Mortality trends in Fiji

Carter, Karen, Cornelius, Margaret, Taylor, Richard, Ali, Shareen S., Rao, Chalapati, Lopez, Alan D., Lewai, Vasemaca, Goundar, Ramneek and Mowry, Claire (2011) Mortality trends in Fiji. Australian and New Zealand Journal of Public Health, 35 5: 412-420. doi:10.1111/j.1753-6405.2011.00740.x


Author Carter, Karen
Cornelius, Margaret
Taylor, Richard
Ali, Shareen S.
Rao, Chalapati
Lopez, Alan D.
Lewai, Vasemaca
Goundar, Ramneek
Mowry, Claire
Title Mortality trends in Fiji
Journal name Australian and New Zealand Journal of Public Health   Check publisher's open access policy
ISSN 1326-0200
1753-6405
Publication date 2011-10-01
Sub-type Article (original research)
DOI 10.1111/j.1753-6405.2011.00740.x
Volume 35
Issue 5
Start page 412
End page 420
Total pages 9
Place of publication Richmond, Vic., Australia
Publisher Wiley-Blackwell Publishing Asia
Language eng
Formatted abstract
Objectives: Mortality level and cause of death trends are evaluated to chart the epidemiological transition in Fiji. Implications for current health policy are discussed.
Methods: Published data for infant mortality rate (IMR), life expectancy (LE) and causes of death for 1940–2008 were assessed for quality, and compared with mortality indices generated from recent Ministry of Health death recording. Trends in credible mortality estimates are compared with trends in proportional mortality for cause of death.
Results: IMR declined from 60 deaths (per 1,000) in 1945 to below 20 by 2000. IMR for 2006–08 is estimated at 18–20 deaths per 1,000 live births. Excessive LE estimates arise by imputing from the IMR using inappropriate models. LE increased, but has been stable at 64 years for males and 69 years for females since the late 1980s and early 1990s respectively. Proportional mortality from diseases of the circulatory system has increased from around 20% in the 1960s to more than 45%. Extensive variation in published mortality estimates was indentified, including clearly incompatible ranges of IMR and LE.
Conclusions: Mortality decline has stagnated. Relatively low IMR and proportional mortality trends suggest this is largely due to chronic diseases (especially cardiovascular) in adults.
Implications: Reconciliation of mortality data in Fiji to reduce uncertainty is urgently needed. Fiji's health services and donor partners should place continued and increased emphasis on effective control strategies for cardiovascular disease.
Keyword Cardiovascular disease
Epidemiological transition
Fiji
Mortality
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Public Health Publications
 
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