Mortality Trends from 2003 to 2009 among Adolescents and Young Adults in Rural Western Kenya Using a Health and Demographic Surveillance System

摘要: Background: Targeted global efforts to improve survival of young adults need information on mortality trends; contributions from health and demographic surveillance system (HDSS) are required. Methods Findings: This study aimed explore changing trends in deaths among adolescents (15–19 years) (20–24 years), using census verbal autopsy data rural western Kenya a HDSS. Mid-year population estimates were used generate all-cause rates per 100,000 by age gender, communicable (CD) non-communicable disease (NCD) causes. Linear 2003 2009 examined. In 2003, 403 1,613 population, respectively, females; 217 716 100,000, males. CD females males 15–24 years 500 191 (relative risk [RR] 2.6; 95% confidence intervals [CI] 1.7–4.0; p,0.001). NCD same aged similar (141 128 respectively; p=0.76). By 2009, adult female fell 53% (x 2 for linear trend 30.4; p,0.001) 61.5% adolescent 11.9; No significant reductions occurred or either gender. allcause, CD, not significantly different between females, males, injuries equalled HIV as the top cause death. Conclusions: found rates, evidencing effects targeted public programmes, however, remain alarmingly high. These underscore strengthen programmes target strategies reach both promote well initiatives reduce burden amongst