Unnatural death in India

2020 ◽  
pp. 1-12
Author(s):  
Basant Kumar Panda ◽  
Udaya S. Mishra

Abstract Rising adult mortality is an essential feature of the mortality transition. Vulnerability to disease and infection decreases with age, and adult mortality is more likely to be from unnatural causes such as suicide, homicide and road traffic accidents. This study aimed to assess the patterns of unnatural deaths in India as a whole and for various population subgroups. Data were obtained from the fourth wave of the National Family Health Survey (NFHS-4) conducted in 2015–16 in 29 states and 7 union territories of India. The survey collected information on deaths in households occurring in the 3 years before the survey. Rate of unnatural mortality and years of life lost were calculated separately for males and females as well as for urban and rural populations. Unnatural mortality in India was found to make up 10.3% of total deaths, and was greater among the population aged 10 to 45 years. The unnatural mortality rate in India was 0.67 per 1000 population: 0.84 per 1000 among the male population and 0.49 per 1000 among the female population. A strict positive association was found between the unnatural mortality rate and a state’s development level. In addition, a substantial loss of person-years of life due to unnatural mortality was observed. The results serve as a reminder of the need to adopt measures to reduce this avoidable loss of life in India. Prevention strategies should be targeted at the most vulnerable populations to limit young-age fatality, with its resulting loss of productive years of life.

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Xiu-Ya Xing ◽  
Peng Wang ◽  
Zhiwei Xu ◽  
Qin He ◽  
Rui Li ◽  
...  

Objective. To investigate the temporal trends in mortality and disease burden of injuries in Anhui province from 2008 to 2017, so as to provide reference for injury control and prevention. Methods. Data of mortality were collected from 9 national surveillance points in Anhui province during 2008-2017 in the Information System for Death Cause Register and Management. The surveillance data were analyzed by using crude mortality, standardized mortality rate (SMR), potential year of life lost (PYLL), PYLL rate (PYLLR), and average of year life lost (AYLL). Results. There were a total of 44855 people died from injury, accounted for 9.44% of the all-cause mortality, ranked as the fifth leading cause of deaths in the whole population, and denoted the first leading cause of deaths in the 0-44 year’s group. The leading causes of injury deaths were road traffic accidents, suicide, accidental falls, drowning, and poisoning. Road traffic accidents was the primary cause of injury deaths among the male population, while suicide was the dominate cause of injury deaths among the female population. Drowning, traffic accidents, and suicide accounted for the most injury deaths among the population aged 0-14 years, 15-64 years, and above 60 years, respectively. The road traffic accidents accounted for the largest proportion of injury PYLL and PYLLR, and drowning caused the highest AYLL among injury deaths. Conclusion. In Anhui province, road traffic accidents, suicide, accidental falls, drowning, and poisoning were the top five causes of injury deaths that harm the health of local residents; corresponding injury prevention strategies should be formulated.


Author(s):  
Misaki Nakamoto ◽  
Takatoshi Nakagawa ◽  
Masahiko Murata ◽  
Motohiro Okada

To explore impact of enhancing social advancement of females in Japan, this study determined the effects of the dual-income household rate on suicide mortalities disaggregated by attributes of gender, age, and motives between 2009 and 2017 in Japan. This study analysed impact of dual-income household rate, other household-related factors (savings, liabilities and yearly incomes per household, minors and elderly rate per household), and social/employment factors (complete unemployment rate, employment rate, temporary male and female employment rates and certification rate of long-term care insurance) on suicide mortalities disaggregated by attributes of gender, age, and motives using hierarchical linear-regression model. Dual-income household rate was significantly/negatively related to suicide mortality of the working-age female population, but significantly/positively related to that of the elderly female population. Suicide mortalities of the working-age male population and the elderly male population were significantly/positively related to dual-income household rate. Male suicide mortalities caused by family-, health-, economy- and employment-related motives were significantly/positively related to dual-income household rate; however, the dual-income household rate was significantly/positively related to female suicide mortalities caused by family-, health-, economy- and school-related motives, but significantly/negatively related to suicide mortalities caused by romance-related motives. Dual-income households suppress social-isolation and develop economical/psychological independence of females, leading to reduced suicide mortality in working-age females. However, elderly and school-age populations, who are supported by the working-age female, suffer from isolation. Working-age males also suffer from inability to adapt from the traditional concept of work–life and work–family balances to the novel work–family balance concept adapted to dual-income households. These results suggest occurrence of new social/family problems in the 21st century due to vulnerability of traditional Japanese culture and life–working–family balance concepts as well as novel sociofamilial disturbances induced by declining birth rate and ageing population in Japan.


10.12737/5613 ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 1-11 ◽  
Author(s):  
Макишева ◽  
R. Makisheva ◽  
Хромушин ◽  
Viktor Khromushin ◽  
Хадарцев ◽  
...  

