Chronic diseases now a leading cause of death in rural India—mortality data from the Andhra Pradesh Rural Health Initiative

Joshi, Rohina; Cardona, Magnolia; Iyengar, Srinivas; Sukumar, Akamshetty; Raju, C Ravi; Raju, Krishnam; Reddy, K. Srinath; Lopez, Alan D; Neal, Bruce

doi:10.1093/ije/dyl168

Cited by 256 publications

(229 citation statements)

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“…Vários estudos internacionais que utilizaram a metodologia da autópsia verbal também observaram mudança na estrutura das causas de morte, redução das causas mal definidas, identificação de causas externas, sendo as doenças mais freqüentes alocadas no capítulo das doenças do aparelho circulatório e das causas externas 7,8 , resultados estes semelhantes aos encontrados neste estudo. Por outro lado, as doenças transmissíveis foram identificadas como o grupo mais freqüente de causas de morte por Lulu e Berhane 10 , em estudo com adultos residentes em área rural.…”

Section: Discussionunclassified

“…O método da autópsia verbal foi capaz de reduzir a proporção de mortes por causas inespecíficas e desconhecidas em adultos, tanto em áreas urbanas quanto rurais em um estudo que investigou 80 mil óbitos na Índia 7 . Na China e na Etiópia, o método possibilitou a identificação de doenças crônicas e não-transmissíveis, dentre elas as causas violentas e doenças infecciosas 8,9,10 . Estudos de validação sobre o método foram conduzidos em vários países 11,12,13,14 .…”

Section: Introductionunclassified

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Uso da autópsia verbal na investigação de óbitos com causa mal definida em Minas Gerais, Brasil

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As causas mal definidas de morte refletem problemas de acesso aos serviços de saúde e de qualidade da assistência médica, e indicam precariedade no registro de dados no Sistema de Informações sobre Mortalidade (SIM). Selecionou-se uma amostra de municípios na Macrorregião Nordeste de Minas Gerais, Brasil, com o objetivo de investigar as mortes por causas mal definidas e os óbitos não notificados ao SIM em 2007, por meio do método da autópsia verbal. Esse método possibilitou esclarecer 87% das causas dos óbitos investigados, das quais 17% (n = 37) eram por causas violentas. Ao final do estudo, dentre os 779 investigados, 9,5% (n = 74) eram óbitos por causa externa encontrados fora do SIM. A distribuição por causas foi semelhante entre os óbitos notificados e não notificados ao SIM para as causas naturais, mas diferente quando incluídas as causas externas. Conclui-se que a investigação de óbitos com a metodologia da autópsia verbal pode ser um instrumento de grande valia para o aprimoramento do SIM no estado possibilitando o esclarecimento das causas de morte e também quanto à cobertura dos eventos.

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Section: Introductionunclassified

Uso da autópsia verbal na investigação de óbitos com causa mal definida em Minas Gerais, Brasil

et al. 2010

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“…It proves that the epidemic has reached its advanced stage even in rural India. 6 Neglect of this scenario, particularly ignoring the socioeconomic context will further fuel the rapid rising of CVD among Indians.…”

Section: Introductionmentioning

confidence: 99%

Cardiovascular disease risk factors in Asian Indian population: A systematic review

Nag

Ghosh

2014

Journal of Cardiovascular Disease Research

118

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a b s t r a c tBackground: Cardiovascular diseases (CVDs) are the number one cause of death globally and are the leading cause of death in India also. Several surveys conducted across the country over the past few decades have shown a rising prevalence of major risk factors for CVD in Asian Indian population. The problem of increasing risk factors for CVD in India is because of lack of surveillance system and lack of proper diagnosis. This study will help to point out the need of research so that some advanced diagnosis system may be developed for proper diagnosis of CVDs and to reduce the growing burden of CVDs in the country. Methods: We did a literature search for the period from 1968 to 2012 using PUBMED search to identify all relevant studies of cardiovascular diseases. Besides PUBMED searching, manual searching has also been done. This article provides a review of current understanding of the epidemiology of cardiovascular disease, particularly, coronary heart disease (CHD), stroke and related risk factors in Asian Indian population. Results: Hypertension and diabetes are highly prevalent among Asian Indian population, which may explain their high rate of stroke and heart attack in India. The increasing rate of CVD may be explained by the high rates of other risk factors including adverse lipid profile. The etiology of cardiovascular diseases (CVD) is multifactorial and no single factor is an absolute cause. Conclusion: The cardiovascular diseases and its risk factors are increasing with a rapid pace in Asian Indian population. Though the prevalence of CVD risk factors is found higher in urban population, yet it is increasing at an alarming rate in rural population also, which is a serious threatening to the nation. Since majority of the Indians live in rural area, CVD may lead to epidemic proportions. We need health promotion programs and reorientation of primary health care to improve CVD detection in earlier stage and its management.

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“…India has just 1% of total motor vehicles in the world, but these account for 6% of the global road traffic accidents [19]. According to some recent studies, 13% to 18% of total deaths occur due to trauma-related injuries [12,16,36]. Injury is the third most important cause of mortality in India and is the most common cause of death among individuals younger than 40 years [11].…”

Section: Search Strategy and Criteriamentioning

confidence: 99%

Trauma Care in India and Germany

Oestern¹,

Garg

Kotwal

2013

Clinical Orthopaedics &Amp; Related Research

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Background Road traffic accidents are among the leading causes of death worldwide in individuals younger than 45 years. In both India and Germany, there has been an increase in registered motor vehicles over the last decades. However, while the number of traffic accident victims steadily dropped in Germany, there has been a sustained increase in India. We analyze this considering the sustained differences in rescue and trauma system status. Questions/purposes We compared India and Germany in terms of (1) vehicular infrastructure and causes of road traffic accident-related trauma, (2) burden of trauma, and (3) current trauma care and prevention, and (4) based on these observations, we suggested how India and other countries can enhance trauma care and prevention.

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Chronic diseases now a leading cause of death in rural India—mortality data from the Andhra Pradesh Rural Health Initiative

Abstract: Non-communicable and chronic diseases are the leading causes of death in this part of rural India. The observed pattern of death is unlikely to be unique to these villages and provides new insight into the rapid progression of epidemiological transition in rural India.

Cited by 256 publications

References 21 publications

Uso da autópsia verbal na investigação de óbitos com causa mal definida em Minas Gerais, Brasil

Uso da autópsia verbal na investigação de óbitos com causa mal definida em Minas Gerais, Brasil

Cardiovascular disease risk factors in Asian Indian population: A systematic review

Trauma Care in India and Germany

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