Mesganaw Fantahun|Yemane Berhane|Ulf Högberg|Stig Wall|Peter Byass
Young adult and middle age mortality in Butajira demographic surveillance site, Ethiopia: lifestyle, gender and household economy
Addis Ababa University|Addis Ababa University|Umeå University|Umeå University|Umeå University
public health research characterising course life middle age developing societies scarce aim study explore patterns adult 1564 years mortality ethiopian population time gender urban rural lifestyle causes death relation household economic status decisionmaking study conducted butajira demographic surveillance site dss southcentral ethiopia among adults 1564 years old cohort analysis surveillance data conducted years 19872004 complemented prospective casereferent case control study two years rate ratios computed assess relationships mortality background variables using poisson regression model casereferent component odds ratios 95 confidence intervals used assess effect certain risk factors included surveillance system total 367 940 person years observed period 18 years 2 860 deaths occurred one hundred sixty two cases 486 matched age sex place residence controls included case referent case control study modest downward trend adult mortality seen 18 year period rural lifestyle carried significant survival disadvantage mortality rate ratio 162 95 ci 144 182 adjusted gender period age group overall effects gender negligible communicable disease mortality appreciably higher rural areas rate ratio 205 95 ci 173 244 adjusted gender age group period higher mortality associated lack literacy household poor economic status lack womens decision making complex pattern adult mortality prevails still influenced war famine communicable diseases individual factors lack education low economic status social disadvantage contribute increased risks mortality