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估算 2011 年巴布亚新几内亚成年人死亡率。

Estimating Adult Mortality in Papua New Guinea, 2011.

机构信息

Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Carlton, Victoria, Australia.

出版信息

Popul Health Metr. 2019 Apr 18;17(1):4. doi: 10.1186/s12963-019-0184-x.

DOI:10.1186/s12963-019-0184-x
PMID:30999902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6472028/
Abstract

BACKGROUND

Mortality in Papua New Guinea (PNG) is poorly measured because routine reporting of deaths is incomplete and inaccurate. This study provides the first estimates in the academic literature of adult mortality (45q15) in PNG by province and sex. These results are compared to a Composite Index of provincial socio-economic factors and health access.

METHODS

Adult mortality estimates (45q15) by province and sex were derived using the orphanhood method from data reported in the 2000 and 2011 national censuses. Male adult mortality was adjusted based on the estimated incompleteness of mortality reporting. The Composite Index was developed using the mean of education, economic and health access indicators from various data sources.

RESULTS

Adult mortality for PNG in 2011 was estimated as 269 per 1000 for males and 237 for females. It ranged from 197 in Simbu to 356 in Sandaun province among men, and from 164 in Western Highlands to 326 in Gulf province among women. Provinces with a low Composite Index (Sandaun, Gulf, Enga and Southern Highlands) had comparatively high levels of adult mortality for both sexes, while provinces with a higher Composite Index (National Capital District and Manus) reported lower adult mortality.

CONCLUSIONS

Adult mortality in PNG remains high compared with other developing countries. Provincial variations in mortality correlate with the Composite Index. Health and development policy in PNG needs to urgently address the main causes of persistent high premature adult mortality, particularly in less developed provinces.

摘要

背景

巴布亚新几内亚(PNG)的死亡率数据测量较差,因为死亡报告的常规报告并不完整和准确。本研究通过省份和性别提供了 PNG 成人死亡率(45q15)的学术文献中的首次估计。这些结果与省级社会经济因素和卫生服务获取情况的综合指数进行了比较。

方法

利用孤儿法从 2000 年和 2011 年全国人口普查报告的数据中得出了按省份和性别划分的成人死亡率(45q15)估计值。根据死亡率报告不完整的估计值对男性成人死亡率进行了调整。综合指数是使用来自各种数据源的教育、经济和卫生服务获取指标的平均值开发的。

结果

2011 年 PNG 的男性成人死亡率估计为每 1000 人 269 人,女性为 237 人。男性死亡率范围从 Simbu 的 197 人到 Sandaun 省的 356 人,女性死亡率范围从 Western Highlands 的 164 人到 Gulf 省的 326 人。综合指数较低的省份(Sandaun、Gulf、Enga 和 Southern Highlands)的两性成人死亡率相对较高,而综合指数较高的省份(国家首都区和马努斯)报告的成人死亡率较低。

结论

与其他发展中国家相比,巴布亚新几内亚的成人死亡率仍然很高。死亡率的省级差异与综合指数相关。巴布亚新几内亚的卫生和发展政策需要紧急解决持续高过早成人死亡率的主要原因,特别是在欠发达的省份。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cb3/6472028/455324af4cfa/12963_2019_184_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cb3/6472028/d54910238b35/12963_2019_184_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cb3/6472028/66c17a940e4d/12963_2019_184_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cb3/6472028/b84220979e88/12963_2019_184_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cb3/6472028/f83da3b54a7b/12963_2019_184_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cb3/6472028/2b79ff95ad4a/12963_2019_184_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cb3/6472028/455324af4cfa/12963_2019_184_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cb3/6472028/d54910238b35/12963_2019_184_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cb3/6472028/66c17a940e4d/12963_2019_184_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cb3/6472028/b84220979e88/12963_2019_184_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cb3/6472028/f83da3b54a7b/12963_2019_184_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cb3/6472028/2b79ff95ad4a/12963_2019_184_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cb3/6472028/455324af4cfa/12963_2019_184_Fig6_HTML.jpg

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