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Main causes of death in Dande, Angola: results from verbal autopsies of deaths occurring during 2009–2012

2016-08Journal article Open access
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dc.contributor.authorRosário, Edite Vila Nova
dc.contributor.authorCosta, Diogo
dc.contributor.authorTimóteo, Luís
dc.contributor.authorRodrigues, Ana Ambrósio
dc.contributor.authorVaranda, Jorge
dc.contributor.authorNery, Susana Vaz
dc.contributor.authorBrito, Miguel
dc.date.accessioned2016-08-10T11:08:37Z
dc.date.available2016-08-10T11:08:37Z
dc.date.issued2016-08
dc.description.abstractBackground - The Dande Health and Demographic Surveillance System (HDSS) located in Bengo province, Angola, covers nearly 65,500 residents living in approximately 19,800 households. This study aims to describe the main causes of deaths (CoD) occurred within the HDSS, from 2009 to 2012, and to explore associations between demographic or socioeconomic factors and broad mortality groups (Group I-Communicable diseases, maternal, perinatal and nutritional conditions; Group II-Non-communicable diseases; Group III-Injuries; IND-Indeterminate). Methods - Verbal Autopsies (VA) were performed after death identification during routine HDSS visits. Associations between broad groups of CoD and sex, age, education, socioeconomic position, place of residence and place of death, were explored using chi-square tests and fitting logistic regression models. Results - From a total of 1488 deaths registered, 1009 verbal autopsies were performed and 798 of these were assigned a CoD based on the 10th revision of the International Classification of Diseases (ICD-10). Mortality was led by CD (61.0%), followed by IND (18.3%), NCD (11.6%) and INJ (9.1%). Intestinal infectious diseases, malnutrition and acute respiratory infections were the main contributors to under-five mortality (44.2%). Malaria was the most common CoD among children under 15 years old (38.6%). Tuberculosis, traffic accidents and malaria led the CoD among adults aged 15–49 (13.5%, 10.5 % and 8.0% respectively). Among adults aged 50 or more, diseases of the circulatory system (23.2%) were the major CoD, followed by tuberculosis (8.2%) and malaria (7.7%). CD were more frequent CoD among less educated people (adjusted odds ratio, 95% confidence interval for none vs. 5 or more years of school: 1.68, 1.04–2.72). Conclusion - Infectious diseases were the leading CoD in this region. Verbal autopsies proved useful to identify the main CoD, being an important tool in settings where vital statistics are scarce and death registration systems have limitations.pt_PT
dc.identifier.citationRosário EV, Costa D, Timóteo L, Rodrigues AA, Varanda J, Brito M, et al. Main causes of death in Dande, Angola: results from verbal autopsies of deaths occurring during 2009-2012. BMC Public Health. 2016;16:719.pt_PT
dc.identifier.doi10.1186/s12889-016-3365-6pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/6347
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Sciencept_PT
dc.relation.publisherversionhttps://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-3365-6pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectPublic healthpt_PT
dc.subjectVerbal autopsypt_PT
dc.subjectHealth and demographic surveillance systempt_PT
dc.subjectCauses of deathpt_PT
dc.subjectAngolapt_PT
dc.subjectProvíncia do Bengopt_PT
dc.titleMain causes of death in Dande, Angola: results from verbal autopsies of deaths occurring during 2009–2012pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.startPage719pt_PT
oaire.citation.titleBMC Public Healthpt_PT
oaire.citation.volume16pt_PT
person.familyNameBrito
person.givenNameMiguel
person.identifier.ciencia-id231F-F341-7E93
person.identifier.orcid0000-0001-6394-658X
person.identifier.ridA-7970-2016
person.identifier.scopus-author-id35224551000
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication4252d8e0-800c-4d67-8b13-0b711d860669
relation.isAuthorOfPublication.latestForDiscovery4252d8e0-800c-4d67-8b13-0b711d860669

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