Citation

Chisumpa VH, Odimegwu CO. SSM Popul. Health 2018; 5: 218-226.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.ssmph.2018.07.003

PMID

unavailable

Abstract

In the context of high adult mortality and an immense impact on the health burden of Zambia, a decomposition analysis of age- and cause-specific mortality in age group 15-59 was performed to determine the contributions to the gap in life expectancy at birth between males and females. Previous studies on decomposition have examined income groups, ethnicity, and regional differences' contributions to gaps in life expectancy, but not the adult mortality age group 15-59. These studies focus on developed countries and few on developing countries. Arriaga's decomposition method was applied to 2010 census and 2010-2012 sample vital registration with verbal autopsy survey (SAVVY) data to decompose contributions of age- and cause-specific adult mortality to the gap in life expectancy at birth between males and females. The decomposition analysis revealed that mortality was higher among males than females and concentrated in age groups 20-49. Age- and cause-specific adult mortality contributed positively, 50% of the years to the gap in life expectancy at birth between males and females. Major cause-specific mortality contributors to the gap in life expectancy were infectious and parasitic diseases (1.17 years, 26.3%), accidents and injuries (0.54 years, 12.2%), suicide and violence (0.30 years, 6.8%). Female HIV mortality offset male mortality. Neoplasms deaths among females contributed negatively to the gap in life expectancy (-0.22 years, -5.4%). Accidents, injuries, suicide, and violence are emerging major causes of death in age group 20-49 in Zambia which health policy and programmes should target. © 2018

Language: en

Keywords

adolescent; adult; human; age; violence; suicide; female; male; accident; injury; sex difference; Verbal autopsy; mortality; Life expectancy; life expectancy; ethnicity; controlled study; statistical analysis; population research; Human immunodeficiency virus infection; priority journal; health survey; cross-sectional study; developing country; infection; parasitosis; Article; Zambia; malignant neoplasm; Adult mortality; Age-cause-specific mortality; decomposition analysis; Decomposition-analysis; income group