scholarly journals Inequality in mortality decreases with age: Evidence from developing countries using census data

2017 ◽  
Vol 44 (3-4) ◽  
pp. 125
Author(s):  
Rubén Castro ◽  
Eduardo Fajnzylber ◽  
Andrés Fortunato

With some exceptions, studies consistently find that mortality rate ratios between the highest and lowest socioeconomic status (SES) groups are substantially larger among the young-age population, rather than the old one. This pattern is relevant for policy and research, but it has seldom been explored in populations of developing countries. In this study, eight samples in the Integrated Public Use Microdata Series (IPUMS) that contain mortality data (El Salvador 1992, Rwanda 2002, Senegal 2002, Sierra Leone 2004, Uganda 2002, Malawi 2008, Brazil 2010, and Zambia 2010) and information about household assets are analyzed, and, using SES of equal relative size, results in seven out of eight cases are the same as those in developed societies: ratios are larger among the young age group and among men. Therefore, the ratio of mortality by relative-SES also decreases with age in several developing ones.

2016 ◽  
Vol 35 (2) ◽  
pp. 99-102 ◽  
Author(s):  
Anil Thapa ◽  
Gauri Shankar Shah ◽  
Om P Mishra

Introduction: Malnutrition is a common problem in developing countries and often associated with co-morbidities. The present study was undertaken with objectives of to find out the comorbidities in children with severe acute malnutrition (SAM).Materials and Methods: This was a hospital based study carried in 77 children with SAM, diagnosed on the basis of WHO criteria.Results: The age group of children was 1- 5 years (median age 23 months) with about 39% between 1- 2 years. There were 38 males (49.3%). Low maternal education (60%), overcrowding (60%), lower- middle socioeconomic status (87%) were some of the predisposing factors observed. Pneumonia (51%), acute gastroenteritis (21%) and bacterial meningitis (8%) were common co- morbidities found. Associated abnormal laboratory parameters found were anemia (60%), leucocytosis (38%), hyboalbuminemia (36%) hyponetremia (31%), and hypokalemia (17%).Conclusion: Presence of infections and biochemical abnormalities require urgent attention in SAM cases and appropriate treatment in a hospital setting to improve their survival.J Nepal Paediatr Soc 2015;35(2):99-102


2019 ◽  
Vol 49 (2) ◽  
pp. 511-518
Author(s):  
Rosemary J Korda ◽  
Nicholas Biddle ◽  
John Lynch ◽  
James Eynstone-Hinkins ◽  
Kay Soga ◽  
...  

Abstract Background National linked mortality and census data have not previously been available for Australia. We estimated education-based mortality inequalities from linked census and mortality data that are suitable for international comparisons. Methods We used the Australian Bureau of Statistics Death Registrations to Census file, with data on deaths (2011–2012) linked probabilistically to census data (linkage rate 81%). To assess validity, we compared mortality rates by age group (25–44, 45–64, 65–84 years), sex and area-inequality measures to those based on complete death registration data. We used negative binomial regression to quantify inequalities in all-cause mortality in relation to five levels of education [‘Bachelor degree or higher’ (highest) to ‘no Year 12 and no post-secondary qualification’ (lowest)], separately by sex and age group, adjusting for single year of age and correcting for linkage bias and missing education data. Results Mortality rates and area-based inequality estimates were comparable to published national estimates. Men aged 25–84 years with the lowest education had age-adjusted mortality rates 2.20 [95% confidence interval (CI): 2.08‒2.33] times those of men with the highest education. Among women, the rate ratio was 1.64 (1.55‒1.74). Rate ratios were 3.87 (3.38‒4.44) in men and 2.57 (2.15‒3.07) in women aged 25–44 years, decreasing to 1.68 (1.60‒1.76) in men and 1.44 (1.36‒1.53) in women aged 65–84 years. Absolute education inequalities increased with age. One in three to four deaths (31%) was associated with less than Bachelor level education. Conclusions These linked national data enabled valid estimates of education inequality in mortality suitable for international comparisons. The magnitude of relative inequality is substantial and similar to that reported for other high-income countries.