The article analyzes 182897 deaths of the adult population of the Tula region from the mortality register from 2007 to 2013 by age cohorts 15-19; 20-24; 25-34; 35-44; 45-54; 55-64; 65-74; >=75, of which 4882 case of death from diabetes. The increasing incidence of diseases of the endocrine system, disorders of nutrition and metabolism is identified and is accordingly 63,7; 66,5; 68,4; 68,3; 69,4; 71,0 per 1000 population. The mortality rate in the Tula region in 2012 from diabetes was 59,86 per 100000 population. The analysis of mortality shows that the ratio of women to men for the period from 2007 to 2013 increases with increasing age in a power-law dependence from 0,6 to 4,49. In the age cohort 45-54 men and women, there is a decrease in the number of cases. The initial increase and the subsequent significant decline in the number of cases have a place for men in this cohort. For women, the mortality rate decreases with larger slope than for men. The dynamics of the mortality of men and women in the cohort 55-64 is characterized by an increase in the number of cases in 2007-2010 and the decrease in 2011-2013. In this cohort, the mortality rate among men increased (except 2013), and the mortality rate of the female population varies only slightly. Mortality of women, men, and for men and women in the cohort 65-74 years decreases, and in the cohort of 75 and over increased. Positive aspects of age analysis is the transfer of deaths from age groups 45-54, 55-64, 65-74 in a cohort of older ages 75 years or more. Negative aspects of age analysis is the increased mortality of the male population in the cohort 55-64 in 2007- 2012, men and women of this cohort in 2007 - 2010 years, as well as the high mortality of the female population from diabetes, compared with the male population of the Tula region.


Author(s):  
Bhupinder Singh Walia ◽  
Pankaj Dugg ◽  
Kanwaldeep Singh Aulakh ◽  
Sanjeev Sharma ◽  
Venita Kapur

Introduction: Trauma has been the leading cause of mortality and morbidity. However, there are changes in pattern of trauma and their outcomes with time. Aim: To study the mode and nature of injury and mortality associated with trauma of head, chest and abdomen. Materials and Methods: A prospective cohort study was conducted on 1000 individuals that presented to emergency surgery ward from 2014 to 2019. Patients presented to emergency surgery of Government Medical College, Amritsar, Punjab, India were observed for various characteristics i.e., age group, mode of injury, site of injury, outcomes and management. Results: The mean age of patients was 33.91±16.29 years with significant male predominance (n=794, 79.4%) (p-value 0.00001). Road Traffic Injuries (RTIs) were the most common mode of trauma affecting 490 patients (49%). Head injury was the most common of all injuries (n=834). Overall mortality was 3.6% (n=36). Mortality was higher in males (p-value 0.00933) and mortality rate of 25% was seen in age group of 61-70 years. Conclusion: RTIs followed by assaults are the most common cause of trauma and it significantly affects young male population. However, mortality rate increases with increase in age group with higher rates in older age groups.


2021 ◽  
Vol 67 (4) ◽  
pp. 492-500
Author(s):  
Vakhtang Merabishvili ◽  
Iuliia Iurkova ◽  
Evgenii Levchenko ◽  
Aleksandr Shcherbakov ◽  
Nikolai Krotov

Lung cancer (LC) remains the main cause of morbidity and mortality in many economically developed countries of the world. In 2019, more than 60 thousand primary cases of LC and more than 50 thousand deaths from this cause were recorded in Russia. The registration reliability index remains high - 0.83, which indicates a significant underestimation of primary patients.At the same time, it should be noted that the standardized rates of morbidity and mortality from LC continue to decline. The most effective criterion for evaluating the activity of the oncological service is the indicator of the observed and relative survival of patients with malignant neoplasms (MNO). Such a possibility exists in many territories of Russia, but it is calculated only in selected territories working according to our programs, and first of all, in the newly created population cancer register of the Northwestern Federal District (NWFD) with a database (DB) of more than 1 million. 350 thousand observations.The results obtained can be fully extended to the whole of Russia, since the levels of standardized indicators of morbidity and mortality from LC in Russia and the NWFD of the Russian Federation are practically identical.The study showed that from 2000 to 2017, the median survival rate of patients with LC in the NWFD increased from 6.4 to 8.0 months, and the one-year mortality rate decreased from 65,2% to 60,8%.The change in indicators is extremely slow. Differences in the mortality rate (in standardized indicators) from LC between men and women differ in Russia by 7,1, in the NWFD of the RF - by 7.0.Mortality in men from LC in the first year of observation is 63.5% versus 52.5% among the female population, which is primarily due to the peculiarities of the industrial production process and bad habits that are more characteristic of the male population.


