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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Improving the Quality of Adult Mortality Data Collected in Demographic Surveys: Validation Study of a New Siblings' Survival Questionnaire in Niakhar, Senegal
PLoS Medicine, Volume 11, No. 5, Article e1001652, Year 2014
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Description
Background:In countries with limited vital registration, adult mortality is frequently estimated using siblings' survival histories (SSHs) collected during Demographic and Health Surveys (DHS). These data are affected by reporting errors. We developed a new SSH questionnaire, the siblings' survival calendar (SSC). It incorporates supplementary interviewing techniques to limit omissions of siblings and uses an event history calendar to improve reports of dates and ages. We hypothesized that the SSC would improve the quality of adult mortality data.Methods and Findings:We conducted a retrospective validation study among the population of the Niakhar Health and Demographic Surveillance System in Senegal. We randomly assigned men and women aged 15-59 y to an interview with either the DHS questionnaire or the SSC. We compared SSHs collected in each group to prospective data on adult mortality collected in Niakhar. The SSC reduced respondents' tendency to round reports of dates and ages to the nearest multiple of five or ten ("heaping"). The SSC also had higher sensitivity in recording adult female deaths: among respondents whose sister(s) had died at an adult age in the past 15 y, 89.6% reported an adult female death during SSC interviews versus 75.6% in DHS interviews (p = 0.027). The specificity of the SSC was similar to that of the DHS questionnaire, i.e., it did not increase the number of false reports of deaths. However, the SSC did not improve the reporting of adult deaths among the brothers of respondents. Study limitations include sample selectivity, limited external validity, and multiple testing.Conclusions:The SSC has the potential to collect more accurate SSHs than the questionnaire used in DHS. Further research is needed to assess the effects of the SSC on estimates of adult mortality rates. Additional validation studies should be conducted in different social and epidemiological settings. © 2014 Helleringer et al.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC4035258/bin/pmed.1001652.s001.docx
https://efashare.b-cdn.net/share/pmc/articles/PMC4035258/bin/pmed.1001652.s002.docx
https://efashare.b-cdn.net/share/pmc/articles/PMC4035258/bin/pmed.1001652.s003.docx
https://efashare.b-cdn.net/share/pmc/articles/PMC4035258/bin/pmed.1001652.s004.doc
https://efashare.b-cdn.net/share/pmc/articles/PMC4035258/bin/pmed.1001652.s005.doc
https://efashare.b-cdn.net/share/pmc/articles/PMC4035258/bin/pmed.1001652.s006.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC4035258/bin/pmed.1001652.s007.doc
https://efashare.b-cdn.net/share/pmc/articles/PMC4035258/bin/pmed.1001652.s008.docx
Authors & Co-Authors
Helleringer, Stéphane
United States, New York
Mailman School of Public Health
Pison, Gilles
France, Paris
Ined Institut National d' Études Démographiques
Masquelier, Bruno
Belgium, Louvain-la-neuve
Université Catholique de Louvain
Kanté, Almamy Malick
United States, New York
Mailman School of Public Health
Tanzania, Ifakara
Ifakara Health Institute
Douillot, Laëtitia
France, Paris
Ined Institut National d' Études Démographiques
Duthé, Géraldine
France, Paris
Ined Institut National d' Études Démographiques
Sokhna, Cheikh Sadibou
France, Marseille
Unité de Recherche Sur Les Maladies Infectieuses et Tropicales Emergentes
Senegal, Dakar
Institut de Recherche Pour le Développement Dakar
Delaunay, Valérie
Senegal, Dakar
Institut de Recherche Pour le Développement Dakar
France, Marseille
Laboratoire Population Environnement Développement
Statistics
Citations: 38
Authors: 8
Affiliations: 7
Identifiers
Doi:
10.1371/journal.pmed.1001652
ISSN:
15491277
e-ISSN:
15491676
Study Design
Cross Sectional Study
Cohort Study
Study Locations
Senegal
Participants Gender
Male
Female