Trends in mortality from external causes in the Republic of Seychelles between 1989 and 2018

Abstract Data on injury-related mortality are scarce in the African region. Mortality from external causes in the Seychelles was assessed, where all deaths are medically certified and the population is regularly enumerated. The four fields for underlying causes of death recorded were reviewed in the...

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Autores principales:	Anne Abio, Pascal Bovet, Joachim Didon, Till Bärnighausen, Masood Ali Shaikh, Jussi P. Posti, Michael Lowery Wilson
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2020
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c8034928f28f4349b1fda2d27c6d4ab6
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spelling	oai:doaj.org-article:c8034928f28f4349b1fda2d27c6d4ab62021-12-02T13:58:15ZTrends in mortality from external causes in the Republic of Seychelles between 1989 and 201810.1038/s41598-020-79228-82045-2322https://doaj.org/article/c8034928f28f4349b1fda2d27c6d4ab62020-12-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-79228-8https://doaj.org/toc/2045-2322Abstract Data on injury-related mortality are scarce in the African region. Mortality from external causes in the Seychelles was assessed, where all deaths are medically certified and the population is regularly enumerated. The four fields for underlying causes of death recorded were reviewed in the national vital statistics register. The age-standardised mortality rates were estimated (per 100,000 person-years) from external causes in 1989–1998, 1999–2008, and 2009–2018. Mortality rates per 100,000 person-years from external causes were 4–5 times higher among males than females, and decreased among males over the three 10-year periods (127.5, 101.4, 97.1) but not among females (26.9, 23.1, 26.9). The contribution of external causes to total mortality did not change markedly over time (males 11.6%, females 4.3% in 1989–2018). Apart from external deaths from undetermined causes (males 14.6, females 2.4) and “other unintentional injuries” (males 14.1, females 8.0), the leading external causes of death in 2009–2018 were drowning (25.9), road traffic injuries (18.0) and suicide (10.4) among males; and road traffic injuries (4.6), drowning (3.4) and poisoning (2.6) among females. Mortality from broad categories of external causes did not change consistently over time but rates of road traffic injuries increased among males. External causes contributed approximately 1 in 10 deaths among males and 1 in 20 among females, with no marked change in cause-specific rates over time, except for road traffic injuries. These findings emphasise the need for programs and policies in various sectors to address this large, but mostly avoidable health burden.Anne AbioPascal BovetJoachim DidonTill BärnighausenMasood Ali ShaikhJussi P. PostiMichael Lowery WilsonNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-11 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Anne Abio Pascal Bovet Joachim Didon Till Bärnighausen Masood Ali Shaikh Jussi P. Posti Michael Lowery Wilson Trends in mortality from external causes in the Republic of Seychelles between 1989 and 2018
description	Abstract Data on injury-related mortality are scarce in the African region. Mortality from external causes in the Seychelles was assessed, where all deaths are medically certified and the population is regularly enumerated. The four fields for underlying causes of death recorded were reviewed in the national vital statistics register. The age-standardised mortality rates were estimated (per 100,000 person-years) from external causes in 1989–1998, 1999–2008, and 2009–2018. Mortality rates per 100,000 person-years from external causes were 4–5 times higher among males than females, and decreased among males over the three 10-year periods (127.5, 101.4, 97.1) but not among females (26.9, 23.1, 26.9). The contribution of external causes to total mortality did not change markedly over time (males 11.6%, females 4.3% in 1989–2018). Apart from external deaths from undetermined causes (males 14.6, females 2.4) and “other unintentional injuries” (males 14.1, females 8.0), the leading external causes of death in 2009–2018 were drowning (25.9), road traffic injuries (18.0) and suicide (10.4) among males; and road traffic injuries (4.6), drowning (3.4) and poisoning (2.6) among females. Mortality from broad categories of external causes did not change consistently over time but rates of road traffic injuries increased among males. External causes contributed approximately 1 in 10 deaths among males and 1 in 20 among females, with no marked change in cause-specific rates over time, except for road traffic injuries. These findings emphasise the need for programs and policies in various sectors to address this large, but mostly avoidable health burden.
format	article
author	Anne Abio Pascal Bovet Joachim Didon Till Bärnighausen Masood Ali Shaikh Jussi P. Posti Michael Lowery Wilson
author_facet	Anne Abio Pascal Bovet Joachim Didon Till Bärnighausen Masood Ali Shaikh Jussi P. Posti Michael Lowery Wilson
author_sort	Anne Abio
title	Trends in mortality from external causes in the Republic of Seychelles between 1989 and 2018
title_short	Trends in mortality from external causes in the Republic of Seychelles between 1989 and 2018
title_full	Trends in mortality from external causes in the Republic of Seychelles between 1989 and 2018
title_fullStr	Trends in mortality from external causes in the Republic of Seychelles between 1989 and 2018
title_full_unstemmed	Trends in mortality from external causes in the Republic of Seychelles between 1989 and 2018
title_sort	trends in mortality from external causes in the republic of seychelles between 1989 and 2018
publisher	Nature Portfolio
publishDate	2020
url	https://doaj.org/article/c8034928f28f4349b1fda2d27c6d4ab6
work_keys_str_mv	AT anneabio trendsinmortalityfromexternalcausesintherepublicofseychellesbetween1989and2018 AT pascalbovet trendsinmortalityfromexternalcausesintherepublicofseychellesbetween1989and2018 AT joachimdidon trendsinmortalityfromexternalcausesintherepublicofseychellesbetween1989and2018 AT tillbarnighausen trendsinmortalityfromexternalcausesintherepublicofseychellesbetween1989and2018 AT masoodalishaikh trendsinmortalityfromexternalcausesintherepublicofseychellesbetween1989and2018 AT jussipposti trendsinmortalityfromexternalcausesintherepublicofseychellesbetween1989and2018 AT michaellowerywilson trendsinmortalityfromexternalcausesintherepublicofseychellesbetween1989and2018
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Trends in mortality from external causes in the Republic of Seychelles between 1989 and 2018

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