Estimating adult mortality rates in the context of the AIDS epidemic in sub-Saharan Africa: analysis of DHS sibling histories

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dc.contributor.authorBicego, Georgeen_US
dc.contributor.editorAwusabo-Asare, Kofien_US
dc.contributor.editorPisani, Elisabethen_US
dc.contributor.editorBoerma, J. Tiesen_US
dc.contributor.editorZaba, Basiaen_US
dc.date.accessioned2003-03-12en_US
dc.date.accessioned2004-05-19T15:25:34Zen_US
dc.date.accessioned2011-01-05T08:47:27Z
dc.date.available2004-05-19T15:25:34Zen_US
dc.date.available2011-01-05T08:47:27Z
dc.date.created1997en_US
dc.date.issued1997en_US
dc.description.abstractRecent efforts to model the demographic effect of the AIDS pandemic in sub-Saharan Africa have far outnumbered empirical studies of adult mortality levels and patterns in AIDS-affected countries of the region. There is still a paucity of population-based data on adult mortality for nearly all countries in the region. Using data from recent Demographic and Health Surveys (DHS) of six countries and one in-depth DHS, this paper examines the use of sibling histories to directly estimate rates of adult mortality. The countries studied include Uganda, Zambia, Central African Republic, Côte d’Ivoire, Zimbabwe, Malawi, and Tanzania. Rates of adult male and female mortality are presented at the national level in comparison to estimates obtained from other published sources, where available, and for subnational areas where cohort and other mortality studies have been recently conducted. The results indicate surprising consistency with external data and, on the whole, underscore the expected but hitherto only sparsely documented association between residence in high HIV-prevalence areas and sharply elevated mortality risk during the relevant adult ages. The cases of Zambia and Uganda in particular provide clear evidence of very high adult mortality levels among both men and women. In general, the findings of the study demonstrate that DHS-type sibling histories represent a promising, relatively untapped source of data that will add to our understanding of adult mortality dynamics in Africa. The paper discusses some of the advantages and potential limitations of the data and derived mortality estimates.en_US
dc.format.extent52923 bytesen_US
dc.format.mimetypeapplication/pdfen_US
dc.identifier.urihttp://hdl.handle.net/1885/41319en_US
dc.language.isoen_AUen_US
dc.publisherHealth Transition Centre, National Centre for Epidemiology and Population Health, The Australian National Universityen_US
dc.subjectsub-Saharan Africaen_US
dc.subjectHIV/AIDSen_US
dc.subjectadult mortalityen_US
dc.subjectDHSen_US
dc.subjectDemographic and Health Surveysen_US
dc.subjectsibling historiesen_US
dc.titleEstimating adult mortality rates in the context of the AIDS epidemic in sub-Saharan Africa: analysis of DHS sibling historiesen_US
dc.typeJournal articleen_US
local.description.refereednoen_US
local.identifier.citationnumbersupp.2en_US
local.identifier.citationpages7-22en_US
local.identifier.citationpublicationHealth Transition Reviewen_US
local.identifier.citationvolume7en_US
local.identifier.citationyear1997en_US
local.identifier.eprintid936en_US
local.rights.ispublishedyesen_US

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