Trends in the leading causes of childhood mortality from 2004 to 2016 in Qatar
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Аннотация
Introduction: Childhood mortality is an important health indicator that reflects the overall health status of a population. Despite the decrease in global childhood mortality rates over the past decades, it still remains an important public health issue in Qatar.
Methods: The data from 2004-2016 were extracted from the Qatar Ministry of Public Health Birth and Death Database. International Classification of Diseases (ICD-10) was used for coding the causes of death. The childhood mortality rate was defined as the probability of a child dying between the first and the fifth birthday, expressed as the number of deaths per 1,000 children surviving to 12 months of age. The sex ratio was calculated by dividing the mortality rate of males by that of females. Mann-Kendall trend test was performed to examine time trends. Relative risks were calculated to examine differences by nationality (Qatari and non-Qatari) and sex.
Results: A significant decrease in mortality rate of children aged one to five was observed from 1.76 to 1.05 per 1000 children between 2004 and 2016 (Kendall tau=-0.6, p=0.004). Three prominent causes of mortality were motor vehicle accidents, congenital malformations of the circulatory system, and accidental drowning/submersion. A statistically non-significant decrease in childhood mortality from motor vehicle accidents was oberved for all nationalities (total (Kendall tau=-0.03), Qatari (Kendall tau=-0.14), and non-Qatari (Kendall tau=-0.12)). A significant decrease was seen for total accidental drowning and submersion (Kendall tau=-0.54, p=0.012), while no statistically significant decrease was seen for total congenital malformations of the circulatory system (Kendall tau=-0.36, NS). The Qatari population did have a significant decrease in childhood mortality due to congenital malformations of the circulatory system (Kendall tau=-0.67, p=0.003) and accidental drowning and submersion (Kendall tau=-0.55, p=0.016).
Conclusion: The study is a first attempt to evaluate childhood mortality statistics from Qatar and could be useful in supporting Qatar’s ongoing national health strategy programs.
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Библиографические ссылки
UNICEF. Definitions: Basic indicators, under-five mortality rate. https://www.unicef.org/infobycountry/stats_popup1.html. Accessed 26 October, 2018.
WHO. Global health Observatory Data: under-five mortality. http://www.who.int/gho/child_health/mortality/mortality_under_five_text/en/. Accessed 26 October, 2018.
UNICEF. Committing to child survival: A promise renewed. Progress Report 2013. https://www.unicef.org/publications/index_70354.html. Accessed 26 October, 2018.
UN. Millenium Declaration. http://www.un.org/millennium/declaration/ares552e.htm. Accessed 26 October, 2018.
Wang H, Liddell CA, Coates MM, et al. Global, regional, and national levels of neonatal, infant, and under-5 mortality during 1990-2013;2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet. 2014;384(9947):957-979.
Alkema L, Chao F, You D, Pedersen J, Sawyer CC. National, regional, and global sex ratios of infant, child, and under-5 mortality and identification of countries with outlying ratios: a systematic assessment. The Lancet Global Health. 2014;2(9):e521-e530.
Al-Thani M. An Overview of Infant Mortality Trends in Qatar from 2004 to 2014.Cureus 9(9). e1667
Malawi Demographic and Health Survey. Zomba: National Statistical Office; 2004. https://www.dhsprogram.com/pubs/pdf/FR175/FR-175-MW04.pdf. Accessed 26 October, 2018.
Kendall, M.G. (1948). Rank correlation methods. Oxford, England: Griffin.
Choe SA, Cho SI. Causes of child mortality (1 to 4 years of age) from 1983 to 2012 in the Republic of Korea: national vital data. J Prev Med Public Health. 2014 Nov;47(6):336-42. doi: 10.3961/jpmph.14.024.
Sekii H, Ohtsu T, Shirasawa T, Ochiai H, Shimizu T, Kokaze A. Childhood Mortality Due to Unintentional Injuries in Japan, 2000–2009. International Journal of Environmental Research and Public Health. 2013;10(2):528-540.
Johnston BD, Ebel BE. Child injury control: trends, themes, and controversies. Academic pediatrics. 2013;13(6):499-507.
Hill K, Upchurch DM. Gender Differences in Child Health: Evidence from the Demographic and Health Surveys. Population and Development Review. 1995;21(1):127-151.
AlMeezan. Law no. (19) of 2007 Regarding the The Traffic Law. http://www.almeezan.qa/LawView.aspx?opt&LawID=3993&language=en. Accessed 26 October, 2018.
Hamad International Training Center. Child Passenger Safety. https://www.hamad.qa/EN/your%20health/Hamad%20International%20Training%20Center/Kulluna/Pages/default.aspx. Accessed 26 October, 2018.
The Qatar National Road Safety Strategy 2013-2022. http://www.ashghal.gov.qa/en/Services/Lists/ServicesLibrary/NRSS_Eng.pdf. Accessed 26 October, 2018.
Lindholm P, Steensberg J. Epidemiology of unintentional drowning and near-drowning in Denmark in 1995. Injury Prevention. 2000;6(1):29-31.
Iqbal A, Shirin T, Ahmed T, et al. Childhood mortality due to drowning in rural Matlab of Bangladesh: magnitude of the problem and proposed solutions. Journal of health, population, and nutrition. 2007;25(3):370-376.
Salim TR. Mortality from Circulatory System Diseases and Malformations in Children in the State of Rio de Janeiro. Arq Bras Cardiol. 2016 Jun; 106(6): 464–473.
National Health Strategy 2018-2022. https://www.moph.gov.qa/HSF/Pages/NHS-18-22.aspx. Accessed 26 October, 2018.