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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
The unfolding counter-transition in rural South Africa: Mortality and cause of death, 1994-2009
PLoS ONE, Volume 9, No. 6, Article e100420, Year 2014
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Description
The HIV pandemic has led to dramatic increases and inequalities in adult mortality, and the diffusion of antiretroviral treatment, together with demographic and socioeconomic shifts in sub-Saharan Africa, has further changed mortality patterns. We describe all-cause and cause-specific mortality patterns in rural South Africa, analyzing data from the Agincourt health and socio-demographic surveillance system from 1994 to 2009 for those aged 5 years and older. Mortality increased during that period, particularly after 2002 for ages 30-69. HIV/AIDS and TB deaths increased and recently plateaued at high levels in people under age 60. Noncommunicable disease deaths increased among those under 60, and recently also increased among those over 60. There was an inverse gradient between mortality and household SES, particularly for deaths due to HIV/AIDS and TB and noncommunicable diseases. A smaller and less consistent gradient emerged for deaths due to other communicable diseases. Deaths due to injuries remained an important mortality risk for males but did not vary by SES. Rural South Africa continues to have a high burden of HIV/AIDS and TB mortality while deaths from noncommunicable diseases have increased, and both of these cause-categories show social inequalities in mortality. © 2014 Houle et al.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC4068997/bin/pone.0100420.s001.docx
https://efashare.b-cdn.net/share/pmc/articles/PMC4068997/bin/pone.0100420.s002.docx
https://efashare.b-cdn.net/share/pmc/articles/PMC4068997/bin/pone.0100420.s003.docx
https://efashare.b-cdn.net/share/pmc/articles/PMC4068997/bin/pone.0100420.s004.docx
https://efashare.b-cdn.net/share/pmc/articles/PMC4068997/bin/pone.0100420.s005.docx
Authors & Co-Authors
Houle, Brian C.
United States, Seattle
University of Washington
United States, Boulder
University of Colorado Boulder
Clark, Samuel J.
United States, Seattle
University of Washington
United States, Boulder
University of Colorado Boulder
South Africa, Johannesburg
Wits School of Public Health
Ghana, Accra
Indepth Network
United Kingdom, London
Alpha Network
Gómez-Olivé, Francesc Xavier
South Africa, Johannesburg
Wits School of Public Health
Ghana, Accra
Indepth Network
Kahn, Kathleen
United States, Boulder
University of Colorado Boulder
South Africa, Johannesburg
Wits School of Public Health
Sweden, Umea
Umeå Universitet
Ghana, Accra
Indepth Network
Tollman, Stephen Meir
United States, Boulder
University of Colorado Boulder
South Africa, Johannesburg
Wits School of Public Health
Sweden, Umea
Umeå Universitet
Ghana, Accra
Indepth Network
Statistics
Citations: 44
Authors: 5
Affiliations: 6
Identifiers
Doi:
10.1371/journal.pone.0100420
e-ISSN:
19326203
Research Areas
Infectious Diseases
Noncommunicable Diseases
Violence And Injury
Study Locations
South Africa