2022 ◽  
pp. 1-24
Author(s):  
Stefania Galli

Abstract This study provides a novel analysis of occupational stratification in Sierra Leone from a historical perspective. By employing census data for early-nineteenth-century colonial Sierra Leone, the present study offers a valuable snapshot of a colony characterized by a heterogenous population of indigenous and migratory origin. The study shows that an association between colonial group categorization and socioeconomic status existed despite the colony being of very recent foundation implying a hierarchical structure of the society. Although Europeans and “mulattoes” occupied most high-status positions, as common in the colonies, indigenous immigrants were also represented in high socioeconomic strata thanks to the opportunities stemming from long- and short-distance trading. However, later arrivals, especially liberated slaves, belonged within the lowest socioeconomic strata of the society and worked as farmers or unskilled labor, suggesting that the time component may also have influence socioeconomic opportunities.


2021 ◽  
Vol 28 ◽  
pp. 107327482110515
Author(s):  
Bo Zhu ◽  
Xiaomei Wu ◽  
Tianyu Guo ◽  
Ning Guan ◽  
Yefu Liu

Background Pancreatic cancer is an aggressive cancer and is predicted to become the second leading cause of cancer-related deaths in China. To understand the epidemic trend of pancreatic cancer and formulate targeted preventive measures, it is important to analyze the incidence and mortality of pancreatic cancer. Methods The incidence and mortality data of pancreatic cancer in China were obtained from Global Burden of Disease (GBD) data. We used joinpoint regression analysis to calculate the magnitude and direction of trends, and the age-period-cohort method to analyze the effects of chronological age, time period, and birth cohort. Results The age-standardized rates (ASRs) for both incidence and mortality of pancreatic cancer increased from 1990 to 2019, and were higher in males than females. The incidence and mortality rates have increased year by year in the age group above 25 years. The most common age group was 55–79 years, accounting for approximately 50% of all incident cases. In terms of incidence and mortality rates, the overall net drifts were above 0. The local drifts in all age groups were above 0 in both sexes and males, while the local drifts in the 15–39 age groups were below 0 in females. The longitudinal age curves increased with age, with higher incidence and mortality rates, mainly in older age groups. The period rate ratios increased by year. The cohort rate ratios showed an upward trend before 1970 and fluctuated after 1975. Conclusions The burden of pancreatic cancer is still very high in China, and attention should be paid to the key population that is, males and older people. The results of our study can be used by policy makers to allocate resources efficiently to improve early diagnosis and treatment, improving the awareness of self-protection, and advocating a healthy lifestyle to prevent pancreatic cancer.


2017 ◽  
Vol 1 (8) ◽  
Author(s):  
Raheel Ahmad ◽  
Mehwish Changeez ◽  
Maham Tariq ◽  
Sara Mailk ◽  
Ramlah Ghazanfor ◽  
...  

