The triple burden of communicable and non-communicable diseases and injuries on sex differences in life expectancy in Ethiopia.
Adolescent
Adult
Aged
Child
Child, Preschool
Communicable Diseases
/ epidemiology
Ethiopia
/ epidemiology
Female
Health Status Disparities
Humans
Infant
Infant, Newborn
Life Expectancy
/ trends
Male
Middle Aged
Noncommunicable Diseases
/ epidemiology
Sex Distribution
Wounds and Injuries
/ epidemiology
Young Adult
Decomposition
Ethiopia
Life expectancy
Life table
Sex differences in life expectancy
Journal
International journal for equity in health
ISSN: 1475-9276
Titre abrégé: Int J Equity Health
Pays: England
ID NLM: 101147692
Informations de publication
Date de publication:
03 08 2021
03 08 2021
Historique:
received:
12
04
2021
accepted:
17
07
2021
entrez:
4
8
2021
pubmed:
5
8
2021
medline:
7
10
2021
Statut:
epublish
Résumé
Ethiopia has experienced great improvements in life expectancy (LE) at birth over the last three decades. Despite consistent increases in LE for both males and females in Ethiopia, the country has simultaneously witnessed an increasing discrepancy in LE between males and females. This study used Pollard's actuarial method of decomposing LE to compare age- and cause- specific contributions to changes in sex differences in LE between 1995 and 2015 in Ethiopia. Life expectancy at birth in Ethiopia increased for both males and females from 48.28 years and 50.12 years in 1995 to 65.59 years and 69.11 years in 2015, respectively. However, the sex differences in LE at birth also increased from 1.85 years in 1995 to 3.51 years in 2015. Decomposition analysis shows that the higher male mortality was consistently due to injuries and respiratory infections, which contributed to 1.57 out of 1.85 years in 1995 and 1.62 out of 3.51 years in 2015 of the sex differences in LE. Increased male mortality from non-communicable diseases (NCDs) also contributed to the increased difference in LE between males and females over the period, accounting for 0.21 out of 1.85 years and 1.05 out of 3.51 years in 1995 and 2015, respectively. While injuries and respiratory infections causing male mortality were the most consistent causes of the sex differences in LE in Ethiopia, morality from NCDs is the main cause of the recent increasing differences in LE between males and females. However, unlike the higher exposure of males to death from injuries due to road traffic injuries or interpersonal violence, to what extent sex differences are caused by the higher male mortality compared to female mortality from respiratory infection diseases is unclear. Similarly, despite Ethiopia's weak social security system, an explanation for the increased sex differences after the age of 40 years due to either longer female LE or reduced male LE should be further investigated.
Sections du résumé
BACKGROUND
Ethiopia has experienced great improvements in life expectancy (LE) at birth over the last three decades. Despite consistent increases in LE for both males and females in Ethiopia, the country has simultaneously witnessed an increasing discrepancy in LE between males and females.
METHODS
This study used Pollard's actuarial method of decomposing LE to compare age- and cause- specific contributions to changes in sex differences in LE between 1995 and 2015 in Ethiopia.
RESULTS
Life expectancy at birth in Ethiopia increased for both males and females from 48.28 years and 50.12 years in 1995 to 65.59 years and 69.11 years in 2015, respectively. However, the sex differences in LE at birth also increased from 1.85 years in 1995 to 3.51 years in 2015. Decomposition analysis shows that the higher male mortality was consistently due to injuries and respiratory infections, which contributed to 1.57 out of 1.85 years in 1995 and 1.62 out of 3.51 years in 2015 of the sex differences in LE. Increased male mortality from non-communicable diseases (NCDs) also contributed to the increased difference in LE between males and females over the period, accounting for 0.21 out of 1.85 years and 1.05 out of 3.51 years in 1995 and 2015, respectively.
CONCLUSIONS
While injuries and respiratory infections causing male mortality were the most consistent causes of the sex differences in LE in Ethiopia, morality from NCDs is the main cause of the recent increasing differences in LE between males and females. However, unlike the higher exposure of males to death from injuries due to road traffic injuries or interpersonal violence, to what extent sex differences are caused by the higher male mortality compared to female mortality from respiratory infection diseases is unclear. Similarly, despite Ethiopia's weak social security system, an explanation for the increased sex differences after the age of 40 years due to either longer female LE or reduced male LE should be further investigated.
