Determinants of epidemiologic transition in rural Africa : the role of socioeconomic status and drinking water source

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Determinants of epidemiologic transition in rural Africa : the role of socioeconomic status and drinking water source

Type: Article / Letter to editor
Title: Determinants of epidemiologic transition in rural Africa : the role of socioeconomic status and drinking water source
Author: Engelaer, Frouke M.; Koopman Jacob J.E.; Bodegom, David van; Eriksson, Ulrika K.; Westendorp, Rudi G.J.
Start Page: 372
372
End Page: 379
Publisher: Oxford Academic
Issue Date: 2014
Keywords: Drinking water
Epidemiologic transition
Fertility
Ghana
Mortality
Socioeconomic status
Abstract: Background Many African countries experience a protracted epidemiologic transition, different from the classical transition in western societies. The factors driving this protracted transition are largely unknown. In northeast Ghana, we studied an ongoing epidemiologic transition and investigated the effects of socioeconomic status and drinking water source on the transition. Methods During a 9-year period, we followed a cohort of almost 30 000 individuals and collected information on mortality and fertility rates. In addition, using the standards set out by the WHO, we obtained the causes of death by verbal autopsy. Individuals were stratified according to their socioeconomic status and the households' use of an improved or unimproved drinking water source. Results Mortality rates decreased by −5.0% annually (p<0.001) and the main cause of death shifted from infectious to non-infectious diseases (p=0.014). General fertility rates and child-women ratios decreased annually by −12.7% (p<0.001) and −11.9% (p<0.001), respectively. There was no difference in the decline of mortality and fertility depending on socioeconomic status or drinking water source.
Citation: Trans R Soc Trop Med Hyg (2014) 108 (6): 372-379.
Series/Report no.: Transactions of the Royal Society of Tropical Medicine and Hygiene;108/6
Handle: http://hdl.handle.net/1887/47460
 

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