Document Detail


Misclassification of pregnancy-related deaths in adult mortality surveys: case study in Senegal.
MedLine Citation:
PMID:  23130912     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: In countries with limited vital registration data, maternal mortality levels are often estimated using siblings' survival histories (SSH) collected during retrospective adult mortality surveys. We explored how accurately adult deaths can be classified as pregnancy related using such data.
METHOD: The study was conducted in a rural area of south-eastern Senegal with high maternal mortality, Bandafassi. We used data from a demographic surveillance system (DSS) in this area to identify deaths of women at reproductive ages between 2003 and 2009 and to locate the surviving adult sisters of the deceased and interview them. Siblings' survival histories were linked at the individual level to death records, and verbal autopsy data obtained by the demographic surveillance system. We compared the classification of adult female deaths as pregnancy related or not in interviews and DSS records.
RESULTS: There were 91 deaths at reproductive ages in the Bandafassi DSS between 2003 and 2009, but only 59 had known surviving sisters. Some deaths were omitted by respondents, or reported as alive or as having occurred during childhood (n = 8). Among deaths reported both in the SSH and DSS data, 94% of deaths classified as pregnancy related in the DSS data were also classified as such by siblings' survival histories. Only 70% of deaths classified as not pregnancy related in the DSS data were also classified as such by siblings' survival histories.
CONCLUSION: Misclassifications of pregnancy-related deaths in retrospective adult mortality surveys may affect estimates of pregnancy-related mortality rates.
Authors:
Stéphane Helleringer; Géraldine Duthé; Almamy Malick Kanté; Armelle Andro; Cheikh Sokhna; Jean-François Trape; Gilles Pison
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2012-11-07
Journal Detail:
Title:  Tropical medicine & international health : TM & IH     Volume:  18     ISSN:  1365-3156     ISO Abbreviation:  Trop. Med. Int. Health     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-02     Completed Date:  2013-02-20     Revised Date:  2014-01-09    
Medline Journal Info:
Nlm Unique ID:  9610576     Medline TA:  Trop Med Int Health     Country:  England    
Other Details:
Languages:  eng     Pagination:  27-34     Citation Subset:  IM    
Copyright Information:
© 2012 Blackwell Publishing Ltd.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Autopsy
Cause of Death*
Child
Data Collection / standards*
Death Certificates
Female
Humans
Interviews as Topic
Maternal Mortality*
Middle Aged
Mortality*
Pregnancy
Retrospective Studies
Rural Population
Senegal / epidemiology
Siblings
Young Adult
Grant Support
ID/Acronym/Agency:
R03 HD071117/HD/NICHD NIH HHS; R24 HD058486/HD/NICHD NIH HHS; R24HD058486/HD/NICHD NIH HHS
Comments/Corrections

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