Causes of death among older children and adolescents (5–19 years) in the Magu Health and Demographic Surveillance Study, Tanzania, 1995–2022
Background Population data on mortality and causes of death among 5–19-year-olds are limited. Objectives To assess levels, trends, and risk factors of cause-specific mortality and place at death among 5–19-year-olds in Tanzania (1995–2022). Methods Using longitudinal data from the Magu Health and De...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Global Health Action |
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| Online Access: | http://dx.doi.org/10.1080/16549716.2024.2425470 |
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| author | Sophia Kagoye Milly Marston Yasson Abha Eveline T. Konje Mark Urassa Jim Todd Ties Boerma |
| author_facet | Sophia Kagoye Milly Marston Yasson Abha Eveline T. Konje Mark Urassa Jim Todd Ties Boerma |
| author_sort | Sophia Kagoye |
| collection | DOAJ |
| description | Background Population data on mortality and causes of death among 5–19-year-olds are limited. Objectives To assess levels, trends, and risk factors of cause-specific mortality and place at death among 5–19-year-olds in Tanzania (1995–2022). Methods Using longitudinal data from the Magu Health and Demographic Surveillance System in northwest Tanzania, we identified leading causes of death among 5–19-year-olds from verbal autopsy interviews, using physician review and a Bayesian probabilistic model (InSilicoVA). We analyzed trends in cause and place of death using three periods: 1995–2004, 2005–2014 and 2015–2022, and assessed risk factors in a Cox-proportional hazards model. We compared the results with children aged 1–4 years and global estimates for Tanzania. Results Between 1995 and 2022, communicable disease mortality decreased by 73%, similar to the 76% decline among 1–4-year-olds. This decline in communicable disease mortality drove all-cause mortality declines of 43% and 48% among 5–14- and 15–19-year-olds, respectively. Non-communicable diseases and injuries gained importance, with their relative share of all deaths increasing from 15% in 1995–2004 to 58% in 2015–2022. Mortality risks were significantly higher among boys (particularly for injuries), those residing in rural areas (for non-communicable diseases), and those from the poorest households (for communicable diseases). By 2015–2022, 48% of 5–14 and 42% of 15–19-year-olds died in health facilities, up from 25% in 1995–2002. Conclusions Since 1995, the decline in communicable disease mortality drove a major all-cause mortality reduction among 5–19-year-olds. Further progress will depend on continued reduction in communicable disease mortality, particularly among the poorest, and effectively addressing non-communicable and injury mortality. |
| format | Article |
| id | doaj-art-8990dde0a29a4348b89f468ba25bb89e |
| institution | Kabale University |
| issn | 1654-9880 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj-art-8990dde0a29a4348b89f468ba25bb89e2025-02-05T12:46:14ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.24254702425470Causes of death among older children and adolescents (5–19 years) in the Magu Health and Demographic Surveillance Study, Tanzania, 1995–2022Sophia Kagoye0Milly Marston1Yasson Abha2Eveline T. Konje3Mark Urassa4Jim Todd5Ties Boerma6National Institute for Medical Research, Mwanza Research CentreLondon School of Hygiene and Tropical MedicineCatholic University of Health and Allied SciencesCatholic University of Health and Allied SciencesNational Institute for Medical Research, Mwanza Research CentreLondon School of Hygiene and Tropical MedicineUniversity of ManitobaBackground Population data on mortality and causes of death among 5–19-year-olds are limited. Objectives To assess levels, trends, and risk factors of cause-specific mortality and place at death among 5–19-year-olds in Tanzania (1995–2022). Methods Using longitudinal data from the Magu Health and Demographic Surveillance System in northwest Tanzania, we identified leading causes of death among 5–19-year-olds from verbal autopsy interviews, using physician review and a Bayesian probabilistic model (InSilicoVA). We analyzed trends in cause and place of death using three periods: 1995–2004, 2005–2014 and 2015–2022, and assessed risk factors in a Cox-proportional hazards model. We compared the results with children aged 1–4 years and global estimates for Tanzania. Results Between 1995 and 2022, communicable disease mortality decreased by 73%, similar to the 76% decline among 1–4-year-olds. This decline in communicable disease mortality drove all-cause mortality declines of 43% and 48% among 5–14- and 15–19-year-olds, respectively. Non-communicable diseases and injuries gained importance, with their relative share of all deaths increasing from 15% in 1995–2004 to 58% in 2015–2022. Mortality risks were significantly higher among boys (particularly for injuries), those residing in rural areas (for non-communicable diseases), and those from the poorest households (for communicable diseases). By 2015–2022, 48% of 5–14 and 42% of 15–19-year-olds died in health facilities, up from 25% in 1995–2002. Conclusions Since 1995, the decline in communicable disease mortality drove a major all-cause mortality reduction among 5–19-year-olds. Further progress will depend on continued reduction in communicable disease mortality, particularly among the poorest, and effectively addressing non-communicable and injury mortality.http://dx.doi.org/10.1080/16549716.2024.2425470cause-specific mortality5–19place of deathverbal autopsysub-saharan africa |
| spellingShingle | Sophia Kagoye Milly Marston Yasson Abha Eveline T. Konje Mark Urassa Jim Todd Ties Boerma Causes of death among older children and adolescents (5–19 years) in the Magu Health and Demographic Surveillance Study, Tanzania, 1995–2022 Global Health Action cause-specific mortality 5–19 place of death verbal autopsy sub-saharan africa |
| title | Causes of death among older children and adolescents (5–19 years) in the Magu Health and Demographic Surveillance Study, Tanzania, 1995–2022 |
| title_full | Causes of death among older children and adolescents (5–19 years) in the Magu Health and Demographic Surveillance Study, Tanzania, 1995–2022 |
| title_fullStr | Causes of death among older children and adolescents (5–19 years) in the Magu Health and Demographic Surveillance Study, Tanzania, 1995–2022 |
| title_full_unstemmed | Causes of death among older children and adolescents (5–19 years) in the Magu Health and Demographic Surveillance Study, Tanzania, 1995–2022 |
| title_short | Causes of death among older children and adolescents (5–19 years) in the Magu Health and Demographic Surveillance Study, Tanzania, 1995–2022 |
| title_sort | causes of death among older children and adolescents 5 19 years in the magu health and demographic surveillance study tanzania 1995 2022 |
| topic | cause-specific mortality 5–19 place of death verbal autopsy sub-saharan africa |
| url | http://dx.doi.org/10.1080/16549716.2024.2425470 |
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