1994 ◽  
Vol 1 (4) ◽  
pp. 229-234 ◽  
Author(s):  
A Senthilselvan

OBJECTIVE: To examine the trends in hospitalization rates for atsthma in Saskatchewan from 1970 to 1989 and to investigate the differences in asthma hospitalization rates between rural and urban dwellers.DESIGN: Asthma hospitalization rates were calculated for the age groups O to 4, 5 to 9. 10 to 14, 15 to 24. 25 to 34. 35 to 49 and 50 to 64 years for the period between 1970 and 1989. Only the first admission in each year for each person was included in the analysis. As the classification of asthma changed in 1978. trends in asthma hospitalization rates were investigated separately for the periods 1970 to 1978 and 1979 to 1989. respectively. Rate ratios were obtained for male/female and rural/urban comparisons by fitting Poisson regression models.SETTING: The hospitalization data for respiratory diseases for the province of Saskatchewan were examined by age group, sex and place or residence.RESULT: No significant increases were observed in asthma hospitalization rates lrorn 1970 to 1978. In the period 1979 to 1989. asthma hospitalization rates increased significantly among children under four years from 4.31/1000 in 1979 to 7.04/1000 in 1989. Among children under 14 years. asthma hospitalization rates were greater in boys than in girls . The converse was true for adults aged 15 and above, with women having a higher hospitalization rate for asthma than men . In adults aged 35 and above. rural dwellers had higher hospitalization rates for asthma than urban dwellers throughout the study period. In other age groups, although rural dwellers had higher asthma hospitalization rates than did urban dwellers during 1970 to 1984. the differences disappered duri ng 1985 to 1989.CONCLUSION: Further studies are required to find reasons for the increase in asthma hospitalizations among young children under four years old and for the differences between rural and urban dwellers in the age group 35 years and above.


2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Alessandro Lamorte ◽  
Enrico Boero ◽  
Paola Crida ◽  
Abdul R. Conteh ◽  
Marco Foletti ◽  
...  

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Vinicius V. L. Albani ◽  
Roberto M. Velho ◽  
Jorge P. Zubelli

AbstractWe propose a susceptible-exposed-infective-recovered-type (SEIR-type) meta-population model to simulate and monitor the (COVID-19) epidemic evolution. The basic model consists of seven categories, namely, susceptible (S), exposed (E), three infective classes, recovered (R), and deceased (D). We define these categories for n age and sex groups in m different spatial locations. Therefore, the resulting model contains all epidemiological classes for each age group, sex, and location. The mixing between them is accomplished by means of time-dependent infection rate matrices. The model is calibrated with the curve of daily new infections in New York City and its boroughs, including census data, and the proportions of infections, hospitalizations, and deaths for each age range. We finally obtain a model that matches the reported curves and predicts accurate infection information for different locations and age classes.


2021 ◽  
pp. 80-81
Author(s):  
Vandana Parasar ◽  
Vidyabhushan Kumar ◽  
Ankita Singh ◽  
Nilesh Mohan

To determine the prevalence and occurrence of visual morbidity in patients of pterygium attending eye opd in a tertiary care centre of Bihar. Methods: In this observational study a total of 193 patients, diagnosed with pterygium, underwent complete ocular examination by an ophthalmologist. Epidemiological trends including age, sex, occupation, effect of living condition and socioeconomic status were analyzed. Results: There is a male preponderance of 58.03%. The age incidence of the group showed that the incidence of pterygium was 10.36% in the age group of less than 30 years. It rises to a maximum of 29.53% in the age of 41-50 years and then gradually declines.. The incidence was found to be maximum among farmers(39.86%) followed by miners(31%). Conclusion: People who work outdoors are at a greater risk because they are subjected to involuntary UVB exposure. The highest exposure occurs during the two hours on either side of noon. Workers must be aware and should take appropriate measures like wearing protective glasses, caps, etc


2021 ◽  
Vol 11 (2) ◽  
pp. 01-05
Author(s):  
Ravali Korivi ◽  
B. Ramya Krishna

To assess and manage Diabetic gastropathy. Diabetic gastropathy is least concern in developing countries but many patients receiving oral anti diabetics leads to serious gastric problems. This study involves identification of gastric problems and improves compliance, medication adherence among population and also determine the severity of gastric problems due to oral hypoglycemic drugs. In our study, women are more effected (54%) than men (46%). Most effected age group is 40-60 years age with 58% Mild (male-20.9%, female-22.27%) and moderate (male-37.9%, females-39.7%) conditions are the most effected in terms of severity. This is due to poor glycemic control and not using proper medication, diet. Treatment should be focused on improving gastric symptoms by controlling gastric emptying. Prevention of gastric symptoms by following some dietary changes, nutritional and physiological support is effective to patients.


Sign in / Sign up

Export Citation Format

Share Document