Adult mortality from non-communicable diseases in Fiji's major ethnic groups 2013–17
Background: Sustainable Development Goal 3.4.1 (SDG3.4.1) targets a one-third reduction in non-communicable disease (NCD) mortality in ages 30–69-years by 2030 (relative to 2015). Directing interventions to achieve this aim requires reliable estimates of underlying cause of death (UCoD). This may be...
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Elsevier
2024-12-01
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| Series: | Global Epidemiology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590113324000233 |
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| author | Catherine Dearie Christine Linhart Carah Figueroa Varanisese Saumaka Timothy Dobbins Stephen Morrell Richard Taylor |
| author_facet | Catherine Dearie Christine Linhart Carah Figueroa Varanisese Saumaka Timothy Dobbins Stephen Morrell Richard Taylor |
| author_sort | Catherine Dearie |
| collection | DOAJ |
| description | Background: Sustainable Development Goal 3.4.1 (SDG3.4.1) targets a one-third reduction in non-communicable disease (NCD) mortality in ages 30–69-years by 2030 (relative to 2015). Directing interventions to achieve this aim requires reliable estimates of underlying cause of death (UCoD). This may be problematic when both cardiovascular diseases (CVD) and diabetes are present due to a lack of consistency in certification of such deaths. We estimate empirically 2013–17 NCD mortality in Fiji, by sex and ethnicity, from CVD, diabetes, cancer, and chronic lower respiratory diseases (CRD), and aggregated as NCD4. Methods: UCoD was determined from Medical Certificates of Cause-of-Death (MCCD) from the Fiji Ministry of Health after pre-processing of mortality data where diabetes and/or hypertension were present in order to generate internationally comparable UCoD. If no potentially fatal complications from diabetes or hypertension accompanied these causes in Part I (direct cause) of the MCCD, these conditions were re-assigned to Part II (contributory cause). The probability of a 30-year-old dying before reaching age 70-years (PoD30–70), by cause, was calculated. Findings: The PoD30–70 from NCD4 over 2013–17 differed by sex and ethnicity: in women, it was 36% (95%CI 35–37%) in i-Taukei and 27% (26–28%) in Fijians of Indian descent (FID); in men, it was 41% (40–42%) in both i-Taukei and FID.PoD30–70 from CVD, diabetes, cancer and CRD in women was: 18%, 10%, 13% and 1·0% in i-Taukei; 13%, 10%, 5·6% and 1·1% in FID; in men was: 28%, 8.4%, 7·6% and 2·2% in i-Taukei; 31%, 8.3%, 3.5% and 3·1% in FID. Interpretation: To achieve SDG3.4.1 goals in Fiji by 2030, effective population wide and ethnic-specific interventions targeting multiple NCDs are required to reduce PoD30–70 from NCD4: from 36% to 24% in i-Taukei, and 27% to 18% in FID women; and from 41% to 27% in i-Taukei and FID men. Funding: Not applicable. |
| format | Article |
| id | doaj-art-db3f82b8924043b5abc034675a742d36 |
| institution | DOAJ |
| issn | 2590-1133 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Global Epidemiology |
| spelling | doaj-art-db3f82b8924043b5abc034675a742d362025-08-20T02:50:20ZengElsevierGlobal Epidemiology2590-11332024-12-01810015710.1016/j.gloepi.2024.100157Adult mortality from non-communicable diseases in Fiji's major ethnic groups 2013–17Catherine Dearie0Christine Linhart1Carah Figueroa2Varanisese Saumaka3Timothy Dobbins4Stephen Morrell5Richard Taylor6School of Population Health, University of New South Wales, Samuels Building, Botany St, Randwick, NSW 2052, Australia; Corresponding author.School of Population Health, University of New South Wales, Sydney, AustraliaSchool of Health & Social Development, Deakin University, Burwood, Victoria, AustraliaMinistry of Health and Medical Services, Suva, FijiSchool of Population Health, University of New South Wales, Sydney, AustraliaSchool of Population Health, University of New South Wales, Sydney, AustraliaSchool of Population Health, University of New South Wales, Sydney, AustraliaBackground: Sustainable Development Goal 3.4.1 (SDG3.4.1) targets a one-third reduction in non-communicable disease (NCD) mortality in ages 30–69-years by 2030 (relative to 2015). Directing interventions to achieve this aim requires reliable estimates of underlying cause of death (UCoD). This may be problematic when both cardiovascular diseases (CVD) and diabetes are present due to a lack of consistency in certification of such deaths. We estimate empirically 2013–17 NCD mortality in Fiji, by sex and ethnicity, from CVD, diabetes, cancer, and chronic lower respiratory diseases (CRD), and aggregated as NCD4. Methods: UCoD was determined from Medical Certificates of Cause-of-Death (MCCD) from the Fiji Ministry of Health after pre-processing of mortality data where diabetes and/or hypertension were present in order to generate internationally comparable UCoD. If no potentially fatal complications from diabetes or hypertension accompanied these causes in Part I (direct cause) of the MCCD, these conditions were re-assigned to Part II (contributory cause). The probability of a 30-year-old dying before reaching age 70-years (PoD30–70), by cause, was calculated. Findings: The PoD30–70 from NCD4 over 2013–17 differed by sex and ethnicity: in women, it was 36% (95%CI 35–37%) in i-Taukei and 27% (26–28%) in Fijians of Indian descent (FID); in men, it was 41% (40–42%) in both i-Taukei and FID.PoD30–70 from CVD, diabetes, cancer and CRD in women was: 18%, 10%, 13% and 1·0% in i-Taukei; 13%, 10%, 5·6% and 1·1% in FID; in men was: 28%, 8.4%, 7·6% and 2·2% in i-Taukei; 31%, 8.3%, 3.5% and 3·1% in FID. Interpretation: To achieve SDG3.4.1 goals in Fiji by 2030, effective population wide and ethnic-specific interventions targeting multiple NCDs are required to reduce PoD30–70 from NCD4: from 36% to 24% in i-Taukei, and 27% to 18% in FID women; and from 41% to 27% in i-Taukei and FID men. Funding: Not applicable.http://www.sciencedirect.com/science/article/pii/S2590113324000233Sustainable development goalsCause of deathNon-communicable diseaseFijiMortalityProbability of dying |
| spellingShingle | Catherine Dearie Christine Linhart Carah Figueroa Varanisese Saumaka Timothy Dobbins Stephen Morrell Richard Taylor Adult mortality from non-communicable diseases in Fiji's major ethnic groups 2013–17 Global Epidemiology Sustainable development goals Cause of death Non-communicable disease Fiji Mortality Probability of dying |
| title | Adult mortality from non-communicable diseases in Fiji's major ethnic groups 2013–17 |
| title_full | Adult mortality from non-communicable diseases in Fiji's major ethnic groups 2013–17 |
| title_fullStr | Adult mortality from non-communicable diseases in Fiji's major ethnic groups 2013–17 |
| title_full_unstemmed | Adult mortality from non-communicable diseases in Fiji's major ethnic groups 2013–17 |
| title_short | Adult mortality from non-communicable diseases in Fiji's major ethnic groups 2013–17 |
| title_sort | adult mortality from non communicable diseases in fiji s major ethnic groups 2013 17 |
| topic | Sustainable development goals Cause of death Non-communicable disease Fiji Mortality Probability of dying |
| url | http://www.sciencedirect.com/science/article/pii/S2590113324000233 |
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