Estimating diarrhea mortality among young children in low and middle income countries.

<h4>Background</h4>Diarrhea remains one of the leading causes of morbidity and mortality among children under 5 years of age, but in many low and middle-income countries where vital registration data are lacking, updated estimates with regard to the proportion of deaths attributable to d...

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Autores principales: Christa L Fischer Walker, Martin J Aryee, Cynthia Boschi-Pinto, Robert E Black
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Publicado: Public Library of Science (PLoS) 2012
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spelling oai:doaj.org-article:ee99b0a86133497b8343c44afbe7a0552021-11-18T07:31:10ZEstimating diarrhea mortality among young children in low and middle income countries.1932-620310.1371/journal.pone.0029151https://doaj.org/article/ee99b0a86133497b8343c44afbe7a0552012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22235266/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Diarrhea remains one of the leading causes of morbidity and mortality among children under 5 years of age, but in many low and middle-income countries where vital registration data are lacking, updated estimates with regard to the proportion of deaths attributable to diarrhea are needed.<h4>Methods</h4>We conducted a systematic literature review to identify studies reporting diarrhea proportionate mortality for children 1-59 mo of age published between 1980 and 2009. Using the published proportionate mortality estimates and country level covariates we constructed a logistic regression model to estimate country and regional level proportionate mortality and estimated uncertainty bounds using Monte-Carlo simulations.<h4>Findings</h4>We identified more than 90 verbal autopsy studies from around the world to contribute data to a single-cause model. We estimated diarrhea proportionate mortality for 84 countries in 6 regions and found diarrhea to account for between 10.0% of deaths in the Americas to 31.3% of deaths in the South-east Asian region.<h4>Discussion</h4>Diarrhea remains a leading cause of death for children 1-59 mo of age. Published literature can be used to create a single-cause mortality disease model to estimate mortality for countries lacking vital registration data.Christa L Fischer WalkerMartin J AryeeCynthia Boschi-PintoRobert E BlackPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 1, p e29151 (2012)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Christa L Fischer Walker
Martin J Aryee
Cynthia Boschi-Pinto
Robert E Black
Estimating diarrhea mortality among young children in low and middle income countries.
description <h4>Background</h4>Diarrhea remains one of the leading causes of morbidity and mortality among children under 5 years of age, but in many low and middle-income countries where vital registration data are lacking, updated estimates with regard to the proportion of deaths attributable to diarrhea are needed.<h4>Methods</h4>We conducted a systematic literature review to identify studies reporting diarrhea proportionate mortality for children 1-59 mo of age published between 1980 and 2009. Using the published proportionate mortality estimates and country level covariates we constructed a logistic regression model to estimate country and regional level proportionate mortality and estimated uncertainty bounds using Monte-Carlo simulations.<h4>Findings</h4>We identified more than 90 verbal autopsy studies from around the world to contribute data to a single-cause model. We estimated diarrhea proportionate mortality for 84 countries in 6 regions and found diarrhea to account for between 10.0% of deaths in the Americas to 31.3% of deaths in the South-east Asian region.<h4>Discussion</h4>Diarrhea remains a leading cause of death for children 1-59 mo of age. Published literature can be used to create a single-cause mortality disease model to estimate mortality for countries lacking vital registration data.
format article
author Christa L Fischer Walker
Martin J Aryee
Cynthia Boschi-Pinto
Robert E Black
author_facet Christa L Fischer Walker
Martin J Aryee
Cynthia Boschi-Pinto
Robert E Black
author_sort Christa L Fischer Walker
title Estimating diarrhea mortality among young children in low and middle income countries.
title_short Estimating diarrhea mortality among young children in low and middle income countries.
title_full Estimating diarrhea mortality among young children in low and middle income countries.
title_fullStr Estimating diarrhea mortality among young children in low and middle income countries.
title_full_unstemmed Estimating diarrhea mortality among young children in low and middle income countries.
title_sort estimating diarrhea mortality among young children in low and middle income countries.
publisher Public Library of Science (PLoS)
publishDate 2012
url https://doaj.org/article/ee99b0a86133497b8343c44afbe7a055
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