with the status quo and trend scenarios, respectively. Male life expectancy was estimated to increase from 71.10 to 73.47 years in the trend scenario and to 74.38 years in the target scenario; female life expectancy was estimated to increase from 73.68 to 75.34 years and 76.39 years in the trend and target scenarios, respectively.

conclusionThe model describes the demographic implications of NCD prevention and control targets,

Indexed as

Mortality, PrematureNoncommunicable DiseasesAdultAgedBangladeshFemaleHumansLife ExpectancyMaleMiddle AgedMortalitySustainable Developmenthealth policyinternational health servicespublic healthstatistics & research methods

Identifiers

PMID33986047
PMCPMC8126314

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.