Adolescent and young adult mortality in Bangladesh: findings from household surveys.

IF 4.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Global Health Pub Date : 2025-07-04 DOI:10.7189/jogh.15.04193

Ema Akter, Bibek Ahamed, Abu Bakkar Siddique, Pradip Chandra, Nasimul Ghani Usmani, Ridwana Maher Manna, Md Hafizur Rahman, Tasnu Ara, Md Shahidul Islam, Md Alamgir Hossain, S M Hasibul Islam, Mohammad Sohel Shomik, Anindita Saha, Md Akib Al-Zubayer, Abu Sayeed, Lubna Hossain, Toufiq Hassan Shawon, Shabnam Mostari, Qazi Sadeq-Ur Rahman, Shafiqul Ameen, Sabrina Jabeen, Anisuddin Ahmed, Shams El Arifeen, Ahmed Ehsanur Rahman, Aniqa Tasnim Hossain

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引用次数: 0

Abstract

Background: In 2021, over 1.5 million adolescents (aged 10-19 years) and young adults (aged 20-24 years) died globally, approximately 4500 deaths daily. However, research on causes and factors influencing deaths among adolescents and young adults in Bangladesh is limited. We aimed to address this gap by identifying the leading causes of mortality and the factors affecting adolescent and young adult deaths.

Methods: We conducted two cross-sectional, population-based surveys in urban Dhaka (December 2022) and rural Sitakunda (May 2023), covering 53 680 households and 250 249 individuals, with 72 530 aged 10-24 years. Between 2018-22, 163 deaths in this age group were recorded. We conducted verbal autopsies using the World Health Organization tool and assigned causes of death using the InSilicoVA algorithm. With descriptive statistics, we reported cause-specific mortality and utilised Cox proportional hazards models to estimate associations with background characteristics.

Results: Road traffic accidents were the primary cause of death, accounting for 10% (n = 17) among adolescents and 10% (n = 16) among young adults, followed by respiratory diseases (14% in adolescents and 3% in young adults). Older adolescents (adjusted hazard ratio (AHR) = 2.0; 95% confidence interval (CI) = 1.4-3.0) and young adults (AHR = 1.6; 95% CI = 1.1-1.4) had a higher risk of death compared to early adolescents. Individuals with high wealth status had a lower risk of death (AHR = 0.5; 95% CI = 0.3-0.8) compared to those with low wealth status. Adolescents and young adults with no education had a higher likelihood of dying compared to those with education (AHR = 5.6; 95% CI = 3.7-8.2).

Conclusions: To prevent untimely mortality among adolescents and young adults, efforts should prioritise leading causes such as road traffic accidents and respiratory diseases, and address vulnerabilities among rural residents, the uneducated, and those with low socioeconomic status. We recommend strengthening existing health programs for adolescents and young adults to reduce preventable deaths.

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孟加拉国青少年和青年死亡率：来自家庭调查的结果。

背景：2021年，全球有150多万青少年（10-19岁）和年轻人（20-24岁）死亡，每天约有4500人死亡。然而，对影响孟加拉国青少年和青壮年死亡的原因和因素的研究有限。我们的目标是通过确定死亡的主要原因和影响青少年和青年死亡的因素来解决这一差距。方法：我们在达卡城市（2022年12月）和锡塔昆达农村（2023年5月）进行了两次基于人口的横断面调查，涵盖53 680个家庭和250 249个人，其中72 530人年龄在10-24岁之间。在2018年至2022年期间，该年龄组记录了163例死亡。我们使用世界卫生组织的工具进行了口头尸检，并使用InSilicoVA算法确定了死亡原因。通过描述性统计，我们报告了原因特异性死亡率，并使用Cox比例风险模型来估计与背景特征的关联。结果：道路交通事故是主要死亡原因，青少年占10% (n = 17)，青壮年占10% (n = 16)，其次是呼吸系统疾病（青少年占14%，青壮年占3%）。年龄较大的青少年(调整风险比= 2.0；95%可信区间(CI) = 1.4-3.0)和年轻人(AHR = 1.6；95% CI = 1.1-1.4)与早期青少年相比有更高的死亡风险。高财富状态个体的死亡风险较低(AHR = 0.5；95% CI = 0.3-0.8)。与受过教育的青少年相比，未受过教育的青少年和年轻人死亡的可能性更高(AHR = 5.6；95% ci = 3.7-8.2)。结论：为预防青少年和青年人过早死亡，应优先考虑道路交通事故和呼吸系统疾病等主要死因，并解决农村居民、未受教育人群和社会经济地位低下人群的脆弱性问题。我们建议加强针对青少年和年轻人的现有健康项目，以减少可预防的死亡。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -

CiteScore

6.10

自引率

2.80%

发文量

240

审稿时长

6 weeks

期刊介绍： Journal of Global Health is a peer-reviewed journal published by the Edinburgh University Global Health Society, a not-for-profit organization registered in the UK. We publish editorials, news, viewpoints, original research and review articles in two issues per year.