Lay diagnosis of causes of death for monitoring AIDS mortality in Addis Ababa, Ethiopia.
Lay diagnoses of death collected at burial sites were validated against two 'gold standards': the hospital discharge diagnosis of causes of death obtained by a surveillance of hospital deaths (including autopsy results) and the physician review of verbal autopsies (VAs) that were carried o...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Journal article |
| Language: | English |
| Published: |
2004
|
| _version_ | 1797058332188475392 |
|---|---|
| author | Araya, T Reniers, G Schaap, A Kebede, D Kumie, A Nagelkerke, N Coutinho, R Sanders, E |
| author_facet | Araya, T Reniers, G Schaap, A Kebede, D Kumie, A Nagelkerke, N Coutinho, R Sanders, E |
| author_sort | Araya, T |
| collection | OXFORD |
| description | Lay diagnoses of death collected at burial sites were validated against two 'gold standards': the hospital discharge diagnosis of causes of death obtained by a surveillance of hospital deaths (including autopsy results) and the physician review of verbal autopsies (VAs) that were carried out for a sample of cemetery records. The diagnostic indicators of the lay diagnoses were then used to provide estimates of the share of AIDS-attribuTable mortality. The verbal autopsy results provide an independent estimate of the percentage of AIDS deaths. From a total of 21,274 burial records, 2546 hospital discharge diagnoses, 1480 outcomes of autopsies and 200 adult verbal autopsies were gathered over a period of 1 year starting from February 2001. Independent of the gold standard, lay diagnoses such as lung disease and cold have a specificity of about 90% and a combined sensitivity of about 55% in determining AIDS mortality. Without a significant loss in specificity, the sensitivity increases to 60-65% when diarrhoea, TB, herpes zoster and mental or nerve problem are included. We thus conclude that even in the presence of a reluctance to talk of HIV/AIDS, lay diagnosis of causes of death can be used for monitoring AIDS mortality. Lung disease and cold, in particular, have become well-known euphemisms for AIDS in the community. The share of AIDS deaths in the adult population (20-54) is estimated at 68%, without noticeable differences between men and women. Our results confirm the high impact of HIV/AIDS on mortality as was estimated by epidemiological projections for Addis Ababa. |
| first_indexed | 2024-03-06T19:48:59Z |
| format | Journal article |
| id | oxford-uuid:234fecbd-dc66-4561-b117-0db54cc533d3 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T19:48:59Z |
| publishDate | 2004 |
| record_format | dspace |
| spelling | oxford-uuid:234fecbd-dc66-4561-b117-0db54cc533d32022-03-26T11:43:41ZLay diagnosis of causes of death for monitoring AIDS mortality in Addis Ababa, Ethiopia.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:234fecbd-dc66-4561-b117-0db54cc533d3EnglishSymplectic Elements at Oxford2004Araya, TReniers, GSchaap, AKebede, DKumie, ANagelkerke, NCoutinho, RSanders, ELay diagnoses of death collected at burial sites were validated against two 'gold standards': the hospital discharge diagnosis of causes of death obtained by a surveillance of hospital deaths (including autopsy results) and the physician review of verbal autopsies (VAs) that were carried out for a sample of cemetery records. The diagnostic indicators of the lay diagnoses were then used to provide estimates of the share of AIDS-attribuTable mortality. The verbal autopsy results provide an independent estimate of the percentage of AIDS deaths. From a total of 21,274 burial records, 2546 hospital discharge diagnoses, 1480 outcomes of autopsies and 200 adult verbal autopsies were gathered over a period of 1 year starting from February 2001. Independent of the gold standard, lay diagnoses such as lung disease and cold have a specificity of about 90% and a combined sensitivity of about 55% in determining AIDS mortality. Without a significant loss in specificity, the sensitivity increases to 60-65% when diarrhoea, TB, herpes zoster and mental or nerve problem are included. We thus conclude that even in the presence of a reluctance to talk of HIV/AIDS, lay diagnosis of causes of death can be used for monitoring AIDS mortality. Lung disease and cold, in particular, have become well-known euphemisms for AIDS in the community. The share of AIDS deaths in the adult population (20-54) is estimated at 68%, without noticeable differences between men and women. Our results confirm the high impact of HIV/AIDS on mortality as was estimated by epidemiological projections for Addis Ababa. |
| spellingShingle | Araya, T Reniers, G Schaap, A Kebede, D Kumie, A Nagelkerke, N Coutinho, R Sanders, E Lay diagnosis of causes of death for monitoring AIDS mortality in Addis Ababa, Ethiopia. |
| title | Lay diagnosis of causes of death for monitoring AIDS mortality in Addis Ababa, Ethiopia. |
| title_full | Lay diagnosis of causes of death for monitoring AIDS mortality in Addis Ababa, Ethiopia. |
| title_fullStr | Lay diagnosis of causes of death for monitoring AIDS mortality in Addis Ababa, Ethiopia. |
| title_full_unstemmed | Lay diagnosis of causes of death for monitoring AIDS mortality in Addis Ababa, Ethiopia. |
| title_short | Lay diagnosis of causes of death for monitoring AIDS mortality in Addis Ababa, Ethiopia. |
| title_sort | lay diagnosis of causes of death for monitoring aids mortality in addis ababa ethiopia |
| work_keys_str_mv | AT arayat laydiagnosisofcausesofdeathformonitoringaidsmortalityinaddisababaethiopia AT reniersg laydiagnosisofcausesofdeathformonitoringaidsmortalityinaddisababaethiopia AT schaapa laydiagnosisofcausesofdeathformonitoringaidsmortalityinaddisababaethiopia AT kebeded laydiagnosisofcausesofdeathformonitoringaidsmortalityinaddisababaethiopia AT kumiea laydiagnosisofcausesofdeathformonitoringaidsmortalityinaddisababaethiopia AT nagelkerken laydiagnosisofcausesofdeathformonitoringaidsmortalityinaddisababaethiopia AT coutinhor laydiagnosisofcausesofdeathformonitoringaidsmortalityinaddisababaethiopia AT sanderse laydiagnosisofcausesofdeathformonitoringaidsmortalityinaddisababaethiopia |