2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Silvânia Suely Caribé de Araújo Andrade ◽  
Maria Helena Prado de Mello-Jorge

ABSTRACT OBJECTIVE To estimate the potential years of life lost by road traffic injuries three years after the beginning of the Decade of Action for Traffic Safety. METHODS We analyzed the data of the Sistema de Informações sobre Mortalidade (SIM – Mortality Information System) related to road traffic injuries, in 2013. We estimated the crude and standardized mortality rates for Brazil and geographic regions. We calculated, for the Country, the proportional mortality according to age groups, education level, race/skin color, and type or quality of the victim while user of the public highway. We estimated the potential years of life lost according to sex. RESULTS The mortality rate in 2013 was of 21.0 deaths per 100,000 inhabitants for the Country. The Midwest region presented the highest rate (29.9 deaths per 100,000 inhabitants). Most of the deaths by road traffic injuries took place with males (34.9 deaths per 100,000 males). More than half of the people who have died because of road traffic injuries were of black race/skin color, young adults (24.2%), individuals with low schooling (24.0%), and motorcyclists (28.5%). The mortality rate in the triennium 2011-2013 decreased 4.1%, but increased among motorcyclists. Across the Country, more than a million of potential years of life were lost, in 2013, because of road traffic injuries, especially in the age group of 20 to 29 years. CONCLUSIONS The impact of the high mortality rate is of over a million of potential years of life lost by road traffic injuries, especially among adults in productive age (early mortality), in only one year, representing extreme social cost arising from a cause of death that could be prevented. Despite the reduction of mortality by road traffic injuries from 2011 to 2013, the mortality rates increased among motorcyclists.


1986 ◽  
Vol 67 (2) ◽  
pp. 86-90
Author(s):  
V. K. Kirillov

The urgency of this problem is extremely high and is caused by the variety and strength of the negative influence of alcohol consumption both on the destinies of individuals and on the development of our society as a whole, which is confirmed by the results of scientific research. For example, it has been established that the mortality rate among alcoholics is 2-4 times higher than among the general population. Up to 50% of fatal traffic accidents are caused by alcoholic beverages. The morbidity rate among men who abuse alcohol is 1.5 times higher than among the entire male population.


2009 ◽  
Vol 62 (1-2) ◽  
pp. 17-22 ◽  
Author(s):  
Predrag Djuric ◽  
Marica Miladinov-Mikov

Introduction. Traffic accidents are one of the leading epidemiological problems in developed countries as well as in developing ones. It is estimated that every day in the world 1308 person die in car accidents. Causes of traffic accidents are factors of road, vehicle and human factors, the latter one being the cause of more than 90% car accidents, isolated or linked with other factors. Material and methods .Data from the Ministry of Internal Affairs - Department in Novi Sad were collected for the period 1992 - 2001 and analyzed. All road traffic accidents were divided into those with and without injured persons. All injured were divided in three categories: slightly injured, severely injured and killed. Categorisation was done by the Ministry of Internal Affairs (police). Results. Avarage number of road traffic accidents in AP Vojvodina is 13,191, and 3502 with injured persons per year. Avarage incidence is 174 accidents per 100,000 population, and 301 injured per 100 000 population. Mortality rate is 30.6 per 100 000 population. Number of killed in road traffic accidents per 10,000 vehicles is 6.91. Discussion. During the 1992-2001 period, morbidity and mortality rates of traffic accidents in AP Vojvodina were high. Participating of bicycle drivers, car passengers and pedestrians is higher than in developed countries. Injured persons are mostly 20-29 y.o., but rates of killed persons are the same in all age groups older than 19. Men are more in danger than women. Majority of accidents happen during the early autumn months, on Fridays and Saturdays, in early evening hours. Most persons have been injured or killed in city accidents,along Subotica-Belgrade highway. Conclusion. AP Vojvodina had the highest mortality rate of road traffic injuries per ten thousand vehicles in Europe - 6.91. Effective preventive meausres are needed to decrease rates of road traffic accidents.


2021 ◽  
Vol 9 (4) ◽  
pp. 558-562
Author(s):  
Patience a ◽  
◽  
N. Ugwuegede ◽  
Kelechi T. Ugwu ◽  
◽  
...  

Road traffic accidents in Nigeria are increasing at an alarming rate and have raised one of the countrys primary concerns. The current study aimed to investigate the effect of mortality awareness on attitude towards road safety. This studys main objective is to ascertain if subtle reminder of traffic mortality will influence road usersattitudes towards road safety. One hundred and three (n=103) road users from public bus terminals, and private car parking garages in the Enugu State of Nigeria participated in this study. A cross-sectional survey design was adopted. Data were collected using a modified version of the Attitude towards Safe Driving Scale (ASDS) and a scale developed to trigger mortality thoughts. The regression analysis conducted on the data established a positive association between a subtle reminder of mortality and attitude towards road safety at F (1,101), 367.67, P<.000. More so, an adjusted R2of .547 indicates that mortality reminders accounted for 54.7% of the variation in attitude towards road safety. The study concluded that mortality reminders are essential in controlling traffic-related accidents and violations. The practical implication and recommendations are discussed.


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