Identifiants
pubmed: 34344371
doi: 10.1186/s12939-021-01516-0
pii: 10.1186/s12939-021-01516-0
pmc: PMC8330193
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
180Informations de copyright
© 2021. The Author(s).
Références
Lancet Glob Health. 2020 Jan;8(1):e33-e34
pubmed: 31839137
Emerg Med Int. 2014;2014:439818
pubmed: 25165583
Respir Med. 2007 Sep;101(9):1845-63
pubmed: 17544265
Soc Sci Med. 1993 Feb;36(4):451-62
pubmed: 8434270
Lancet. 2014 Dec 13;384(9960):2105
pubmed: 25497191
BMJ Open. 2021 Feb 18;11(2):e044606
pubmed: 33602713
Popul Health Metr. 2017 Jul 21;15:29
pubmed: 28736507
Bull World Health Organ. 2001;79(2):161-70
pubmed: 11246833
Lancet. 2013 Apr 20;381(9875):1380-1390
pubmed: 23369797
Int Emerg Nurs. 2015 Jul;23(3):213-7
pubmed: 25582608
Lancet. 2020 Aug 1;396(10247):301-302
pubmed: 32738942
Int J Public Health. 2018 Jul;63(6):673-681
pubmed: 29654335
Ethiop J Health Sci. 2019 Jan;29(1):859-868
pubmed: 30700953
J Family Med Prim Care. 2018 Nov-Dec;7(6):1268-1273
pubmed: 30613509
Annu Rev Sociol. 1984;10:191-213
pubmed: 12339750
Proc Natl Acad Sci U S A. 2015 Jul 21;112(29):8993-8
pubmed: 26150507
BMC Emerg Med. 2015 May 20;15:10
pubmed: 25990560
BMC Public Health. 2020 Jun 15;20(1):926
pubmed: 32539824
BMC Emerg Med. 2018 May 22;18(1):14
pubmed: 29788913
IARC Sci Publ. 1987;(82):1-406
pubmed: 3329634
Lancet. 2014 Apr 5;383(9924):1264-7
pubmed: 24231388
SSM Popul Health. 2016 Aug 03;2:512-524
pubmed: 29349167
Lancet. 2020 Mar 14;395(10227):846-848
pubmed: 32151325
PLoS One. 2018 Oct 3;13(10):e0204395
pubmed: 30281624
Popul Health Metr. 2016 May 23;14:20
pubmed: 27222639
Demography. 1988 May;25(2):265-76
pubmed: 3396751
Ethiop J Health Dev. 2016;30(1):5-16
pubmed: 28890631
Arch Public Health. 2018 Sep 17;76:51
pubmed: 30237881
Science. 2002 Sep 20;297(5589):2008-9
pubmed: 12242430
Milbank Mem Fund Q. 1971 Oct;49(4):509-38
pubmed: 5155251
Int J Gen Med. 2020 Jan 30;13:17-26
pubmed: 32099446
BMC Public Health. 2020 Jun 3;20(1):839
pubmed: 32493253
Soc Sci Med. 2012 Oct;75(7):1280-7
pubmed: 22739261
BMC Infect Dis. 2018 Jul 11;18(1):320
pubmed: 29996776
Demography. 1984 Feb;21(1):83-96
pubmed: 6714492
Lancet. 2015 Oct 3;386(10001):1386-1394
pubmed: 25971222
BMC Pediatr. 2020 Feb 28;20(1):93
pubmed: 32111196
SSM Popul Health. 2018 Jul 23;5:218-226
pubmed: 30094317
Stud Fam Plann. 2013 Dec;44(4):445-59
pubmed: 24323662
Inj Epidemiol. 2020 Dec 21;7(1):67
pubmed: 33342441
PLoS One. 2014 Jul 23;9(7):e103001
pubmed: 25054440
J Multidiscip Healthc. 2020 Sep 16;13:917-922
pubmed: 32982268
Am J Respir Crit Care Med. 2002 Apr 15;165(8):1084-92
pubmed: 11956049
Lancet HIV. 2020 Sep;7(9):e629-e640
pubmed: 32771089
PLoS One. 2019 Jan 29;14(1):e0202240
pubmed: 30695028