Socio-ecological risk factors for prime-age adult death in two coastal areas of Vietnam.

<h4>Background</h4>Hierarchical spatial models enable the geographic and ecological analysis of health data thereby providing useful information for designing effective health interventions. In this study, we used a Bayesian hierarchical spatial model to evaluate mortality data in Vietna...

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Autores principales:	Deok Ryun Kim, Mohammad Ali, Vu Dinh Thiem, Thomas F Wierzba
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/18e5f670ea8e4e59b29d8bf88a2cf0a3
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spelling	oai:doaj.org-article:18e5f670ea8e4e59b29d8bf88a2cf0a32021-11-18T08:30:52ZSocio-ecological risk factors for prime-age adult death in two coastal areas of Vietnam.1932-620310.1371/journal.pone.0089780https://doaj.org/article/18e5f670ea8e4e59b29d8bf88a2cf0a32014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24587031/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Hierarchical spatial models enable the geographic and ecological analysis of health data thereby providing useful information for designing effective health interventions. In this study, we used a Bayesian hierarchical spatial model to evaluate mortality data in Vietnam. The model enabled identification of socio-ecological risk factors and generation of risk maps to better understand the causes and geographic implications of prime-age (15 to less than 45 years) adult death.<h4>Methods and findings</h4>The study was conducted in two sites: Nha Trang and Hue in Vietnam. The study areas were split into 500×500 meter cells to define neighborhoods. We first extracted socio-demographic data from population databases of the two sites, and then aggregated the data by neighborhood. We used spatial hierarchical model that borrows strength from neighbors for evaluating risk factors and for creating spatially smoothed risk map after adjusting for neighborhood level covariates. The Markov chain Monte Carlo procedure was used to estimate the parameters. Male mortality was more than twice the female mortality. The rates also varied by age and sex. The most frequent cause of mortality was traffic accidents and drowning for men and traffic accidents and suicide for women. Lower education of household heads in the neighborhood was an important risk factor for increased mortality. The mortality was highly variable in space and the socio-ecological risk factors are sensitive to study site and sex.<h4>Conclusion</h4>Our study suggests that lower education of the household head is an important predictor for prime age adult mortality. Variability in socio-ecological risk factors and in risk areas by sex make it challenging to design appropriate intervention strategies aimed at decreasing prime-age adult deaths in Vietnam.Deok Ryun KimMohammad AliVu Dinh ThiemThomas F WierzbaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 2, p e89780 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Deok Ryun Kim Mohammad Ali Vu Dinh Thiem Thomas F Wierzba Socio-ecological risk factors for prime-age adult death in two coastal areas of Vietnam.
description	<h4>Background</h4>Hierarchical spatial models enable the geographic and ecological analysis of health data thereby providing useful information for designing effective health interventions. In this study, we used a Bayesian hierarchical spatial model to evaluate mortality data in Vietnam. The model enabled identification of socio-ecological risk factors and generation of risk maps to better understand the causes and geographic implications of prime-age (15 to less than 45 years) adult death.<h4>Methods and findings</h4>The study was conducted in two sites: Nha Trang and Hue in Vietnam. The study areas were split into 500×500 meter cells to define neighborhoods. We first extracted socio-demographic data from population databases of the two sites, and then aggregated the data by neighborhood. We used spatial hierarchical model that borrows strength from neighbors for evaluating risk factors and for creating spatially smoothed risk map after adjusting for neighborhood level covariates. The Markov chain Monte Carlo procedure was used to estimate the parameters. Male mortality was more than twice the female mortality. The rates also varied by age and sex. The most frequent cause of mortality was traffic accidents and drowning for men and traffic accidents and suicide for women. Lower education of household heads in the neighborhood was an important risk factor for increased mortality. The mortality was highly variable in space and the socio-ecological risk factors are sensitive to study site and sex.<h4>Conclusion</h4>Our study suggests that lower education of the household head is an important predictor for prime age adult mortality. Variability in socio-ecological risk factors and in risk areas by sex make it challenging to design appropriate intervention strategies aimed at decreasing prime-age adult deaths in Vietnam.
format	article
author	Deok Ryun Kim Mohammad Ali Vu Dinh Thiem Thomas F Wierzba
author_facet	Deok Ryun Kim Mohammad Ali Vu Dinh Thiem Thomas F Wierzba
author_sort	Deok Ryun Kim
title	Socio-ecological risk factors for prime-age adult death in two coastal areas of Vietnam.
title_short	Socio-ecological risk factors for prime-age adult death in two coastal areas of Vietnam.
title_full	Socio-ecological risk factors for prime-age adult death in two coastal areas of Vietnam.
title_fullStr	Socio-ecological risk factors for prime-age adult death in two coastal areas of Vietnam.
title_full_unstemmed	Socio-ecological risk factors for prime-age adult death in two coastal areas of Vietnam.
title_sort	socio-ecological risk factors for prime-age adult death in two coastal areas of vietnam.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/18e5f670ea8e4e59b29d8bf88a2cf0a3
work_keys_str_mv	AT deokryunkim socioecologicalriskfactorsforprimeageadultdeathintwocoastalareasofvietnam AT mohammadali socioecologicalriskfactorsforprimeageadultdeathintwocoastalareasofvietnam AT vudinhthiem socioecologicalriskfactorsforprimeageadultdeathintwocoastalareasofvietnam AT thomasfwierzba socioecologicalriskfactorsforprimeageadultdeathintwocoastalareasofvietnam
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Socio-ecological risk factors for prime-age adult death in two coastal areas of Vietnam.

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