An Overview of Infant Mortality Trends in Qatar from 2004 to 2014

Al-Thani, Mohammed; Al-Thani, Al-Anoud; Toumi, A.; Khalifa, Shams Eldin Ali Hassan; Akram, Hammad

doi:10.7759/cureus.1669

Cited by 6 publications

(4 citation statements)

References 15 publications

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“…Age-specific mortality rates in Qatari and non-Qatari children were closer in this study compared to adults. A previous study showed marginally less infant mortality rates in Qataris compared to non-Qataris in the period of 2004–2014 (relative risk of mortality: 0.81, 95% confidence interval: 0.66–1.00) ( 24 ), however, our findings did not support it.…”

Section: Discussioncontrasting

confidence: 99%

Core health indicators in countries with high proportion of expatriates: Case study of Qatar

Moradi‐Lakeh

Toumi²,

Khalifa³

et al. 2023

Front. Public Health

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BackgroundPopulation size and structure have a huge impact on health indicators. In countries with a high proportion of expatriates, there are some limitations in estimating, aggregating and reporting of the health indicators, and corrections may be required in the established estimation methodologies. We review the case of Qatar to see how its specific population characteristics affect its health indicators.MethodsWe used routinely collected data and reviewed and calculated a selected list of health indicators for Qatari and non-Qatari populations residing in Qatar. Mortality and cancer incidence rates, stratified by nationality, were used for this purpose. Also, a direct method was used to estimate completeness of the death registry, compared to the mortuary data.ResultsAge and sex distribution of Qatari and non-Qatari populations are completely different. Compared to the mortuary data, completeness of death registration for the total population was estimated at 98.9 and 94.3%, with and without considering overseas deaths, respectively. Both estimates were considerably higher than estimates from the indirect methods. Mortality patterns were different even after standardization of age and stratification of sex groups; male age-standardized mortality rates were 502.7 and 242.3 per 100,000 individuals, respectively for Qataris and non-Qataris. The rates were closer in female populations (315.6 and 291.5, respectively). The leading types of cancer incidents were different in Qataris and non-Qataris.ConclusionsExpatriates are a dynamic population with high-turnover, different from Qatari population in their age-sex structure and health status. They are more likely to be young or middle-aged and are less affected by age related diseases and cancers. Also, they might be at higher risks for specific diseases or injuries. Aggregating indicators of Qatari and non-Qatari populations might be mis-leading for policy making purposes, and common estimation correction approaches cannot alleviate the limitations. High-proportion of expatriate population also imposes significant errors to some of the key demographic estimates (such as completeness of death registry). We recommend a standardized approach to consider nationality in addition to age and sex distributions for analysis of health data in countries with a high proportion of expatriates.

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Section: Discussioncontrasting

confidence: 99%

Core health indicators in countries with high proportion of expatriates: Case study of Qatar

Moradi‐Lakeh

Toumi²,

Khalifa³

et al. 2023

Front. Public Health

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“…Causes of death were coded in accordance with the International Classification of Diseases guidelines (ICD-10, Version 2016). The detailed process of data collection and “cause of death” coding was described elsewhere 7. The data contained information on date, place, and cause of death, as well as included demographic information like sex, age, and nationality (Qatari or non-Qatari) 7…”

Section: Methodsmentioning

confidence: 99%

“…In this study, we aimed to investigate the trends in childhood mortality and the leading causes of death by nationality and sex in Qatar from 2004 to 2016. The mortality trends and characteristics among infants under one year of age in Qatar have already been discussed in our previous publication 7…”

Section: Introductionmentioning

confidence: 97%

Trends in the leading causes of childhood mortality from 2004 to 2016 in Qatar

Al-Thani

Toumi

et al. 2018

cajgh

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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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“…Qatar ranks 16th globally in this report 5 . CAs are the leading cause of infant mortality in the country, accounting for 34.5% of total infant mortality 8 . CAs are estimated to comprise 2.13% of total deaths, with an age-adjusted death rate of approximately 4.95 per 100,000 of population 9 .…”

Section: Introductionmentioning

confidence: 99%

Prevalence, predictors, and outcomes of major congenital anomalies: A population-based register study

Al‐Dewik

Samara

Younes

et al. 2023

Sci Rep

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Congenital anomalies (CAs) are a leading cause of morbidity and mortality in early life. We aimed to assess the incidence, risk factors, and outcomes of major CAs in the State of Qatar. A population-based retrospective data analysis of registry data retrieved from the Perinatal Neonatal Outcomes Research Study in the Arabian Gulf (PEARL-Peristat Study) between April 2017 and March 2018. The sample included 25,204 newborn records, which were audited between April 2017 and March 2018, of which 25,073 live births were identified and included in the study. Maternal risk factors and neonatal outcomes were assessed for association with specific CAs, including chromosomal/genetic, central nervous system (CNS), cardiovascular system (CVS), facial, renal, multiple congenital anomalies (MCAs) using univariate and multivariate analyses. The incidence of any CA among live births was 1.3% (n = 332). The most common CAs were CVS (n = 117; 35%), MCAs (n = 69, 21%), chromosomal/genetic (51; 15%), renal (n = 39; 12%), CNS (n = 20; 6%), facial (14, 4%), and other (GIT, Resp, Urogenital, Skeletal) (n = 22, 7%) anomalies. Multivariable regression analysis showed that multiple pregnancies, parity ≥ 1, maternal BMI, and demographic factors (mother’s age and ethnicity, and infant’s gender) were associated with various specific CAs. In-hospital mortality rate due to CAs was estimated to be 15.4%. CAs were significantly associated with high rates of caesarean deliveries (aOR 1.51; 95% CI 1.04–2.19), Apgar < 7 at 1 min (aOR 5.44; 95% CI 3.10–9.55), Apgar < 7 at 5 min (aOR 17.26; 95% CI 6.31–47.18), in-hospital mortality (aOR 76.16; 37.96–152.8), admission to neonatal intensive care unit (NICU) or perinatal death of neonate in labor room (LR)/operation theatre (OT) (aOR 34.03; 95% CI 20.51–56.46), prematurity (aOR 4.17; 95% CI 2.75–6.32), and low birth weight (aOR 5.88; 95% CI 3.92–8.82) before and after adjustment for the significant risk factors. This is the first study to assess the incidence, maternal risk factors, and neonatal outcomes associated with CAs in the state of Qatar. Therefore, a specialized congenital anomaly data registry is needed to identify risk factors and outcomes. In addition, counselling of mothers and their families may help to identify specific needs for pregnant women and their babies.

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An Overview of Infant Mortality Trends in Qatar from 2004 to 2014

Cited by 6 publications

References 15 publications

Core health indicators in countries with high proportion of expatriates: Case study of Qatar

Core health indicators in countries with high proportion of expatriates: Case study of Qatar

Trends in the leading causes of childhood mortality from 2004 to 2016 in Qatar

Prevalence, predictors, and outcomes of major congenital anomalies: A population-based register study

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